Christopher L. Hess, MD, FACS, has published a straightforward piece on his blog about what he sees happening to patients who are “subjected” to so-called awake anesthesia. Dr. Hess Discusses the Trend of Awake Cosmetic Surgery:

I have seen patients that have undergone “local liposuction” and had to stop because of the pain.  These patients have terrible contour deformities that require delicate, very localized liposuction performed under general anesthesia so that the patient is comfortable and the areas for correction are easily identified and corrected.

In addition, these doctors are NOT plastic surgeons. They may be dermatologists, OB/GYN, internists etc.  I have seen patients with over a dozen scars on just the abdomen from liposuction from these untrained doctors.

Read it all.