Abdominal liposuction with a calcified splenic aneurysim

Question

I am scheduled for a 4 hour liposuction and my surgeon ordered a ct scan to rule out hernia.I met with him and he said all was great and scheduled the surgery. I asked to receive a copy of the scan and learned i have a small splenetic calcified aneurysm. He never told me abut this. Should i go through with the liposuction or could this possibly rupture?

Jason Emer, MD · Answer

I suggest consulting with your primary care physician prior to liposuction. If the splenic aneurysm needs any treatment it would be best to treat this issue before undergoing any cosmetic procedure. Best, Dr. Emer

Afshin Farzadmehr, MD · Answer

It is best to discuss the matter with the surgeon you have chosen and see his input on the matter as after all he is performing the procedure on you.

Tania Medina de Garcia, MD · Answer

Hello dear, thanks for your question and provided
information as well.. This is the surgical
procedure that revolutionized cosmetic surgery becoming one of the most
performed cosmetic procedures. Subcutaneous tissue or fat is removed in order
to contour the body in a way that is harmonious and pleasing to the senses. It
can be performed in almost all regions of the body such as the neck, chin,
abdomen, back, buttocks, thighs, arms and ankles. Usually done through a small
incision in the skin through which a cannula connected to a vacuum is applied,
it can be performed alone or in combination with other procedures. After
liposuction your body is going to be really swollen for at least 2 to 4 months
after your surgery. It is important for you to wear your compression garment
for at least 6 months, the first 3 months 24/7 and then the last 3 months at
least 12 hours per day for your body get use to not having the faja for so many
time. When you remove it, your body can get swollen and also you can have pain.
Remember to also compress your body to prevent a seroma which is an
accumulation of liquid that has to be drained, it is hard to touch and also
really painful. Bruises are completely normal for almost 3 months from surgery,
that’s why is better for you to use a bruising cream and apply it all over your
body 3 times a day. To prevent bad circulation and swollen legs, use
compression socks. Brazilian butt lift can be performed with the same procedure
and for a month it will be swollen and it will drop a little bit without losing
it’s shape if you use your garment.. If you’re going to perform liposuction on
your inner, outer, anterior, lateral, postetior thighs, be careful and consult
with your surgeon what’s best for you, sometimes we have more extra skin than
fat, that can cause severe sagginess on our legs, which can be only be reversed
performing a thigh lift…

Benjamin J. Cousins, MD · Answer

Hello and thank you for your question. You should be fine for your procedure. Depending on the size and if you have any symptoms from the SA aneurysm, you should seek treatment for this. Splenic artery aneurysms occur in 1% of the population and are more common in women, and if they are small are usually followed/observed by repeat imaging every 6-12months. Larger, symptomatic ones should be treated. Best check with your primary medical doctor for their specific recommendations. Best of luck.Benjamin J. Cousins MDBoard Certified Plastic SurgeonBoard Certified General Surgeon

Abdominal liposuction with a calcified splenic aneurysim

Answers (4)