Does epinephrine have to be used with all local or under sedation Liposuction?

Question

Does epinephrine have to be used with all local or under sedation liposuction? I can't have anything with caffeine and afraid to have anything that increases the heart rate. Is there a way to avoid it?

Camille Cash, MD · Answer

Epinephrine is commonly used in the liposuction solution.  The purpose is to constrict blood vessels to control bleeding during surgery.  It does have an impact on heart rate though.  I encourage you to discuss your medical history with your board certified plastic surgeon to determine what is recommended for you.

Cagil Meric Erenoglu, MD · Answer

All over the world, the liposuction solutions have one thing in common: epinephrine. This substance constricts the blood vessels and avoids bleeding. So it is very beneficial for us.

Karthik Ram, MRCS, DNB · Answer

Hi. In our experience we are using epinephrine with lidocaine in every case of liposuction. There are  two benefits with use of adrenaline.It constricts the blood vessel in subcutaneous tissue and helps in reducing bleeding.It also reduces systemic absorption of lidocaine and increases overall dose of lidocaine to maintain postoperative effect.During operation Anaesthesist will take care of your vitals and will assure that your heart rate is within normal limits during entire intraoperative period. Hope I have cleared your doubt.Thanks for posting.

Mats Hagstrom, MD (license on probation) · Answer

The use of Eppinette friend and Liposuction is key and standard for a few reasons.

It does two things making this a much better and safer procedure.

The first is vasoconstricting the blood vessels running through the fat layers which greatly diminishes bleeding and blood loss during the procedure. The second is that an analysis to use substantially higher doses of lidocaine which is necessary to keep patients comfortable for an awake procedure.

Without epinephrine the safe dose of lidocaine is only a tiny fraction of what it is when used as numbing solution which contains epinephrine.

Lots of people have side effects to epinephrine but these are not dangerous and Epping Efron used in cosmetic surgery is safe for the vast majority of people unless someone has underlying medical conditions that are quite serious.

I suggest having a few in person consultations with local board certified plastic surgeons to discuss your liposuction needs, get a quality assessment and hear each providers view on various options for treating you.

If you have concerns about upper difference affect on your heart then you should talk to your cardiologist or your internist about if it’s safe to have this medication during cosmetic surgery.

Best,

Mats Hagstrom MD

Does epinephrine have to be used with all local or under sedation Liposuction?

Answers (4)

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