DOCTOR'S VIEW ARCHIVE
One Danger of Liposuction -- Death
Liposuction is now the most common cosmetic surgery in the U. S. with over 400,000 of these procedures done annually. Liposuction involves the surgical suctioning of fat deposits from specific parts of the body. The most common target areas are the abdomen, buttocks, hips, thighs, knees, chin, upper arms, back, and calves.
Liposuction breaks up and "sucks" fat out of the body through a hollow instrument (a cannula) inserted under the skin (subdermally). A strong vacuum is applied to the cannula.
In ultrasonic-assisted liposuction (UAL), the cannula is energized with ultrasonic energy which causes the fat to melt away on contact. This method offers an advantage in treating scar tissue in areas such as the male breast, back, and in areas of prior liposuction. The disadvantages of UAL include the need for longer incisions in the skin, the potential for skin or internal burns, greater cost, and longer time.
The technique of tumescent liposuction has become especially
popular, in part because of its purported safety. This procedure
involves pumping several quarts/liters of a solution below the skin
(subcutaneously) in the area to be suctioned. The solution consists
of salt water (saline) to which is added the local anesthetic
lidocaine to numb the surgical site and the vessel-constrictor
epinephrine (adrenaline) to help minimize bleeding. The fat is then
suctioned out through small tubes. Tumescent liposuction is now the
most common form of liposuction.
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