Risk of blood clots with lipo/tummy tuck combination

by

A full tummy tuck with aggressive liposuction at the same time will certainly put you at an unacceptably high risk for a potentially fatal pulmonary embolism (PE), venous thromboembolic event (VTE) as well as fluid under the tummy tuck skin (seroma), loss of the skin of the tummy tuck (necrosis) wound failure (dehiscence) and hematoma, among other things.  The literature is complete with this information.  The science is the science.   This is a risky combination.  Furthermore, you look like a candidate for a tummy tuck alone.  The only way to tell is to feel the skin and determine how much fat vs. skin laxity there is.

Some study outcomes in the Plastic Surgery Literature:

Results: One hundred twenty-five patients underwent abdominoplasty with flank liposuctionand 75 patients underwent abdominoplasty alone. The incidence of seroma formation was 16.0 percent in the abdominoplasty-alone group and 31.2 percent in the abdominoplasty with liposuction group (p < 0.05).

The combination of abdominoplasty and liposuction procedures can still overwhelm the body's ability to resist these shear forces by the fact that more surface area is available to “shear” and thus produce seroma fluid. Not so much as an additive effect but synergistically, such that the seroma fluid from the flanks flows into the adjacent abdominal space and resists the ability of the upper abdominal flap to close over the abdominal wall. Patients must be counseled about their risk for seroma formation and treatments aimed at resolving them including frequent postoperative visits for needle drainage and the rare case requiring operative drainage in the face of a persistent seroma.


Article by
San Antonio Plastic Surgeon