Is large volume liposuction safe?
Mega liposuction can be safely carried out by an experienced surgeon and anesthesiologist. Standard risks of anesthesia do exist when the procedure is done under General Anesthesia. As liposuction removes fat from under the skin only, without any damage to internal organs, there are no long term health risks. As most of the mega liposuctions are performed under General Anesthesia, monitored anesthesia is very important. General Anesthesia offers maximum comfort to the patients as contouring of front back and sides can be performed without subjecting patients to inconvenient positions.
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It is important that such surgeries be performed at a good surgical facility with all back up facilities and supportive measures. This clearly is not a surgery to be performed in small clinics or nursing homes. Bruising, swelling and soreness are to be expected after surgery. These are temporary effects of surgery and are expected to resolve in 3 – 4 weeks. Major risks include pulmonary edema, hemorrhage, and toxicity from the local anesthetic used. There are fortunately rare. Patients who are high – risk for pulmonary embolism need appropriate preventive measures.
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the potential role of lidocaine cardiotoxicity in tumescent anesthesia remains largely unappreciated. That, plus concomitant perioperative complications such as pulmonary edema or inappropriately administered sedative and analgesic drugs, cry out for the strengthening and enhancement of existing monitoring, resuscitative, and recuperative facilities in physician offices. At the risk of sounding somewhat self-serving, anesthesia services should be consulted — if not engaged — for patient safety monitoring whenever “major” liposuction or conscious sedation are contemplated, for liposuction may not be as benign a procedure as heretofore inferred and Increasing doses of a toxin can be expected to produce increasing risks of a toxic response. Drinking a very small amount of alcohol usually has no detectable effect.
Increasing doses of alcohol first produce a mild subjective effect, then mild intoxication (inebriation), followed by moderate intoxication (drunkenness), and dangerous intoxication (unconsciousness, coma, death). The severity of a skin burn can be measured as a percentage of the body-surface area that is burnt. The probability of death increases with increasing percentage of body-surface area that is burnt. Similarly, an increasing amount of liposuction trauma (increasing percentage of body-surface area subjected to liposuction) increases the risk of unconsciousness, coma, and death.
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