Any Life-threatening Side Effects with Smart Lipo?

Hi there-

As my colleagues have mentioned, ALL surgery has risks. Your goal should be to MINIMIZE these risks by making smart decisions about:

WHO you let do any surgery on you

WHERE you have the procedure done

HOW you are ANESTHETIZED

HOW the surgery is done (some body contour techniques are safer than others)

My opinion is that Smartlipo, and other laser-based devices do not offer the effectiveness and safety profile of alternatives like the VASER or even Tumescent Liposuction.

For more information on liposuction and making smart decisions, please follow the link below.

Smart Lipo from Cynosure or laser-assisted liposuction, has a risk of skin injury related to the heat of the device but there are many safety mechanisms in the device that help limit this risk.  The epinephrine in the local anesthetic was described by Dr. Jeffrey Kelin many years ago and tumescent liposuction has had a very good safety profile, but there are some patients with heart disease or thyroid conditions that the epinephrine may exacerbate underlying problems.  If too much of the anesthetic is used there could be fatal consequences but the surgeon follows the guidelines and limits the amount of local anesthetic given.  When the liposuction is done as a sole treatment, and the surgery does not last for many hours and conservative amounts, not very huge volumes of fat, are removed, the procedure is very safe. To increase the level of safety, the surgeon reviews your concurrent medication to ensure that they do not interfere with the liver's metabolism of the lidocaine anesthetic given during the liposuction. But with any surgical procedure there are risks, and although very very rare, even fatal consequences can occur.  Be sure your surgeon discusses all of these risks with you during your  consultation.

One of the most common misconceptions is that 'a procedure is safe'.  While a procedure can be either safe or not safe, even more important to consider is the physician who is performing it!   The epinephrine and lidocaine are safe when given in the right amounts, but can be deadly if used incorrectly.  This is just the same with most other medications, such as aspirin or even tylenol!

SmartLipo is a procedure where the skill of the surgeon is of incredible importance.  The reason for this is that an unskilled or untalented surgeon can leave the patient deformed or even dead if done incorrectly or using improper technique. 

In our clinic, we evaluate patients thoroughly prior to the procedure using standardized blood tests and a questionnaire as well as an informed consent that is both written and video.  These prepare patients correctly and also make sure they are good candidates.

As for the procedure, it helps (in my opinion) to have been a well trained surgeon before graduating to SmartLipo.  I have performed over 3000 liposuction cases and now about 100 of SmartLipo.  While it isn't dramatically different, it has a lot of balls in the air and it definitely takes a good team and a skilled surgeon.

My preference is to have a tumescent method prior to the SmartLipo as well.  That assures a quick, nearly bruiseless recovery.  Most of my patients have NO bruising and are back to work the next day after the surgery or, at most, two days after surgery. 

You raised a great question and I hope your surgery goes well.