I am having major anxiety about my liposuction procedure in 2 days. It is waking me at night and giving me heart plalpitions during the day. I had a complete heart work up and everything came back normal except for minor PVC's. I am worried about anesthesia but more concerned after reading about fat embolisms. What is the major cause of this? Is it when too much fat is removed, or no real known cause? How concerning is complication with liposuction? Thanks.
October 6, 2016
Answer: Liposuction and Fat Emboli Liposuction is a very safe procedure. The risk of fat emboli is exceedingly rare.With the rise of fat transfer and the "BBL," the phenomenon of fat embolus has risen to the forefront. Fat emboli technically refers to a situation in which adipose/fat tissue (which is normally extravascular or outside of the vascular/vessel space) is introduced into the intra-vascular space. This emboli can then travel within the vessel downstream causing an occlusion. This is a very serious complication which requires immediate medical attention. The risk of fat embolus is very, very low for liposuction alone, however, the risk is higher in the setting of fat transfer (in which fat is re-injected into an area rich with large vessels). Special care must be taken to ensure that there is no inadvertent intra-vascular injection. Some techniques include aspiration before injection, use of blunt cannulas for transfer and avoiding intra-muscular injection (lower incidence of vessel cannulation).As always, discuss your concerns with aboard certified plastic surgeon.
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October 6, 2016
Answer: Liposuction and Fat Emboli Liposuction is a very safe procedure. The risk of fat emboli is exceedingly rare.With the rise of fat transfer and the "BBL," the phenomenon of fat embolus has risen to the forefront. Fat emboli technically refers to a situation in which adipose/fat tissue (which is normally extravascular or outside of the vascular/vessel space) is introduced into the intra-vascular space. This emboli can then travel within the vessel downstream causing an occlusion. This is a very serious complication which requires immediate medical attention. The risk of fat embolus is very, very low for liposuction alone, however, the risk is higher in the setting of fat transfer (in which fat is re-injected into an area rich with large vessels). Special care must be taken to ensure that there is no inadvertent intra-vascular injection. Some techniques include aspiration before injection, use of blunt cannulas for transfer and avoiding intra-muscular injection (lower incidence of vessel cannulation).As always, discuss your concerns with aboard certified plastic surgeon.
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October 11, 2016
Answer: Liposuction Hello and thank you for your question. If good technique is used, the risk of fat embolism is so extremely rare. Liposuction is a very commonly performed procedure and is extremely safe if performed by a plastic surgeon board-certified by the American Board of Plastic Surgery. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
Helpful 1 person found this helpful
October 11, 2016
Answer: Liposuction Hello and thank you for your question. If good technique is used, the risk of fat embolism is so extremely rare. Liposuction is a very commonly performed procedure and is extremely safe if performed by a plastic surgeon board-certified by the American Board of Plastic Surgery. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
Helpful 1 person found this helpful