Liposuction | |||||||||||
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Risks and side effectsThe biggest risk with liposuction is the too much too soon approach, which is more likely to result in medical complications as well as an unwanted finished effect of lumps and bumps, asymmetry and sagging skin. (Around 20 per cent of liposuction patients have a revision to improve the contour of their original surgery).Infection is a common complication after liposuction, but generally easily treated with oral antibiotics. More serious complications include lidocaine overdose, pulmonary embolism (where dislodged fat ends up in the lungs) and fluid imbalance, which can result in pulmonary edema, or heart or kidney malfunction. These complications are rare and you can minimise risk by checking your surgeon is using tumescent liposuction. It is possible, although rare, for a surgeon to to puncture internal organs, such as the intestines. (This risk is increased if you have a hernia). There is also (although thankfully very rare) risk of death – current reports suggest there are around three deaths for every 100,000 liposuction operations performed, a similar rate to routine operations performed under general anaesthetic. To minimise surgical complications it’s best to schedule multiple liposuction procedures several days apart. Seroma is a complication which can often occur after liposution. It's a collection of serum which is left behind after red and white blood cells are removed during the procedure. It can leech out of incisions or build up under the skin. Normally it disappears after a while naturally but doctors can also drain it with a syringe. The risk of developing seromas is reduced when surgeons use a very small cannula and treat smaller areas which limits the area of trauma. You should try to move around after the procedure to reduce the risk of blood clot in legs and lungs. |
Post-op care
Immediately after the procedure you're blood pressure should be monitored and you may experience dizziness or nausea and vomiting.Sometimes stitches may need to be removed so your surgeon might ask you to return a day or so later for a check up. Where no stitches exist a telephone consultation is often offered.
A compression garment must be worn to reduce swelling and speed up healing.
The "open-drainage" technique is used more often now. This means incisions are not closed and the wounds are allowed to drain naturally into pads which limits bruising and speeds the healing process.
With modern techniques, a full recovery is expect by two weeks, full results will not be seen until 16 weeks later.
Expert opinion
Bryan Mayou, Consultant plastic surgeon and founder of London’s Cadogan Clinic“Liposuction is designed to improve body shape, not weight. It can be used in fat or thin people where shape is important. It has other uses in male and female breast reduction and also the harvesting of fat and stem cells for grafting and for the tightening of overlying skin using certain techniques.”
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