Is It Normal to Have Severe Broken Blood Vessels After Lipo?

Just had liposuction under a local. Pain during saline/lidocaine prep by RN was horrific. Demerol and valium never took, entire proceedure with Dr. like going through a meat grinder. Upr/lower abs, waist and hips done. Covered with black, purple and red broken blood vessels/capilaries. Under local I was aware of every rip and tear they did. Mid section skin is yellow. This is day 4, my pain has been minimal but having bowel and stomach issues if I eat now. How much of this is normal?

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5 Doctor Answers | Asked by standfree

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Bruising after Liposuction, Liposuction under Local

Bruising and swelling after liposuction can be significant and varies from patient to patient and surgery to surgery based upon areas suctioned and amount suctioned. I never perform the liposuction under local anesthesia, because I typically suction 5 liters. This is painful at some point with almost anyone.

Bruising after Liposuction

It sounds like you weren't adequately managed for pain and sedation during the procedure, and I'm sorry to hear that. There is no reason that liposuction cannot be done under local anesthesia with maximized comfort. The broken capillaries and yellow spots you're seeing are blood vessels that were traumatized by the cannula, a very normal occurance. They will resolve on their own within a few weeks, and you can expedite this process by avoiding NSAIDs and alcohol. Arnica Montana supplements... more

General Anestheia is best for liposuction.

Liposuction under local anesthesia is just plain cruel and unreasonable. Everything hurts from the injection to the last stitch. I might add that many plastic surgeons feel the instillation of local fluid is part of the surgery and should therefore be done by the MD and not the nurse. ( It could be called practicing surgery without a license otherwise). Often the doctors that push local anesthesia are doctors with no hospital privileges to do... more

Liposuction Under Local Anesthesia Went Out With The Iron Maiden

Thank you for your question and comments. I have always felt that anesthesiologists had a purpose in life and your story exemplifies that purpose. Liposuction under general anesthesia using a Board Certified anesthesiologist, tumescent fluid with epinephrine 1cc per liter bag of saline, and a Board Certified plastic surgeon experienced in traditional liposuction leads to minimal bruising, no interoperative pain, and a relatively quick recovery, especially if DMSO is used to... more

Liposuction under local

This is exactly why I do it under sedation with a board certified anesthesiologist. I want my patients to be comfortable so that I can focus on giving them the best result possible and my anesthesiologist can make them comfortable. Sorry for your experience.