Why does it seem like blood loss during Liposuction is more excessive in the Dominican Republic?

Unfortunately, doctors in other places may not follow the standard safety recommendations followed by board-certified plastic surgeons in the US who are members of the American Society of Plastic Surgeon.  Of course you can create phenomenal results if you remove large amount of fat in one surgery from a person, but you also remove (along with the fat) fluid and tissues (including blood) from their body which may, when done in large amounts, predispose to complications (such as hear failure, blood loss, need for transfusions, blood clots, etc).When it comes to going outside US for cut-rate surgery, patients have to be sure they are not compromising their own health and safety, and that they are taking measure to make sure their non-US surgeon follows the same guidelines and parameters that have been developed in the US over decades to improve patient safety.

It is rare to need a blood transfusion after liposuction. If it is happening routinely in the DR, or at least the clinic you have been exposed to, I would recommend against having surgery with them, even if they have incredible results. Life is too valuable.

Irrespective of blood loss, one should NEVER travel afar for any surgical procedure. Even in the best of circumstances, unforeseen complications can occur. In these circumstances, your safety and your outcome depend upon you being close to your surgeon to return for follow up and post-op care. Irrespective of the perceived money to be saved by traveling, it's not worth the gamble. Locate a reputable, experienced Plastic Surgeon in your area. Ensure that he/she is board certified by the American Board of Plastic Surgery. Accept no substitute. It's worth the extra costs, if any. Good luck.