In the hands of Plastic surgeons who are skilled in liposuction totally by local anesthesia, patients usually have less discomfort after surgery than when liposuction is done by general anesthesia.
The intensity of pain immediately after liposuction is quite mild when local anesthesia is used because of the persistence of the local anesthetic effect. After liposuction totally by local anesthesia, patients rarely require any medication other than acetaminophen (Tylenol). When general anesthesia is used without sufficient lidocaine (local anesthetic) in the tumescent solution, the pain is much more intense and often requires the use of narcotic analgesics.
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After the procedure, the patient will be observed for at least an hour or longer and then discharged with a friend or family member to be observed for the rest of the day and evening. Although many patients have asked to go home alone, it is quite possible to have minor issues that arise and, for that reason, careful observation for the next 12 to 24 hours is recommended. Pain medication need varies by procedure type. Patients who undergo the tumescent liposuction procedure usually require acetaminophen (Extra Strength Tylenol), but oral narcotics are often necessary for patients who undergo the non-tumescent procedure.
The most common time for possible dizziness to occur after the procedure is the first time the patient uses the restroom or when the garments are initially removed. For this reason, it is always a good idea to have a friend or family member available, or within calling distance, when doing these activities.