Post-Liposuction side effects?

Question

Is there side effects on overhealth after Lipo? Ex. Heart, liver, kidneys Should I ask tests from my doctor to check if surgery took a toll on my heart and liver?

Alan Gonzalez, MD, FACS · Answer

Hello @Exciting729318, thank you for your question. The most common side effects for liposuction are bruising, swelling, and soreness in the treated areas, which can last for several weeks. However, serious complications such as infection, bleeding, and blood clots are rare. This is especially if the procedure is performed in a safe and sterile environment by a qualified and skilled plastic surgeon.If you have concerns about liposuction risks or side effects, it is important to discuss them witht he plastic surgeon that perfomed the surgery. Your plastic surgeon can provide you with information about the risks and benefits of the procedure and recommend any tests or follow-up care that may be necessary. However, it is unlikely that liposuction would have any significant impact on the overall health of the patient, including the heart, liver, and kidneys. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

J. Timothy Katzen, MD, FACS · Answer

Liposuction is generally considered a safe procedure when performed by a qualified and experienced plastic surgeon. However, as with any surgery, there are potential risks and side effects. These can include:

Infection: In rare cases, infection can occur following liposuction. If you experience signs of infection, such as redness, swelling, or discharge, it's essential to contact your surgeon or primary care physician immediately.

Fluid imbalance: Liposuction involves the removal of fat and fluids from the body, which can potentially lead to a temporary fluid imbalance. This usually resolves on its own but can be managed with proper hydration and medical care if necessary.

Organ damage: Although rare, damage to internal organs can occur if the cannula used during liposuction inadvertently punctures an organ. This is more likely in cases of inexperienced surgeons or improper technique.

Blood clots: Blood clots can form as a result of surgery, which can be life-threatening if they travel to the heart, lungs, or brain. It's essential to follow your surgeon's post-operative instructions to minimize this risk.

Regarding the impact of liposuction on the heart, liver, and kidneys, the risk is generally minimal, especially if you are in good overall health and have undergone the procedure with an experienced surgeon. However, if you have any concerns or are experiencing unusual symptoms, it's always a good idea to consult with your primary care physician or surgeon. They may recommend tests or examinations to ensure that your recovery is progressing smoothly and that there are no complications or adverse effects on your overall health.

Remember, each patient's circumstances and medical history are unique, so it's essential to discuss any concerns with your healthcare provider and follow their advice and recommendations. Prior to surgery, a series of tests and evaluations may be conducted to assess your general health, identify any potential risks, and determine your eligibility for the procedure. Some of the tests and assessments that might be performed include:

Medical history and physical examination: Your surgeon will review your medical history, including any pre-existing conditions, allergies, and medications you are currently taking. They will also perform a physical examination to evaluate your overall health.

Blood tests: A series of blood tests may be ordered to assess your overall health and ensure that you can safely undergo surgery. These tests typically include a complete blood count (CBC), coagulation profile, and basic metabolic panel.

Electrocardiogram (ECG or EKG): An ECG may be required for patients with a history of heart problems or those who are at an increased risk of heart complications. This test helps evaluate the electrical activity of the heart and identify any irregularities that might pose a risk during surgery.

Imaging studies: In some cases, your surgeon may request imaging studies, such as ultrasound, CT scan, or MRI, to help plan the procedure and evaluate the areas to be treated.

Anesthesia evaluation: Prior to surgery, you may be evaluated by an anesthesiologist to discuss the type of anesthesia that will be used during the procedure and assess your overall risk for anesthesia-related complications.

Pre-operative clearance: For patients with pre-existing medical conditions or risk factors, your surgeon may request clearance from your primary care physician or a specialist (e.g., cardiologist, pulmonologist) to ensure that it's safe for you to undergo surgery.

These tests and evaluations are designed to minimize the risks associated with liposuction and ensure the best possible outcome for your procedure. Keep in mind that the specific tests and assessments required may vary depending on your individual circumstances, medical history, and the surgeon's preferences. It's essential to discuss any concerns or questions with your plastic surgeon and follow their advice and recommendations.

Sincerely,

Dr. Katzen

Emmanuel De La Cruz, MD · Answer

Liposuction, like any surgical procedure, carries some risks and potential side effects that can affect overall health, including the function of organs such as the heart, liver, and kidneys. While serious complications are relatively rare, it's important to be aware of potential risks and to discuss them with your doctor before undergoing the procedure.

