Large volume liposuction could be either indicated for the abdominal area as one treatable area, or for multiple regions summing up under a single session. In the process, there could be complications like pulmonary arterial pressure causing
- Increased heart rate
- Anaesthetic Toxicity
- Dehydration and hypothermia
All that could be lethal if not for a dedicated medical team of the liposuction clinic to maintain proper care.
- Anaesthesia And The Wetting Solution
Large volume liposuction is conducted under general anaesthesia, which for smaller volumes could be conducted under local anaesthesia with epinephrine. But the amount of local anaesthesia needed in case of large volume fat loss is highly risky to cause anaesthetic toxicity, and the patient can also feel acute discomfort, if not pain, during surgery with the huge amount of fat loss, so general anaesthesia suits up to it. But using epinephrine with saline is part of the surgery for the purpose of vasoconstriction. Vasoconstriction is a clinical technique to prevent blood loss while surgery, it involves the epinephrine drug to be infiltrated into the skin mixed with liters of saline, which constricts blood vessels and capillaries. So that when the cannula is inserted and oscillated inside the skin, it doesn’t lead to massive blood loss.
However, the epinephrine with general anaesthesia used in large volumes also risks certain complications like tachycardia, and increase in heart rate, that could be lead to cardiac failure if left untreated.
Anaestheic management with volume control, fluid resuscitation and hemodynamic monitoring is conducted to control and prevent anaesthetic complications, and patient must stay at the hospital for one or consecutive 2-3 nights to have a stable recovery.
A course of a large volume liposuction surgery exposes the body variant temperature regulations such as the wetting that have a high risk for the patients to develop hypothermia. To control this, there are assessed since their pre-operative evaluation and the thermoregulation measures are pre-determined to maintain homeostasis.
Potential physical problems such as hemodynamic altercation, hypertension and anxiety, tachycardia, arrythema etc are addressed with pre-operative medications that may be prescribed for use on the night before and the morning of the surgery.
Post-Obesity and Liposuction
Liposuction is not for weight loss or obese people, but it is seen that large volume liposuction surgeries are largely conducted with people who have undergone massive weight loss and the more stubborn localized fat is addressed with liposuction. Such patients often have additional problems along with the large volume fat, such as diabetes, hypertension, heart disorder, or blood clotting diseases.
After Surgery Care
Post-operative measures include complete monitoring for at least 24hours after surgery. Any acute pain and discomfort is addressed with pain relief care with analgesia.
Patients are encouraged to get up and walk as soon as they can and start with ambulation. Pateitns are encouraged to do muscle contraction exercises in the legs even if they are unable to move out of bed to avoid blockage in the lungs or blood clotting.