Lipo after breast cancer/axillary node clearance surgery?

Hello savs_ldn,

First and foremost, congratulations on your successful battle against breast cancer. Addressing your question about tumescent liposuction post axillary node clearance: The primary concern with lymph node removal is always the risk of lymphedema. While you're contemplating liposuction in areas distant from your affected arm, caution remains paramount.

Now, about undergoing tumescent liposuction while awake, especially for extensive areas like the upper/lower abdomen, back, and flanks: I must emphasize that I generally advise against this approach. The reason is twofold. First, for comfort and safety during the procedure, especially on large areas, general anesthesia is typically preferred. Second, there's a limit to how much local anesthetic, particularly lidocaine, can be used safely. When this limit is exceeded, there's a risk of toxicity. Given the extensive areas you're looking to address, it's highly likely that this procedure would have to be segmented into multiple sessions if local anesthesia were to be used, to ensure patient safety.

Moreover, even if liposuction is performed away from your arm, the body's intricate fluid dynamics means that any significant surgical intervention might have unforeseen consequences on the arm at risk of lymphedema.

Your intention to lose weight before surgery is commendable and can certainly reduce risks associated with the procedure. But it's absolutely vital to consult closely with a board-certified plastic surgeon, especially one versed in post-cancer surgical scenarios, to make well-informed decisions.

Thank you for trusting us with your concerns. Wishing you all the best as you navigate this next chapter of your health journey.

Sincerely,
Dr. Katzen

You should be fine if no liposuction or done on your involved arm and axillary area. Liposuction elsewhere does not involve the lymphatics of your breast and arm.

Having had axillary lymph node clearance for breast cancer does put you at a higher risk for developing lymphedema. Lymphedema can occur due to impaired lymphatic drainage resulting from the removal of lymph nodes.

When considering tumescent liposuction, it's crucial to discuss your medical history and the potential risks with your plastic surgeon. They will be able to evaluate your lymphedema risk and determine if the procedure is appropriate for you. They may also recommend specific precautions to minimize the risk of lymphedema exacerbation, such as avoiding liposuction in the at-risk area or using gentle techniques that minimize trauma to the lymphatic system.

It's important to note that weight loss achieved through liposuction is generally not significant and the primary goal of the procedure is body contouring rather than major weight reduction. Therefore, it's advisable to focus on achieving your weight loss goals through healthy lifestyle changes before considering liposuction.

I hope this helps,
best of luck !