Does tumescent lipo increase heart rate or cause arrhythmias?

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

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.