I think there are a few things to be concerned about. The volume and itself is not really so much an issue because the volume is a Large part related to the size of the patient. The question I would be asking is why do you need 5 L of fat removed. Typically people were looking at high-volume liposuction have obesity as their primary problem. Liposuction does not cheat obesity, and without first, addressing the underlying cause of obesity, most people will simply regain the weight in the new fat distribution. Individuals who lost control of your eating habits need to address that first and foremost. The truth is all people who need 5 L of fat, removed or more, are obese, and should lose weight first and foremost. If these volumes, the problem is not fat distribution, but rather obesity. Secondly, regardless of the volumes removed, you need to get a clear understanding of your candidacy for the procedure. Some people have the potential of getting excellent liposuction results regardless of their size or weight, while others are not good candidates, and no matter who does the procedure they don’t have the potential to get to great Liposuction outcomes. Understanding your own candidacy, for the procedure is fundamental and understanding what the procedure can, and cannot accomplish. This is best done by having multiple in person consultation at which time you should be allowed to see numerous before and after pictures of previous patients who had very similar body characteristics to your own. This is true for every area being treated. You should’ve seen at least 20 sets of before and after pictures preferably 50 or more by sufficiently experience provider to get a clear understanding of what average before and after pictures, look like on patience of your cans of the sea in the hands of your provider. The third area of concern is choosing the correct provider for the procedure. Liposuction results vary drastically, depending on who does the procedure. Simply being board-certified and plastic surgery with an overall good reputation and years of experience does not mean somebody has mastered liposuction. Doing the procedure well on a consistent basis, including the ability to make accurate assessments and deliver predictable outcomes is far more difficult than most people believe. For this reason, I recommend patients have at least five in person, consultations before committing to surgery and consider having a many more if needed. During each consultation, ask providers to show you their entire collection of before, and after pictures of previous patients, who have similar body characteristics to your older. Ask providers to show you examples of excellent outcomes, average outcomes, and outcomes that did not turn out, as well as they had hoped. Being shown a handful of preselected images, representing the best results of a provider’s career is completely insufficient to get a clear understanding of what average results look like or how many procedures like this any one surgeon has actually done. Surgeons need to be vetted for quality outcomes in every area being treated. This is especially true for complicated areas like lower extremities. Lower extremity liposuction is technically challenging, and without sufficient skill and experience results are often not what patients had hoped for and can lead to disfigurement. In reality, anybody who needs more than 5 L of fat should be lotta weight loss plan, and not getting Liposuction. Typically successful, massive weight, loss leads, patience to develop skills, laxity, and with successful weight loss. Patient generally lose their kid with a seat for Liposuction. It’s important to have a clear understanding of what the primary underlying problem is. If the problem is obesity, and the treatment is not Liposuction. Not everybody is a great candidate for Liposuction and the number of plastic surgeons to do Liposuction really well on a consistent basis is relatively few. Plastic surgeons often think they’re much better at Liposuction than they actually are. A substantial number of plastic surgeons think of liposuction as an answer for instigated procedure with a low learning curve. This attitude confirms the number of poor outcomes better seen on a regular basis from Liposuction in cases where patients were not careful in selecting the right provider. The time to be critical and selective it’s before your scheduled surgery. Choosing the right provider, can I have dramatic consequences in regards to outcome when it comes to Liposuction. Liposuction results very more in outcome based on who does the surgery and any other plastic surgery procedure. You may or may not be a good candidate for Liposuction. You may or may not be in good physiological health to tolerate the procedure. Liposuction, in general is a safe procedure and taking up more than 5 L of fat in a large, healthy physiologically fit person should not represent a significant risk. Those statements are in parts based on working with providers who use good technique and have sufficient skill and experience to do the procedure well. I don’t want to go into technical aspects of how the procedure should be done, but the proper use of tumescent solution and giving the solution sufficient time do its function is critical in minimizing blood loss, which can potentially be significant in high-volume Liposuction. Hopefully at this point you had sufficient time to vet multiple plastic surgeons. See sufficient numbers before and after pictures of patients with similar body characteristics to get a clear understanding of what average results look like in the hands of your provider for each and every area being treated. I typically tell patients that when, in doubt, slow down and schedule more consultations. If you’re already scheduled for surgery, then you’ve made a commitment to have the procedure and you need to put your faith and forward questions to your provider. The time to review questions and concerns should be before you have your surgical procedure. Best, Mats Hagstrom, MD