Florida 1 liter VS DR liters of fat? (photos)

Question

Is it true Florida only takes 1 liter of fat off ? How much does Dominican republic take off? Sounds like DR is better. I think I need more than 1 liter of fat removed w my TT & lipo flanks. Check my pics and give me a estimate of much fat I need removed. I'm aiming for a small waist (the smallest it can get). Now I'm scared my waist won't be small. Help!!

Orlando Llorente, MD · Answer

In the state of Florida, the limit of fat that can be removed using liposuction when combined with another procedure is one liter. This rule aims to limit the amount of blood loss during combined procedures. If you don't live in DR, it might be risky. I recommend you perform your procedure with a board certified plastic surgeon in your community.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  Based on your photograph, you would be a good candidate for  liposuction.  5L is the upper limit of safety for liposuction by the American Society of Plastic Surgeons guidelines.  I advise extreme caution in going outside of the country to have plastic surgery.  We have all seen extremely bad complications from these situations and often the patient is left with no one to care for them, as their surgeon is in a different country.  A board-certified plastic surgeon in the U.S. is well worth any additional cost.  The most important aspect is to find a surgeon you are comfortable with.  With good surgical technique, you could have an outstanding result.  I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon

Sanjay Lalla, MD, FACS · Answer

Hello. Here in nj we would do a full tummy tuck with liposuction about 2-3 liters and fat grafting to the buttocks in a hospital setting. Very safe . You don't need to travel for this type of surgery.  Good luck

Christian Subbio, MD · Answer

It is not true that Florida has a limit to 1 L.  Generally speaking, plastic surgeons, at least those for performing the procedure safely, will limit the amount of liposuction to keep to procedure safe.  However, one can certainly remove more than 1 L without being risky.  Once you enter the territory of five or 6 L, this becomes a different conversation, and safety and limits must be discussed.  I myself would not suction more than 4-5 L in a single session, and only then in the confines of a certified hospital/surgicenter setting.Having your procedure performed in the Dominican Republic is a bad idea.  I myself have treated several patients who have had complications from procedures performed abroad where safety measures are much less strict than the United States.  These patients would have been served better too had their surgery done locally, where more rules, regulations, and safety checks are in play, and they are accessible to their nearby surgeon in the case of complications.  Saving a couple thousand dollars is not a potentially deforming or life-threatening complication.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Carlos Burnett, MD, FACS · Answer

You certainly need more than a liter removed for your body contour but why on earth would you go to the DR when you live in NJ and have qualified board certified surgeons in the US. The one liter limit used to apply to in- office procedures in Florida. The rule does not apply to many states or if the procedure is performed in the hospital or surgicenter. Risk trumps cost everytime

Michael M. Omidi, MD, FACS · Answer

Thank you for your question.  1 liters seems like roughly the right amount to liposuction form the flanks and lower back area.  Generally we limit liposuctioning to 5 liters in a non-hospital or accredited ASC setting.  These rules are generally guidelines and your doctor will make the final decision.  There are excellent doctors all over the world including Dominican Republic.  You would have to research the quality of the hospital or facility that you will be getting your procedure as it would be difficult to make a blanket statement that all centers in Dominican Republic are excellent, good or poor.  However, it is recommended to have your procedure performed close to home so your physicians are available to you in case of a complication and for easy follow-up.    Best of Luck. Dr. Michael OmidiAn in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Florida 1 liter VS DR liters of fat? (photos)

Answers (6)

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