Dr. Reichel uses twilight anesthesia for all of her liposuction cases. This means that you will be breathing on your own (no intubation) and will be able to communicate during the procedure. If you are having discomfort, we can increase the sedation for you. Avoiding general anesthesia increases the safety of the procedure. All liposuction surgeons use what is called tumescent anesthesia in addition to sedation. In tumescent anesthesia, a large volume of dilute lidocaine is injected into the areas of liposuction. This stops the nerves from feeling pain and helps to soften and break up the fat for easy removal.