Some potential side effects of liposuction that could affect overall health include:

Fluid imbalance: Liposuction involves the removal of fluids from the body, which can sometimes lead to imbalances in electrolytes and hydration levels. This can potentially affect the function of organs such as the kidneys and may require monitoring and management during the recovery period.
Blood clot formation: Surgery, including liposuction, can increase the risk of blood clot formation, which can potentially affect the heart and other organs if a clot travels to a vital organ. Your surgeon will take steps to minimize this risk, such as encouraging early mobilization and possibly prescribing blood thinners in certain cases.
Infection: Infection is a potential complication of any surgical procedure, and if severe, it can impact overall health and organ function. Prompt treatment with antibiotics is essential to minimize the risk of complications.
Anesthesia-related risks: Liposuction is typically performed under general anesthesia or local anesthesia with sedation, both of which carry some risks. Your anesthesiologist will evaluate your health and medical history to determine the safest anesthesia option for you.
Before undergoing liposuction or any other surgical procedure, it's a good idea to discuss any pre-existing health conditions with your doctor and ask about any specific tests or precautions that may be recommended based on your individual health status. Your doctor may recommend pre-operative tests such as blood tests or electrocardiograms (ECGs) to assess the health of your heart and other organs and to ensure that you are a suitable candidate for surgery.

Additionally, following your surgeon's post-operative instructions carefully and attending all follow-up appointments are essential for monitoring your recovery and addressing any potential concerns that may arise. If you experience any unusual symptoms or concerns after surgery, it's important to contact your surgeon promptly for further evaluation and guidance.

Giuseppe Fiore, MD · Answer

Hi ,
Thanks for your question. 
Liposuction is a surgical procedure, and like any surgical procedure, there are risks involved. Complications can include bleeding, infection, scarring, and changes in sensation etc. However, liposuction is generally considered safe when performed by a qualified and experienced surgeon.
As for effects on overall health, liposuction is not typically associated with significant negative effects on the heart, liver, or kidneys. However, if you have pre-existing medical conditions or take medications that affect these organs, it's important to discuss this with your surgeon before undergoing liposuction.
In my clinical practice I perform Vaser Liposuction. Vaser liposuction uses ultrasound technology to target fat cells and tighten skin, resulting in less pain, bleeding, and recovery time. Vaser liposuction has been shown to have fewer risks and complications compared to traditional liposuction. 
It is very important to conduct a thorough medical history and physical exam before the procedure to ensure the patient is suitable candidate. The patient also must discuss any concerns or questions about the potential effects of liposuction with the surgeon and general practitioner before any procedure. 
In general, it's always a good idea to maintain a healthy lifestyle and follow your doctor's instructions for post-operative care and follow-up appointments to ensure proper healing and monitor for any potential complications.
All the best,
Dr Giuseppe Fiore

Anuj Purbey, MBBS · Answer

It's understandable to have concerns about the potential effects of liposuction on your overall health, including the impact on organs such as the heart, liver, and kidneys. While liposuction is generally considered safe when performed by a qualified and experienced surgeon, it's essential to be aware of potential risks and side effects.

In most cases, liposuction is a minimally invasive procedure that primarily targets subcutaneous fat deposits, which are located beneath the skin. However, as with any surgical procedure, there are some risks, including:

Infection: Although rare, infection is a possible complication of liposuction that can affect overall health if not promptly treated.
Fluid Imbalance: Changes in fluid balance can occur following liposuction, which may impact kidney function. Staying well-hydrated and following post-operative instructions can help mitigate this risk.
Blood Clots: In some cases, blood clots (deep vein thrombosis) may form after liposuction, which can potentially affect the heart if they travel to the lungs (pulmonary embolism). Compression garments and early ambulation can help reduce the risk of blood clots.
Regarding your specific concerns about the heart and liver, it's essential to discuss them with your healthcare provider. While routine testing may not be necessary for everyone undergoing liposuction, your doctor can assess your medical history, risk factors, and overall health to determine if additional tests are warranted.

If you have pre-existing health conditions that may affect your heart, liver, or kidney function, or if you're taking medications that could impact your surgical outcome, your doctor may recommend specific tests or evaluations before proceeding with liposuction. These tests can help ensure that you're a suitable candidate for the procedure and that any potential risks are identified and addressed.

Ultimately, open communication with your healthcare provider is key. Be sure to discuss your concerns and medical history thoroughly during your pre-operative consultation, and follow any recommendations or guidelines provided to optimize your safety and outcomes.

Mats Hagstrom, MD (license on probation) · Answer

Having liposuction does not generally have any significant impact on other organ systems. It is not standard care to order follow up blood tests after cosmetic surgery, unless indicated.
I recommend patient be very selective when it comes to choosing providers for liposuction procedures. There are substantial variations in outcome based on providers, skill and experience. Delivering consistent quality Liposuction results is more difficult than most people believe.
I recommend patients interested in having Liposuction start the process by having five in person, consultations with local board-certified plastic surgeons in your community. During each consultation, you can get an assessment and better understanding of what the procedure can, and cannot accomplish.
Ask providers to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who have similar body characteristics to your own. Being shown a handful of sample pictures of representing the best results of the providers career is anticipation to get a clear understanding of what average results look like in the hands of each provider. Liposuction is a permanent an irreversible procedure. If done poorly patients can be left disfigured. 
I recommend patients be more Selective than they think necessary when it comes to finding the right provider.
Best,
Mats Hagstrom, MD

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