Tumescent liposuction

Health Technology Advisory Committee
Record ID 32003000447
Authors' objectives:

This report aims to assess the effectiveness and safety of tumescent liposuction, also known as suction-assisted lipectomy or lipoplasty, a cosmetic surgical procedure that removes unwanted fat deposits under the skin.

Authors' recommendations: Liposuction is generally safe, provided patients are carefully selected, the facility is properly equipped and the physician has accredited training with special training and experience in liposuction. Sound clinical judgment based on a clear understanding of the physiologic events surrounding subcutaneous infusion of fluids and anesthetics is crucial for patient safety. Local, regional, and general anesthesia and combinations thereof are acceptable methods of sedation for liposuction. Controversy exists over the role of lidocaine in the tumescent solution and its potential for toxicity. Liposuction can be safely performed in hospitals, surgical centers and physician offices depending upon the number of surgical incisions and volume removed. The liposuction-related death rate is estimated to be 8.4 in 100,000, which is higher than the incidence rate of other elective procedures (1 in 100,000). Because mandatory reporting of liposuction-related complications or deaths does not exist, the actual incidence of these events is unknown. Deaths and disfigurement due to the cosmetic surgical procedure of liposuction should be a matter for serious public concern.
Authors' methods: Review
Project Status: Completed
Year Published: 2002
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: United States
MeSH Terms
  • Costs and Cost Analysis
  • Lipectomy
  • Plastic Surgery Procedures
  • Surgery, Plastic
Organisation Name: Health Technology Advisory Committee
Contact Address: Queries should be referred to the Minnesota Department of Health (http://www.health.state.mn.us/)
Copyright: Health Technology Advisory Committee
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.