Hypotension and high volume liposuction

Question

Hello, I am 110 pounds (BMI 20.8) and will be getting HIGH volume liposuction to my legs (6, 7, 8, 10 liters?) This will require an overnight stay. How can I combat hypotensive episodes in the weeks following liposuction other than stay hydrated? World salt tablets be recommended? I’m afraid my BP will tank with so many liters removed so I want to make sure I don’t pass out. I have lipedema for reference. Thank you.

Thomas Wright, MD · Answer

High Volume Liposuction is usually defined as removing over 5 liters of Liposuction Aspirate in one surgery. Chow et al published a study in the Plastic and Reconstructive journal that showed the risk of complication for high volume liposuction are greater in smaller individuals, and certainly someone who weighs 111 pounds is a smaller person.  The most frequent side effect we see after a large volume liposuction is low blood pressure.  Measure to help minimize or prevent low blood pressure include getting large varicose veins treated before surgery to minimize blood loss. Using Tranexamic Acid for to help reduce the risk of blood loss.  Ensuring Class 2 graduated medical grade compression is worn continuously after the surgery for the first two weeks. General Anesthesia also increases the risk of post op hypotension, so tumescent anesthesia is preferred.  Staying well hydrated and possibly using IV fluids in the immediate post op period.

Hypotension and high volume liposuction

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Hypotension and high volume liposuction

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