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Updated 07/30/09

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 LIPOSUCTION - SPECIFIC SURGICAL RISKS

DESCRIPTION                    

q     Suction assisted lipectomy is a surgical technique to remove unwanted deposits of fat from specific areas of the body, including the face and neck, upper arms, trunk, abdomen, buttocks, hips and thighs, knees, calves and ankles.   Liposuction is not a substitute for weight reduction but a method for removing localized deposits of fatty tissue that does not respond to diet or exercise.  Suction-assisted lipectomy may be performed as a primary procedure for body contouring or combined with other surgical techniques such as a face lift, abdominoplasty or thigh lift procedures to tighten loose skin and supporting structures.

q      The best candidate for liposuction are individuals of relatively normal weight who have excess fat in particular body areas.   Having firm, elastic skin will result in a better final contour after liposuction.   Hanging skin will not reshape itself to the new contours and may require additional surgical techniques to remove and tighten excess skin.   Body-contour irregularities due to structures other than fat cannot be improved by suction lipectomy.   Suction assisted lipectomy by itself will not improve areas of dimpled skin known as "cellulite".

      There are a variety of different techniques used by plastic surgeons for suction assisted lipectomy and care following surgery.

 

RISKS

q      PATIENT SELECTION: Individuals with poor skin tone, medical problems, obesity or unrealistic expectations may not be candidates for suction assisted lipectomy. 

q      CHANGE IN SKIN SENSATION:  Temporary changes in skin sensation after suction assisted lipectomy occur which usually resolve.  Diminished (or complete loss of skin sensation) infrequently occurs and may not totally resolve. 

q      SKIN CONTOUR IRRECULARITIES: Contour irregularities and depressions in the skin may occur after suction assisted lipectomy.   Visible and palpable wrinkling of the skin can occur.    Additional treatments including surgery may be necessary to treat skin contour irregularities following suction assisted lipectomy.

 

q      ASYMMETRY: Symmetrical body appearance may not result from suction assisted lipectomy surgery.   Factors such as skin tone, bony prominence and muscle tone may contribute to normal asymmetry in body features.

 

q      SURGICAL SHOCK: In rare circumstances, this procedure can cause severe trauma, particularly when multiple or extensive areas are suctioned at one time.   Although serious complications are infrequent, infections or excessive fluid loss can lead to severe illness and even death.   Should surgical shock occur after suction assisted lipectomy, hospitalization and additional treatment would be necessary. 

 

q      PULMONARY COMPLICATIONS: Fat embolism syndrome occurs when fat droplets are trapped in the lungs.  This is a very rare and possibly fatal complication of suction assisted lipectomy.   Should fat embolism or other pulmonary complications occur following suction assisted lipectomy, additional treatment including hospitalization may be necessary.

 

q      SKIN LOSS:  Skin loss is rare after suction assisted lipectomy.    Additional treatments including surgery may be necessary. 

 

q      SEROMA: Fluid accumulation infrequently occur in areas where suction assisted lipectomy has been performed.    Additional treatment or surgery to drain accumulation of fluid may be necessary.

 

q      LONG TERM EFFECTS: Subsequent alterations in body  contour may occur as the result of again, weight loss or gain, pregnancy or other circumstances not related to suction assisted lipectomy.

 

q      OTHER: You may be disappointed with the results of surgery.   Infrequently, it is necessary to perform additional surgery to improve your results.

 

q      ALTERNATIVES:  Alternative forms of management consists of not treating the areas of fatty deposits.   Diet and exercise regimens may be of benefit in the overall reduction of excess body fat.    Direct removal of excess skin and fatty tissue may be necessary in addition to suction assisted lipectomy in some patients.  Risks and potential complications are associated with alternative forms of treatment that involve surgery.

 



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