How much fat can be remove with Liposuction when combining with breast augmentation by Florida law?

Question

I got two consultations for breast augmentation and liposuction of abdomen. One doctor said he can only remove 1 liter of fat when combining lipo with breast augmentation by Florida law. The other doctor said she can remove 5 liters by law. I'm confuse and don't know who I should trust.

Thomas Trevisani, MD · Answer

In the State of Florida- 1000cc is the limit when liposuction is combined with another major operative procedure. Without an additional procedure-- that is if only liposuction alone is performed-- 4000cc can be removed. So, to answer your question- 1000cc is the limit if one with your breast augmentation

Itzhak Nir, MD, FACS · Answer

If you have the liposuction in an office based OR you can have 1000cc of supernatant fat removed with the Augmentation. If you have it performed in a hospital the amount is not regulated. That being said, removing a lot of fat in any one sitting >4-5 liters needs to be done with caution and observation.

Ramon Navarro, MD · Answer

fat extraction with ultrasound is safer ( less bleeding) but  remember  lyposuction it is not  for  loosing weight it is for loose  volumethis law it is universal never do this  for more than 10 lbs in extraction.you might  combine  with breasts augmentation

Jeffrey M. Hartog, DMD, MD · Answer

In the state of Florida, Dr. Blinski is correct, the maximum allowable liposuction when combined with a second procedure is 1 liter. But this is a rule for Office Surgery Facilities. If the procedure is performed in a hospital or AHCA certified Ambulatory Surgery Center, this rule does not apply. Most plastic surgeons who operate in their own facilities have Office Surgery Facilities. A few surgeons in the state, like myself, have built AHCA certified ambulatory surgery centers which allows us to perform larger liposuction volumes legally. The facilities have a more complex and detailed licensing and accreditation process similar to those that hospitals have to go through. It is still advised that liposuction that exceeds 4-5 liters should not be performed in an outpatient setting in one procedure, as one then gets into the realm of high volume liposuction which can become a more major and risky procedure. Even though we are legally allowed to perform high volumes of liposuction in our facility, I think it is still prudent not to combine too many procedures at once or perform excessive amounts of liposuction, either alone or with other procedures.

Darryl J. Blinski, MD · Answer

If combing liposuction with another operation in the same operative setting the rule is very specific as to ONLY 1 liter of supernatant fat can be removed!are you sure your second consult was a GL boarded plastic surgeon?

Raj S. Ambay, MD · Answer

The law does not state the amount of liposuction can be done but rather under what conditions must a patient be monitored versus dismissed as an outpatient. High volume liposuction is considered to be 5 liters and above that amount patients must be monitored overnight. Under that amount there should not be an issue. There is no relevance with the augmentation except to say the longer the anesthesia time the greater the potential complications. Hope this helps.

How much fat can be remove with Liposuction when combining with breast augmentation by Florida law?

Answers (6)

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