What is another alternative to epinephrine during a tummy tuck and liposuction?

It's not necessary to use epinephrine for an tummy tuck but it is needed to do any but the most minimal amount of liposuction. The doses are small but might have some systemic effects as well. Best is to have your plastic surgeon discuss the procedure and your particular medical issues with your cardiologist. Insist on having your procedure performed in a certified facility and have your anesthesia performed under the direct supervision of a board certified anesthesiologist.Finally, for the best results seek the consultation of a plastic
surgeon certified by the American Board of Plastic Surgery. They have a website
listing all the certified plastic surgeons. Members of the American Society of
Aesthetic Plastic Surgery will all be board certified in plastic surgery and
have demonstrated an interest and special skill in cosmetic plastic surgery as
well.

A small amount of very dilute epinephrine is unlikely to have effects on your entire body but liposuction cannot be done without it. Discuss this with your surgeon and anesthesiologist and have your surgeon talk with the cardiologists.