Maximum liters of fat that can be liposuction per state? With TT and without TT?

the recommendation for max volume removed is 5L per surgery.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

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.

Since early 2000’s the Florida Board of Medicine places a listing of rules/requirements/recommended practices for office surgery. As for liposuction- the max amount of supernatant fat is 4 liters. If doing any combination surgery as in TT or breast surgery, etc only 1 liter supernatant fat is allowed. That is rule 64B8...
As for doing in hospital operating setting, each hospital sets amounted allowed to liposuction. Usually based upon blood losses. I have seen from 6 liters to 10 liters of liposuction in a hospital Operating room setting, this is Large Volume Liposuction.
So to be clear maximum LIPO in office is 4 liters of “fat”! If combining with other surgeries only 1 liter of “fat”...

State law is available to the public.

Most states don’t legally limit Liposuction volumes but rather allow doctors to use their own Discretion.

The American society of plastic surgeons recommends not removing more than 5 L during any single outpatient procedure.

Patients who need more than 5 L of fat removed should lose weight before liposuction.


Florida has the most restrictive rules in the country Including Liposuction in conjunction with open surgery.

Best,

Mats Hagstrom,MD