Age 38, 140lbs, risks of fat embolism during or after liposuction with regional anesthesia?

The story you refer to is an unfortunate one, but is rare. None of knows teh real details and it is unclear how "simple" the procedure was. It may have been combined with other procedures or she may have had some medical issues that may have made this more likely. Fat embolism is usually a risk that can occur with fat transfer, not usually with liposuction. So this is another reason why the story is a bit mysterious. Regardless, the risk of a serious complication is rare, when your surgery is performed by a Board Certified Plastic Surgeon, in an accredited facility, with a Board Certified Anesthesiologist, and you have been medically cleared by your primary physician. These are things that you will be able to discuss with your surgeon during your consultation.

Liposuction is the most commonly performed procedure in plastic surgery. If done correctly it is very safe. Procedures should be done in a fully accredited facility by a board certified plastic surgeon using anesthesia provided by a board certified anesthesiologist.

The risk of fat embolism during or after liposuction is generally considered low, but it's essential to be aware of potential complications associated with the procedure. Fat embolism is a rare but serious complication that occurs when fat particles enter the bloodstream and travel to the lungs, heart, or other organs. Here are some factors to consider:

Low Overall Risk:

In general, the risk of fat embolism during liposuction is low, especially when performed by a skilled and experienced surgeon in a controlled medical setting.
Choice of Anesthesia:

Liposuction can be performed under various types of anesthesia, including local anesthesia, regional anesthesia, or general anesthesia. Regional anesthesia, which includes techniques like tumescent anesthesia, is commonly used for liposuction. The choice of anesthesia is influenced by factors such as the extent of the procedure and patient preference.
Tumescent Technique:

The tumescent technique involves injecting a solution into the fatty tissue to facilitate the removal of fat. This solution typically contains a local anesthetic and a vasoconstrictor. The use of the tumescent technique has contributed to a reduction in the amount of bleeding during liposuction, minimizing the risk of complications.
Surgeon's Expertise:

The surgeon's experience and skill play a crucial role in minimizing the risks associated with liposuction. A qualified plastic surgeon will take precautions to ensure patient safety and carefully manage the procedure.
Patient Health:

Individual health factors, such as pre-existing medical conditions, can influence the overall risk profile. It's important to disclose your complete medical history to your surgeon during the preoperative evaluation.
Monitoring and Aftercare:

Close monitoring during the procedure and vigilant postoperative care are essential for early detection of any complications. Adhering to postoperative instructions, attending follow-up appointments, and promptly reporting any unusual symptoms are crucial for a safe recovery.
While fat embolism is rare, it's important to be aware of the potential risks associated with liposuction. Choosing a board-certified plastic surgeon, discussing your health history openly, and following all preoperative and postoperative instructions will contribute to a safer and more successful liposuction experience. Always consult with your surgeon to address any concerns or questions you may have about the procedure and its associated risks.