I have an abnormal EKG I'm very active, would laser lipo be more of a safer procedure for me instead of 360 lipo?

Question

Abnormal EKG laser lipo or CoolSculpting? I was schedule for 360 lipo but once I got my EKG results back I don't want to do a full procedure any suggestions?

Thomas Wright, MD · Answer

There are many things that can be abnormal on an EKG, some are significant like signs of a previous heart attack or the presence significant electrical conduction problem like a bundle branch block. If it is a minor EKG abnormality like a sinus arrhythmia, that likely won't increase your risks.  If the abnormality is significant I would recommend considering only Coolsculpting and not laser liposuction.

Kenneth Hughes, MD · Answer

What reason did the cardiologist provide for the abnormal EKG reading?  If it is not pathological, then it will not pose a threat. If your cardiologist clears you before surgery and has no reason to believe that you would suffer an anteroseptal infarct during or after the surgery, you should be reassured to proceed with the surgery.  Of course, your plastic surgeon must be notified of all of the EKG results and determine the risks. Because CoolSculpting is a nonsurgical procedure, it comes with no surgical risks. However, the procedure does have some side effects to consider.

Daniel Barrett, MD · Answer

Dear Goodform,
if you have abnormal ECG, then you might need a clearance from a cardiologist prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Barry Ginsburg, MD · Answer

If you have an abnormal EKG you should see a cardiologist who will evaluate your heart and tell you whether its safe to have liposuction

Connie Hiers, MD, FACS · Answer

If you have a medical clearance from your cardiologist for elective surgery, liposuction can be done safely to remove excess fat. Not all noninvasive "fat removal" procedures work in everyone. I would suggest meeting first with your cardiologist and then with a board certified plastic surgeon to discuss your options.

Dean P. Kane, MD, FACS · Answer

Dear Goodform, Congratulations on your personal maintenance and improvement. Yes, an abnormal EKG may add risk to any medical procedure, particularly with the use of epinephrine, a medication use to diminish bleeding by vasoconstriction of blood vessels. Epinephrine is also made by the body as a hormone to vasoconstrict vessels, increase blood pressure and stimulate the hearts pace and contractile force. For this reason, I recommend your EKG and your cardiovascular system be evaluated by a cardiologist for any potential irregular and adverse concerns. In many cases, medications may mitigate any dangerous issues; then you can re-consider either lipocontouring process. Select a Board Certified Plastic Surgeon to determine what is best for you and communicate with your Cardiologist for proper and safe care. All the best!

Mats Hagstrom, MD (license on probation) · Answer

An abnormal EKG really doesn’t mean anything unless we know what the abnormalityis. Most likely you’re a young healthy person who just has an incidental thing like I skipped a beat which is not an issue whatsoever. I could be wrong and you should definitely tell a plastic surgeon so they can get a checked out before doing any procedure.You seem a little confused about the terminology in regards to liposuction. 360 simply means all the way around. Laser assisted liposuction is still traditional liposuction with a secondary laser treatment. They are two different treatments. The laser is not used at the same time as liposuction it is used immediately before or after. Laser assistance adds zero improvement to traditional liposuction. I say this after having done several thousand laser liposuction procedures. It is a worthless technology that does nothing but confuse patients and generate money for providers.The form of liposuction is in fact irrelevant from the patient’s perspective. The only thing that matters is finding a provider who knows how to do liposuction really well. The difference in results is purely related to the skill and experience of the provider. It has nothing to do with the equipment.People hype equipment to try to Differentiate themselves. It’s simply a way of self promoting their practice to make more money.Your situation is fairly straightforward. I think you’re worried about inappropriate topics. Number one is talking to your primary care doctor to get an understanding of what the implications of your EKG results are in. The second is to find the most talented board-certified plastic surgeon in your area in specifics to liposuction.Both are important but by far the most important decision for you is finding the best plastic surgeon.In the end it is the only variable that matters for you and it is a variable that is the difference between a beautiful body transformation and being botched to the point beyond repair.Please schedule numerous in person consultations with board-certified plastic surgeons in your area.Best, Mats Hagstrom MD

Kristine Brecht, MD (license suspended) · Answer

Dear Goodform,
Your first step is to address the abnormal ekg result. Once the underlying condition is address and treated properly then you can consider liposuction again.
Consider doing liposuction under non general anesthesia routes, where there is minimal to no stress on your heart.
“Awake liposuction”, tumescent only liposuction, may be a good option for you.
Best. Dr Kristine Brecht
Seattle, Wa

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!The nature of the EKG abnormality is essential in determining a course of action (if needed). If the abnormality is significant, you require evaluation by your primary care physician to determine if there is increased risk. I would not consider any type of procedure until more information is available. Medical clearance will most likely be required.Best wishes...

I have an abnormal EKG I'm very active, would laser lipo be more of a safer procedure for me instead of 360 lipo?

Answers (9)

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