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

URL for project: http://www.health.state.mn.us/htac/lipo.htm

Year Published: 2002

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: United States

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