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Liposuction with Local Anesthesia

Conveniently located to serve the areas of New York, NY

Liposuction with local anesthesia is a minimally invasive surgical procedure that uses strategic injections of local anesthetic to numb the treatment area and reduce bleeding. Without general anesthesia, the surgeon can safely remove unwanted fat deposits from specific body areas, such as the abdomen, thighs, hips, arms, and neck while the patient remains comfortable. By forgoing general anesthesia, patients can avoid potential risks and complications and experience a quicker and smoother recovery.

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Dr. Steven Wallach, a leading plastic surgeon based in New York City, has been at the forefront of new trends in liposuction procedures, one of them being liposuction with local anesthesia. Dr. Wallach’s expertise in this technique has made it a popular choice among his patients, who appreciate the reduced downtime and quicker recovery associated with this method. Patients can trust Dr. Wallach as a board-certified surgeon at the top of his game and with years of experience performing successful liposuction procedures with local anesthesia. Contact Dr. Wallach’s office today to schedule a consultation and learn more about how this procedure can help you achieve your desired figure. With Dr. Wallach’s expertise and dedication to his patients, you can rest assured that you will be in good hands throughout the process. Call (212) 861-6400 to reach our scheduling coordinator, who will happily set up your consultation appointment.

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About Liposuction with Local Anesthesia

Currently, plastic surgeons worldwide consider liposuction to be among the most widely sought-after cosmetic surgical procedures. [1] Liposuction can effectively remove excess fat deposits from various body parts, resulting in a more contoured and aesthetically pleasing appearance. Liposuction with local anesthesia has become increasingly popular due to its safety and reduced recovery time. With liposuction, patients can achieve their desired body shape and boost their self-confidence.

In general, three types of anesthesia can be used for liposuction: 

  • Local
  • Regional
  • General

The choice of anesthesia depends on the area of the body being treated, the amount of fat being removed, and patient preference. Recovery time is an important consideration, particularly for outpatient procedures. It is important to ensure that patients regain their cognitive and motor functions quickly to be discharged as soon as possible.

Monitored anesthesia care is a technique used for small-volume liposuction. It involves using a vasoconstrictor and local anesthetic to reduce bleeding and relieve pain during the procedure. This allows liposuction to be performed under light sedation, which means a shorter recovery time and lower cost for the patient. [2] The patient remains awake and alert throughout the procedure, and only the targeted areas are numbed with a local anesthetic. The patient may also receive oral sedation to help them relax during the process.


Liposuction with local anesthesia is a versatile cosmetic procedure that can target various body areas, sculpting them into the perfect shape you’ve always dreamed of. Say goodbye to stubborn fat deposits that simply won’t budge and hello to a slimmer, more toned you!

  • Liposuction can transform your abdomen and waistline, giving you a flatter stomach and a more defined silhouette. 
  • Saddlebags and other thigh imperfections can also be smoothed away, leaving you with legs that are shapelier and more appealing.
  • If you struggle with love handles, liposuction can help you achieve a streamlined appearance by reducing those unsightly bulges on your hips. 
  • Similarly, excess fat on your upper arms can be banished, revealing toned and taut arms that you’ll be proud to flaunt.
  • Don’t forget about the face! Liposuction is a powerful tool that can help reduce neck fat and eliminate a double chin. This results in a more defined and youthful-looking neck and jawline. 

Liposuction can target most areas with pockets of fat that refuse to budge, enhancing your overall body shape and self-confidence. Liposuction with local anesthesia is an excellent choice if you’re looking to sculpt your body into a leaner, more attractive shape. Discuss your goals with a qualified surgeon like Dr. Wallach, and get ready to enjoy the life-changing benefits of this exciting procedure.


Local anesthesia is safer than general anesthesia because it has fewer associated risks. General anesthesia can have side effects such as nausea, vomiting, sore throat, and a higher risk of allergic reactions, blood clots, and breathing problems. Since the patient does not need to be put under, the risk of complications such as deep vein thrombosis, pulmonary embolism, and cardiovascular issues is significantly lower. [3]

Liposuction with local anesthesia also tends to have a shorter recovery time than general anesthesia. Since the patient is awake and alert during the procedure, they can usually go home shortly after it’s finished without needing a stay at the hospital. This can reduce costs and the inconvenience of a hospital stay.

Another advantage of local anesthesia is that the patient can communicate with the surgeon during the procedure, providing feedback on any discomfort they may experience. The surgeon can adjust the anesthesia as needed, providing a more customized experience for the patient.

Ideal Candidates

Ideal candidates for liposuction with local anesthesia are generally individuals who are in good health and within a reasonable weight range but have specific areas of the body with excess fat that is resistant to diet and exercise. They should have realistic expectations about the procedure’s results and understand that it is not a substitute for weight loss or a healthy lifestyle. Additionally, candidates should not have any significant medical conditions that would make them unsuitable for surgery under local anesthesia, such as a bleeding disorder or untreated high blood pressure.

A consult with a qualified healthcare professional such as Dr. Wallach will help determine if liposuction with local anesthesia suits your circumstances. To schedule yours, call (212) 861-6400 today!

