Would you perform lipo on a patient in stage 3 kidney disease?

In no way or shape should you risk your life with elective liposuction and severe renal disease! Do not even consider it an option.

The way I perform liposuction, with tumescent anesthesia only, there is little reason to worry about the kidney IF the kidney physician gives clearance and the patient takes proper care of nutrition and post operative care.  However, elective procedures should really only be performed on healthy individiauls.  I have made exceptions with coordinating care amoungst the other physicians and discussing the pros/cons with my patient.  Best, Dr. Emer.

Lidocaine is metabolized, or transformed to less active or inactive substances, by the liver and not the kidneys. Liposuction performed with only local anesthesia and done conservatively, that is, small area and keeping the total dose on the low side should be perfectly safe with stage 3 kidney disease. However, this should only be undertaken with agreement of your nephrologist and after determining that you're truly a good candidate for liposuction .

Good question, but i would have to say no. Patients with 3 stage of kidney disease are on a very high risk life level for liposuction surgery patient candidate have to be in good medical health by their physician or specialist before undergoing any type of plastic surgery.

Thanks for your question. I would have to say no. Patients have to be deemed in good medical health by their physician or specialist before undergoing any type of plastic surgery. Good luck with everything though! Wishing you a speedy recovery

You pose a good question and one that requires thought. The decision to move forward and undergo liposuction with stage III kidney disease will be based on a joint effort by your plastic surgeon and your nephrologist.If the indication for liposuction is real and a major change in quality of life would be achieved, then this could possibly be a realistic option if your nephrologist thought the risk would be at an acceptable level. The main drug involved with liposuction is lidocaine. Lidocaine is processed by the liver and not the kidneys. There are many studies showing that lidocaine has little to no toxicity on the kidneys. Please see the link posted below. The article is somewhat technical but summarizes the effects of lidocaine on the kidneys well.There may be many other factors to take into consideration, and a thorough plastic surgeon would rely on the patient's nephrologist to help guide through the decision process.Also, liposuction of small, limited areas, such as the chin and neck, is quite different from high-volume full-body liposuction in regards to stress and overall risks. If the indication for liposuction is weak, meaning there would be only minor improvements in quality of life, then liposuction would most likely not be recommended. In the end, it's a risk-versus-benefit decision. Most plastic surgeons would probably be hesitant.Best of luck,Mats Hagstrom, M.D.

Thank you for your question.Cosmetic Plastic Surgery is elective and should never be undertaken if the risks out way the benefits.Much more information would be needed. Your overall health, a clearance letter from your nephrologist, your anatomy, realistic expectations.I would begin with a preoperative clearance from your nephrologist. Then make a appointment with a Bd. Cert. Plastic Surgeon who ideally is a member of the Am. Soc. for Aesthestic Surgery (denoting by membership having met additional Critera and a focus on Cosmetic Plastic Surgery)My best,