What are additional concerns of dermatologic preoperative evaluation and management in liposuction?

Updated: Mar 16, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Answer

The benefits of tumescent anesthesia should be detailed. Although many patients wish to be treated under general anesthesia, a careful discussion of the risks associated with heavy sedation or general anesthesia emphasizes the benefits of the tumescent anesthetic technique. Oral sedatives the night before and 1 hour prior to the procedure may be helpful for some patients.

Informed consent is important. Liposuction procedures may have serious complications, including death, resulting from perforation of a viscus. Fluid shifts, disseminated intravascular coagulation, emboli, hematomas, and seromas all have been reported. Uneven skin contour changes may occur but can be ameliorated by massage and compression dressings. Preoperative laboratory evaluation may include a complete blood cell count, a chemistry profile, and aPTT/PT determinations. Female patients should stop birth control pills 1 month prior to liposuction, owing to the high risk of thromboembolism postoperatively.


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