Personal Consultation

Before liposuction, Dr. Wallach must assess and optimize the patient’s health, especially in obese patients with other medical conditions such as hypertension, diabetes, coronary artery disease, deep vein thrombosis, and obstructive sleep apnea. Liposuction is not recommended for patients with severe cardiovascular disease, coagulation disorders, or during pregnancy.

Patients should provide a complete medical history, including all medications, vitamins, herbs, and anticoagulants, as they may affect blood clotting. Many of these medications should be stopped at least two weeks before surgery.

Patients should undergo specific tests to ensure their safety and the procedure’s success, which Dr. Wallach will order to identify any potential risks or underlying conditions that may affect the procedure. This can lead to a safer and more successful outcome for the patient. Patients should call (212) 861-6400 to schedule their consultation with Dr. Wallach in Manhattan.


When preparing for liposuction with local anesthesia, patients do not need to fast as they do under general anesthesia. You can eat a light meal or snack before the procedure, which can help if you have medical conditions requiring you to eat regularly or feel anxious or nauseous when fasting.

You must rest and recover for a few days after the procedure. Make sure you have a comfortable and clean space set up at home where you can relax and recover. Stocking healthy food and drinks is an excellent way to aid your recovery.

Even though you won’t need to stay in the hospital overnight, you cannot drive yourself home after the procedure. Make sure you arrange for transportation in advance, whether it’s a friend or family member.

Our team will provide specific instructions on preparing for the procedure. These may include guidelines on eating and drinking before the procedure, what to wear on the day of the surgery, and any medications you should avoid. We are here for you every step of the way. Get in touch with questions!


Once you are comfortably positioned on the operating table, Dr. Wallach will begin the procedure by making small incisions in the targeted areas.  Dr. Wallach will then administer the local anesthesia and tumescent fluid. This involves injecting a solution of lidocaine (a local anesthetic) and epinephrine (a medication that constricts blood vessels) directly into the targeted areas. The solution is more diluted than the solution used in traditional infiltrative anesthesia, allowing for a larger area to be covered while minimizing the risk of toxicity. The lidocaine numbs the site, while the epinephrine constricts the blood vessels, reducing bleeding and bruising. 

 A cannula (a thin, hollow tube) is inserted through the incisions and moved back and forth to break up the fat cells. The fat cells are then suctioned out through the cannula, leaving the surrounding tissue intact.

The duration of the liposuction procedure varies depending on the number of areas being treated and the amount of fat being removed. However, most procedures take between 1-3 hours to complete.


After the procedure, our team will provide detailed instructions on caring for the incisions and managing any discomfort. Another significant benefit of liposuction with local anesthesia is that the area remains numb after the surgery is complete, so patients remain comfortable after returning home. You will likely need to wear a compression garment for several weeks to help reduce swelling and promote healing. Attending all follow-up appointments is essential to ensure that you are healing correctly.


Once you heal and are ready to show off your results, you can expect to see a significant improvement in the shape and contours of your body. Liposuction can help you achieve a more toned and defined appearance, as excess fat is removed from problem areas such as the abdomen, thighs, hips, and arms.

With liposuction, you’ll enjoy the newfound confidence and self-esteem of looking and feeling your best. You’ll be able to wear clothes that flatter your figure and enjoy activities you may have shied away from before.

The results of liposuction are long-lasting, too. Once the fat cells are removed, they don’t return, meaning you can maintain your new shape with a healthy diet and regular exercise. If you’re ready to experience this procedure’s incredible benefits, call Dr. Wallach at (212) 861-6400 – he can help you achieve your goals!

Cost of Lipo with Local Anesthesia in New York, NY

If you’re considering liposuction with local anesthesia in Manhattan, it’s important to consult with Dr. Wallach, who can provide you with a detailed breakdown of the costs involved, as well as answer any questions you may have about the procedure. With proper planning and research, you can make an informed decision that works best for your budget and desired outcome. Call (212) 861-6400 or reach out online today!


  1. Dixit VV, Wagh MS. Unfavourable outcomes of liposuction and their management. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India. 2013;46(2):377-392. https://doi.org/10.4103/0970-0358.118617
  2. Sood J, Sethi N, Jayaraman L. Liposuction: Anaesthesia challenges. Indian Journal of Anaesthesia. 2011;55(3):220. https://doi.org/10.4103/0019-5049.82652
  3. Narani K. Deep vein thrombosis and pulmonary embolism – Prevention, management, and anaesthetic considerations. Indian Journal of Anaesthesia. 2010;54(1):8. https://doi.org/10.4103/0019-5049.60490

I Love Dr. Steven Wallach, hands up with praise and his receptionist Ashley and other staff is amazing. I love my new Wallach body if I could rate 100 stars I would.

Melisa G.

New York, NY

I got Lipo 360 and Lipo done to my inner thighs and it was honestly the best experience . Everyone in the office including him make sure I knew everything that was happening and honestly I love the results so much !!

Brittani P.

New York, NY

I’m so happy with the results from the Botox shots that Dr. Wallach performed on me. He spent a lot of time talking about the different fillers that would make my face look the most natural and youthful.


New York, NY

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