At True Aesthetics Center, we specialize in cosmetic procedures performed while you”™re awake. These include Awake Liposuction, Awake Breast Aug, and Awake Lipo-Abdominoplasty.  We have always stated that these are safer procedures for the patient. If you”™re going to do an elective cosmetic procedure, we believe it should be performed with the least risks. After all, there is not medical necessity for the procedures; you just want to enhance your beauty.

Recently there was a study in the February, 2012 issue of Dermatologic Surgery that confirmed this rationale (1). It reported that more than two-thirds of deaths and three-quarters of hospital transfers were associated with cosmetic surgery performed under general anesthesia.

The study was especially critical of liposuction performed under general anesthesia. Liposuction is one of the most common cosmetic procedures performed in the United States. They noted that there were no deaths from liposuction when performed with local anesthesia. This is the type of liposuction that we do at True Aesthetics Center, using Tumescent Local Anesthesia. The study further stated that “Liposuction under general anesthesia accounted for 32 percent of cosmetic procedure-related deaths and 22 percent of all cosmetic procedure-related complications”.

The researcher reviewed cosmetic surgery cases n the Florida and Alabama. In Florida, there were 46 deaths and 263 reportable complications or transfers to hospital. Cosmetic surgeries performed under general anesthesia accounted for the vast majority of deaths in Florida, with liposuction and abdominoplasty the most frequently reported procedures.

In Alabama, general anesthesia was implicated in 89 percent of reported incidents, of which 42 percent were cosmetic surgeries. The pulmonary complications including pulmonary emboli and pulmonary edema, and these were implicated in many deaths in both states. There were no deaths associated with the use of local anesthetics and liposuction.

We at True Aesthetics Center have emphasized the improved safety that the Awake procedures provide for patients. Dr. True teaches tumescent liposuction to physicians around the world and has emphasized the proper technique in order to provide such safe means. We contend that, if performed correctly and according to the instructions and protocol of Dr. True, that there are extremely few complications from doing the procedure using his technique. This study confirms such safety.


1. John Starling III,, Maya K. Thosani and Brett M. Coldiron, “Determining the Safety of Office-Based Surgery: What 10 Years of Florida Data and 6 Years of Alabama Data Reveal”, Dermatologic Surgery, Feb 2012, Vol. 38-2; p 171-177,