Awake surgery at Dr. Rose Plastic Surgery offers gentle, comfort-first cosmetic procedures, such as liposuction and facelifts, all performed under local anesthesia.

Dr. Jacqueline Rose Makerewich offers awake surgical options, including liposuction, breast augmentation, BBL, fat transfer, and facelift, designed for patients seeking a gentler experience, faster recovery, and more personalized care. Using local anesthesia and light sedation, she combines technical precision with a patient‑centered approach rooted in empathy and expertise.

Awake surgery allows cosmetic procedures to be performed using local anesthesia and mild sedation, so you're comfortable yet alert. These options allow you to avoid general anesthesia while Dr. Rose works with meticulous care to enhance your appearance in a relaxed and supportive environment.

On the day of your procedure, you arrive at our soothing Yorkville clinic. Local anesthetic is administered, and light sedation is provided to keep you comfortable and calm, without needing a ventilator or deep sleep. Dr. Rose proceeds with her delicate technique, guiding the process and ensuring you remain connected and at ease throughout.
What procedures can be performed by awake surgery?
Awake procedures are ideal for those seeking gentle contouring or refinement:

These techniques can address multiple areas, including the abdomen, flanks, arms, thighs (via liposuction), breasts, buttocks, and facial aging, depending on the procedure.
Avoiding full anesthesia often means less grogginess and a quicker return to daily life.
Local-only procedures reduce the medical risks and postoperative nausea linked to general anesthesia.
You’re able to ask questions and follow Dr. Rose’s care advice in real time.
A lighter clinical touch enables minor, refined improvements, resulting in less visible scarring and naturally balanced outcomes.
Awake surgery suits healthy adults with realistic goals:
Dr. Rose evaluates your health history and goals to ensure that awake surgery is the right fit for you.

Expect mild swelling and bruising. You’ll rest at home and follow a gentle recovery plan designed by Dr. Rose—this includes tailored scar care, activity modifications, and nutrition guidance. Check-ins are frequent, helping you stay comfortable and supported throughout your journey.
When will I see them? Early improvements are visible within a few days, with final results emerging over 4–6 weeks.
How long will they last? Results are long-lasting when healthy lifestyle habits are maintained; individual factors, such as aging and weight changes, also play a role.

Dr. Rose offers awake surgical options for select procedures, including liposuction, breast augmentation, fat transfer, and facelifts, utilizing methods that prioritize comfort and control throughout the entire process. What makes her approach different is how present and supported patients feel throughout the process.
Dr. Rose’s experience, paired with her calm bedside manner and deep respect for patient autonomy, makes her especially suited to perform awake procedures with care and precision. You’ll always know what to expect, you’ll never feel rushed, and your comfort—physical and emotional—remains at the center of everything.
You will experience minimal discomfort, thanks to local anesthesia; any mild pressure will be managed throughout the procedure.
You’ll need a responsible adult to drive and support you after sedation.
Yes, as long as you qualify, awake surgery avoids general anesthesia risks under Dr. Rose’s careful supervision.
Scarring is minimized by using small incision techniques, and proper scar care will aid in the healing process.
Many patients resume light activities within 2–3 days, and full exercise typically resumes in 2–4 weeks.