Liposuction risks greater with more fat removal?

There are risks for everyone who undergoes liposuction. It is important to understand both the benefits and risks. This is where your board certified plastic surgeon is your personal expert. She/He will advise if you are a good candidate for the procedure. Common risks include infection, bleeding, skin laxity, and contour irregularities.

Every surgery has risks, as I am sure your surgeon discussed with you, but the less done, the fewer risks. If you do not need much liposuction, the those risks will be much less.

Dear foozball,

First and foremost, it's essential to recognize that every surgical procedure, including liposuction, carries inherent risks. Your concerns are valid, and it's commendable that you're researching and gathering information to make an informed decision.

Let's address your specific queries:

Quantity of Fat Removal and Risks: Generally, there are increased risks with larger-volume liposuction. These risks can range from longer anesthesia times, greater fluid shifts in the body, increased bruising, longer recovery periods, and a heightened risk of complications like seromas (fluid collections). If your surgeon has indicated that your liposuction would be minimal, it suggests that the quantity of fat being removed isn't significant. Thus, some of the risks associated with larger-volume liposuctions might be reduced in your case.

Fibrosis, Lumpy Appearance, and Discoloration: These potential complications can occur irrespective of the volume of fat removed. Factors such as surgical technique, post-operative care, patient genetics, and individual healing response play a role. However, a skilled and experienced surgeon can minimize these risks through precise techniques and proper patient guidance for post-op care.

Scarring from Previous Surgeries: Your history of C-sections and the associated scar tissue could influence your tummy tuck (TT) results more than the liposuction. The surgeon will have to navigate and potentially release this scar tissue during the procedure. While you mention having good external scars, internal scar tissue can present challenges. That said, a seasoned surgeon should be adept at managing this.

Pain and Discomfort: Pain thresholds vary among individuals. While some may experience prolonged discomfort, others might recover with minimal pain. Post-operative pain can also be influenced by factors like the extent of the procedure, surgical technique, and individual healing patterns.

Skin Tone and Scarring: Individuals with darker skin tones, including brown skin, might be at a higher risk for hyperpigmentation or noticeable scarring. However, since you mentioned that your C-section scars healed well, this is an encouraging sign. Ensuring that incisions are cared for post-operatively, avoiding sun exposure, and possibly using scar-minimizing treatments can further aid in optimal scar healing.

To wrap up, while the quantity of fat removed during liposuction can influence some risks, many factors contribute to the overall outcome. A thorough discussion with your plastic surgeon about your specific circumstances, potential risks, and the measures in place to mitigate them can provide a clearer perspective. Remember, a well-informed patient coupled with a skilled board-certified plastic surgeon often leads to the best, safest outcomes.

Sincerely,

Dr. Katzen