I have performed liposuction since it was first introduced in the US in 1982. Virtually all of theose procedure were done with a tumescent solution without complication. I also now recommend most of these pocedures under general anesthesia, except for very small areas, since I find it difficult to obtain the profound anesthesia required for the best results. In addition, I am now using radiofrequency assited liposuction (BodyTite) under an investigational protocol. It is far more powerful and effective for fat reduction and skin shrinkage than laser liposuction.