How long should I wait between multiple BodyTite and FaceTite procedures to avoid lidoquane toxicity issues?

Question

I have heard that you are limited to 2-3 areas per session to avoid issues with lidoquane toxicity. If I want to trwat more areas, and e hidratación resina want to overlap downtime. How many days should I wait between sessions, assuming I am treating different areas, to avoid issues with lidoquane toxicity? Like can I do face and neck one day, chest/abdomen few days later, then back/flanks next, all within a week span?

Emmanuel De La Cruz, MD · Answer

To avoid lidocaine toxicity issues when undergoing multiple BodyTite or FaceTite procedures, it's crucial to adhere to safe guidelines regarding the amount of lidocaine used and the intervals between treatments. Lidocaine toxicity can occur when excessive amounts of lidocaine are administered too frequently, leading to potentially serious health complications.

Here are some general guidelines to consider:

Maximum Dosage: The total amount of lidocaine used in any single session should not exceed safe limits. This limit is typically determined based on the patient's weight and health status, and it is important for your surgeon to calculate and adhere to this limit.

Interval Between Procedures: The interval between multiple BodyTite or FaceTite procedures should allow sufficient time for the lidocaine administered during the first procedure to be metabolized and cleared from your system. This helps prevent cumulative build-up and reduces the risk of toxicity.

Surgeon's Recommendation: It is essential to follow the specific guidance provided by your plastic surgeon or healthcare provider regarding the recommended interval between procedures. This interval may vary based on factors such as the extent of the procedures, your overall health, and how your body metabolizes medications like lidocaine.

Monitoring and Safety: During your consultation and follow-up appointments, your surgeon will monitor your health and ensure that any subsequent procedures are performed safely. They will consider factors such as your recovery from previous procedures and any signs of potential lidocaine toxicity.

Individualized Plan: Treatment plans should be individualized based on your specific needs and response to previous procedures. Your surgeon will take into account factors such as the areas being treated, the extent of correction needed, and your aesthetic goals when planning the timing of multiple procedures.

Always communicate openly with your surgeon about any concerns you have regarding safety, recovery, or the timing of procedures. They are best positioned to provide personalized advice based on their expertise and your unique circumstances.

Mariusz Sapijaszko, MD, FRCPC · Answer

Thank you for your question.BodyTite removes the fat and tightens the skin. During the procedure, without general anesthesia, lidocaine is used to make procedure comfortable. The safe limit of lidocaine depends on the weight and body composition of the patient as well as any health issues and medications used. Generally speaking, repeat procedures can be performed within few days.It is important that all prospective patients get detailed in-person examination.I have been performing BodyTite Liposuction for over 8 years and it is a great technique for fat removal as well as skin tightening.Please make sure that you see an experienced doctor for a thorough consultation and assessment prior to undergoing any treatments.Best regards and I hope this helps, Dr. Sapijaszko (Fellow, American Academy of Cosmetic Surgery)

Jason Emer, MD · Answer

If you are asleep many areas can be done at once without having to do numerous procedures. If awake you can wait 24-48 hours between procedures.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Donovan Rosas, MD · Answer

Generally speaking, tumescent procedures can be safely performed serially with delays of hours depending on the volume of lidocaine used and the liver function of the patient (lidocaine is hepatically cleared).For most healthy patients, delays greater than 24 hrs are typically adequate to avoid the risks of lidocaine toxicity. However, as I said above there are a number of factors to consider.As always, discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic
Surgery, American Society of Plastic Surgeons
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David Hansen, MD · Answer

We do many serial liposuctions or facetite, bodytite, accutite just a day apart. It is safe and easy to undergo and you recover from all your procedures during the same week when done under tumescent local. Be sure to get your procedures done by a Board Certified Dermatologic Surgeon for best results and safety reasons. They are the top of the line lipo docs who invented and have advance tumescent liposuction to the state of the art it is today. Plastic surgeons can still do a decent job as well but why risk it. There is real art to tumescent liposuction under local to make you completely comfortable with quality results. Sincerely, Dr Hansen

Matthew H. Steele, MD · Answer

Thank you for your question. You are correct that there is a safe limit of lidocaine that can be given at one setting based on your weight.  As long as you are not having any issues with your recovery, you could probably proceed within a few days of each procedure.  Best wishes

Gilbert Lee, MD · Answer

Thank you for your question. Lidocaine dosing is based on a specific amount of milligrams of lidocaine per body weight. When kept in those parameters, it is safe to perform Body Tite on multiple areas at one time. In our office, we do the procedure under local anesthesia in the office or if a patient prefers, under general anesthesia in the operating room. I recommend scheduling a consultation with a Board Certified Plastic Surgeon who is experienced with the Body Tite machine. Good luck!

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