Brain-dead from Laser Lipo Under Local Anesthesia?

This question is for doctors who perform Smart Lipo or liposuction using local anesthesia: I read about a 37-year-old woman who went brain-dead after receiving laser lipo at a Medspa in the East Coast. How is it possible for a woman to go brain-dead and die from laser lipo, or do you think msybe something else transpired with her for such a drastic outcome of her surgery?

Doctor Answers 12

Brain-dead from laser lipo under local anesthesia

Dear Flawed,

REGARDING -"How is it possible for a woman to go brain-dead and die from laser lipo, or do you think maybe something else transpired with... "

This case has been in the news repeatedly and exemplifies why you should ALWAYS insist on a Plastic surgeon going Plastic surgery rather than the current state where due to corrupt state officials ANY doctor can PRACTICE any field of Medicine.

In this case as in most such disasters implicating "plastic surgeons", the Doctor was NOT a member of the American Society of Plastic Surgeons (as are ALL of us on this panel). Instead, the "plastic surgeon" here was Dr. Omar J. Brito, MD who went to medical school in Venezuela and trained here in Occupational Medicine (Occupational medicine is the branch of medicine that deals with the health of workers. An occupational medicine physician treats work-related injuries that include lung disease, breathing disorders, allergic reactions to chemicals, or chemical burns. This specialist also works with business owners and workplace safety organizations to protect the health of workers and to prevent work-related injuries, accidents and diseases. ) / Family Medicine / Adult Medicine actually practiced Plastic Surgery, also happened to have a disciplinary action against him by the state of Florida.

"Weston, Florida—last Friday, Rohie Kah-Orukaton went to her favorite spa to have a routine liposuction procedure performed. However, the procedure, described as minimally invasive, went terribly awry. After suffering a seizure, the nurse and mother of three is brain dead and on life support at the Cleveland Clinic in Weston, Florida.

Mrs. Kah-Orukaton was a patron of the Weston spa for approximately five years prior to receiving the liposuction procedure. Apparently, the facility was not licensed to perform liposuction. However, Doctor Omar J. Brito, the doctor who performed the procedure, is licensed. Furthermore, he alleges that he was unaware that Weston Medspa was unlicensed to perform liposuction procedures. Nevertheless, Michael Freedland, the Kah-Orukaton family’s attorney, believes that Rohie suffered a seizure as a result of an anesthetic called lidocaine. He has since requested a medical report from the spa, but has yet to receive it.

Dr. Brito maintains that he did not experience any difficulties during the procedure until the very end and then called 911 immediately. In spite of that statement, Dr. Brito’s profile on the spa’s website does not list any training or residency with cosmetic surgery. His attorney, Brian Bieber, however, maintains that the doctor has performed liposuction procedures for 4 years. Nonetheless, it is against Florida state law to perform liposuction in an unlicensed facility. Rohie’s husband declined to comment on the matter, as he and his family make a decision whether or not to take her off of life support. She will leave behind three children—ages 4, 5, and 7."

From reading the hundreds of E mail on REALSELF.COM asking "where is the cheapest XXXX plastic surgery procedure?" it is painfully obvious that our message is NOT getting through. I am sure this poor woman's procedure was a real bargain. Sadly, it was not the bargain she expected. Now the lawyers, as they always have, will be the real winners of this tragedy.


Memphis Plastic Surgeon
5.0 out of 5 stars 93 reviews

Safety first with liposuction

Liposuction has been around for a long time and there have been several improvements in technique and technology. In the mid-1990's, there were several reports of death and serious complications, and the procedure started to get a bad reputation. As a result, a task force of experts was put together and it was determined that there should be limits on how much could be done at one time, and that it should be done in properly accredited surgical facilities. It then became a safe and increasingly popular procedure.

Laser lipo has been touted as a safer and less invasive "alternative" even though the laser adds additional risk and by definiton it is not less invasive. In a competetive market, larger and larger volumes are being removed and the procedure is being done in medispas as though it isn't a surgical procedure at all! In doing these larger volumes, more anesthetic and fluid has to be injected, and the risk increases. Buyer beware.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 42 reviews

Laser lipo and death

Surgery is surgery, and liposcution whether done with laser as in Smartlipo or more traditional means can have complications. While it is extremely rare, death can happen with almost any surgery. The key to minimizing your risks, are to go with a top qualified surgeon in a fully accredited facility or hospital, and have a full medical work-up as deemed appropriate for your age and general health statu.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 23 reviews


There are multiple risks that should be minimal. The medication for sedation may have been too much, The xylocaine infusion could have been incorrectly calculated. The beauty of smart lipo is that it should be done sedated mot a general anesthesia. My patients talk to me alll through the procedure but, are perfectly comfortable

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.5 out of 5 stars 6 reviews

Liposuction and Smartlipo Safety

For any surgical procedure it is important that your Plastic Surgeon has your safety as priority #1.  Make sure that your surgeon is Board Certified and practices at an accredited facility.  Fortunately liposuction and Smartlipo done by a reputable and safe surgeon on an appropriate patient is a very safe procedure. 

Smart Lipo

Without knowing all of the details, there is no way to speculate about what transpired. More detailed information is needed to begin to understand what happened.

State Licensure can not be trusted.

All of the advice you have been given is very good. I want to add a bit of information that could possibly save a life. Many states, my state included, do not control the spectrum of medical practice of licensed physicians. Once a physician has a license to practice medicine in that state they can call themselves any thing they want no matter what specialty of training they have had. I know OB-GYN doctors that are suddenly marketing themselves as cosmetic surgeons and soliciting patients for liposuction and face lifts. The state licensing board is not bothered by this. Once a physician is given a license they can do any thing they want as long as do not kill any one, this is the mind set of the bureaucrats.

Buyer beware. You have to do you own home work and not depend on the government to make medicine safe for you. Find a surgeon that has real credentials and beware of the marketing.

Best Wishes

Dr. Peterson

Marcus L. Peterson, MD
Saint George Plastic Surgeon
4.5 out of 5 stars 34 reviews

Risks of liposuction in the wrong hands

Liposuction is real surgery - nothing less. It should be done by a properly trained surgeon in an accredited facility preferrably with a physician anesthesiologist there either for geneal anesthesia or at least sedation. Too many people downgrade it to just a little "procedure" and underestimate the potential risks.

Tragic Outcomes After Plastic Surgery

It is possible for "lightning to strike" any one of us at any time, including during a plastic surgery case.

Sadly, almost all of the bad outcomes that you will hear about in the media are have one or more of the following in common:

  1. A practitioner with inadequate training or questionable credentials
  2. A facility that is not properly staffed or equipped

My advice to all patients is to seek only board-certified plastic surgeons who perform their procedures in fully accredited facilities.

Your doctor should also have hospital privileges for whatever procedure he is performing, even if it is in an outpatient facility.

John LoMonaco, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 242 reviews

Brain Dead After Liposuctioning

First, liposuctioning is a very common and very safe procedure if done correctly by a board certified plastic surgeon. Even under the best conditions complications can occur.

If you read the news reports on the internet about this case several red flags come up immediately:

1. This was done at a Medispa

2. This was done by a occupational therapy doctor, and NOT by a Board Certified Plastic Surgeon

People need to do their homework and choose wisely when considering cosmetic procedures.

John P. Stratis, MD
Harrisburg Plastic Surgeon
4.5 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.