Ways to prevent fat embolism during liposuction of flanks?

Question

What are ways to help prevent the occurrence of fat embolisms during lipo Of the flanks?

Donovan Rosas, MD · Answer

The risk of fat embolism in the setting of liposuction is very low. The incidence is exceedingly rare. The risk can be increased with larger cannulas and higher volume procedures. However, in the setting of a limited liposuction of the flanks I would say your risk is likely miniscule.As always, discuss your concerns with a board certified plastic surgeon.

Vincent N. Zubowicz, MD · Answer

Fat embolism syndrome is caused by fractures of the long bones releasing lipid material into the blood. Fat embolism syndrome does not occur with liposuction.

Richard Wellington Swift, MD · Answer

Dear Candy, Thank you for posting your interesting question. Fortunately, fat embolism is a rare occurrence with today's liposuction techniques using small cannula to remove the excess fat. I recommend that you have a consultation with an experienced Board Certified Plastic Surgeon who can answer your questions, reassure you and inform you if liposuction is the best procedure for you. Best wishes, Dr. Richard Swift

Steven Wallach, MD · Answer

Fat embolism is an extremely rare occurence with surgery, and more common with long bone fractures..

Jonathan R. Fugo, DO · Answer

Thankfully, occurrence of fat embolism during liposuction is an extremely uncommon occurrence. In the hands of an experienced Plastic Surgeon, board certified by the American Board of Plastic Surgery, the risk is even more unlikely. The factors that are thought to contribute to Fat embolism are technique related. Some simple rules that I follow:1) Use the smallest cannulas possible.....I use 3mm diameter cannulas2) Always use blunt tip cannulas, never sharp or "cutting" cannulas3) Avoid excessive liposuction volumes. Generally (depending upon patient's BMI) excessive is considered anything in excess of 5 liters.4) Use "Tumescent" or "Superwet" technique vs "Wet" or "Dry" techniquesYour surgeon can discuss these items with you in more detail. I hope that helps alleviate some concerns.Good luck.

Kimberly Finder, MD · Answer

Fat embolism after liposuction is considered extremely rare, and most likely to occur when more extensive "cutting" procedures are performed at the same time, such as major reconstruction or abdominoplasty. It is not a complication or risk that is even considered with an awake tumescent anesthesia liposuction procedure due to the extreme rarity of its occurrence.

Ways to prevent fat embolism during liposuction of flanks?

Answers (6)

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