Does tumescent lipo increase heart rate or cause arrhythmias?

Question

I heard there’s a large amount of epinephrine in liposuction so wondering if there are dangers to the heart.

Jeffrey M. Darrow, MD · Answer

The traditional amounts of lidocaine, and epinephrine in the liposuction infiltrate, while very well tolerated, have been modified over time. The epinephrine is extremely important because of its vasoconstriction in the fat, so that there is very minimal bleeding at the time of the procedure. However, only a very small amount of epinephrine is required to achieve this vasoconstriction, so some plastic surgeons have reduced the amount of epinephrine they use in the solution and still get a good effect.  This reduction in the amount of epinephrine helps to minimize any cardiac effects.  Best wishes.

Gary M. Horndeski, MD · Answer

Tumescent liposuction uses Epinephrine to decrease bleeding and it can increase the heart rate.

Best Wishes,

Gary Horndeski, M.D.

J. Timothy Katzen, MD, FACS · Answer

Tumescent liposuction is a technique where a solution containing a mix of saline, local anesthetic (usually lidocaine), and a vasoconstrictor (epinephrine) is infused into the fatty tissue before fat removal. The purpose of this solution is to numb the area, reduce blood loss, and aid in the liposuction process.

Your concern about epinephrine and its effects on the heart is understandable. Epinephrine (also known as adrenaline) can stimulate the heart and potentially lead to increased heart rate or even arrhythmias. However, in the setting of tumescent liposuction, the concentration of epinephrine used is carefully calibrated to minimize systemic effects while maximizing local vasoconstriction to reduce bleeding.

That said, when used in appropriate amounts and with proper monitoring, the systemic absorption of epinephrine during tumescent liposuction is generally limited, and significant cardiac effects are rare. It's essential, though, for patients to disclose their entire medical history, especially any heart-related conditions, to their surgeon before undergoing the procedure.

In the hands of a skilled plastic surgeon, who ensures that the total volume and concentration of the tumescent solution are within safe limits and monitors the patient's vitals throughout the procedure, the risks are minimized.

Always discuss any concerns with your plastic surgeon. Understanding potential risks and ensuring you are in a reputable facility with experienced professionals is crucial.

Thank you for your question, and best of luck on your journey.

Sincerely,
Dr. Katzen

Camille Cash, MD · Answer

One of the components of tumescent solution is epinephrine.  The purpose is to help control bleeding during the procedure and minimize bruising.  It can impact heart rate and blood pressure however it is important to know that the amount that is added is carefully calculated for safety.  Tumescent solution is widely used in conjunction with liposuction.  I encourage you to speak to your surgeon about any concerns you have.

Connie Hiers, MD, FACS · Answer

Epinephrine is used, but at a fairly low dose to help minimize bleeding. However, some will have an increase in heart rate initially. All patients should be monitored for their heart rate. Arrhythmias should not be caused in those with healthy hearts. If you have any cardiac concerns, please see a cardiologist.

Mats Hagstrom, MD (license on probation) · Answer

We do use large amounts of Eppinette friend during Liposuction The. It’s common for patients to have some shaking sensations as a side effect of the medication. Tachycardia or arrhythmias are exceedingly rare and unlikely.
Individuals who have cardiac issues may want to consider getting cardiac clearance before having Liposuction.
Historically, side effects of tumescent solution that are of cause Serious complications are almost exclusively related to the overuse of lidocaine, and not epinephrine.
Best,
Mats Hagstrom, MD

Does tumescent lipo increase heart rate or cause arrhythmias?

Answers (6)

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