Is It Normal to Have Severe Broken Blood Vessels After Lipo?

This is exactly why I do it under sedation with a board certified anesthesiologist.  I want my patients to be comfortable so that I can focus on giving them the best result possible and my anesthesiologist can make them comfortable.  Sorry for your experience.

     Liposuction under local anesthesia  is just plain cruel and unreasonable. Everything hurts from the injection to the last stitch.  I might add that many plastic surgeons feel the instillation of  local fluid is part of the surgery and should therefore be done by the MD and not the nurse. ( It could be called practicing surgery without a license otherwise).  Often the doctors that push local anesthesia are doctors with no hospital privileges to do surgery and therefore doctors who anesthesiologists REFUSE to work with.   Also it is possible to do procedures under local in operating facilities that are not certified (cheaper and more competitive  and lures patients)  Local anesthesia is cheaper  (no MD anesthesiologist and no certified OR)  and some doctors lure in patients with CHEAP.   The state of California required operating room certification for general anesthesia but no requirements for local (amazing).   While tiny liposuction  procedures (less than 30 minutes long) may be okay for local anesthesia, it is completely unreasonable to do most  liposuction procedures under local.   Do not be sold another bill of baloney about twilight sleep.   Twilight sleep is simply sedation and often provides virtually no comfort to anxious patients which includes most.   General anesthesia works 100% of the time.   General anesthesia is not dangerous when properly done.  In 2012 general anesthesia is extremely safe.   Many patients in fact die during over sedated twilight sleep.   Under local and sedation the patient is jumping around and the doctor is jumping around and more and more sedation is given and finally the patient has a respiratory arrest and then a cardiac arrest and then death.  Some doctors claim to fame is that they do the liposuction procedures under local using only oral sedation and with no intravenous line. This is  an especially bad technique.  If there is no intravenous line there is no opportunity for resuscitation  if problems and death is even more likely the outcome. This technique is often practiced by the doctors with the weakest credentials and often with no surgical training (FACS) and no surgical boards.  

     Never have surgery  (liposuction is major surgery)without an MD anesthesiologist in attendance.  Never have surgery unless your doctor is a Fellow of the American College of Surgeons (FACS).   Is you doctor certified by the American Board of Plastic Surgery?   Does your doctor have admitting and surgical privileges at a major JCHS hospital.  If these criteria are not met, see a doctor that does meet these criteria.

     There can be an increase display of blood vessels in the skin in operated areas. in liposuction.  Usually most of these will subside with time but not always.  Patients must be warned of this potential.        My Best,   Dr C