Hypotension and high volume liposuction

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.