Extensive liposuction surgery often pertains to large volume fat removal, i.e., more than 5 liters of fluids (fat, blood, and wetting solution) from the patient. It may also refer to treating multiple areas of the body under one surgical setting.
Dr. Tarick Smiley, a prominent Orange County plastic surgery expert, has recently posted a series of videos on Snapchat to demonstrate one case of extensive liposuction involving the anterior abdomen, flanks, lower back, “bra rolls,” upper arms, inner thigh, and “double chin.”
One of the challenges of extensive liposuction is the increased risk of fluid imbalance, although Dr. Smiley says that certain steps can prevent or at least reduce the complication rate.
- Meticulous patient selection
The ideal candidate should have no chronic medical condition that may increase the risk of complications. Hence, all Dr. Smiley’s patients are required to pass lab screening prior to surgery,
- Accredited surgical facility
Accredited surgical facilities adhere to strict patient safety protocol and are staffed by licensed and well-trained medical professionals.
- Well-trained anesthesiologist
A well-trained board-certified anesthesiologist accompanies Dr. Smiley in every surgery to further ensure patient safety. It should be noted that the anesthesiologist’s tasks not just include administering anesthesia; he also monitors vital signs such as blood pressure, oxygen level, and heart rate during surgery.
Furthermore, the “ideal” anesthesiologist is properly trained in the infusion and removal of large volume of fluids, allowing him to identify the risks and keep these well under control.
- The use of Cell Saver
While this equipment is more commonly used in hospitals during prolonged surgeries, in large volume liposuction this can also be helpful in controlling blood loss. It works by filtering out the red blood cells, which are inadvertently collected during liposuction, and infusing it back to the patient.
By almost eliminating blood loss, Cell Saver is known to promote patient safety and lead to shorter downtime.
- Tumescent liposuction technique
Despite the proliferation of new liposuction technologies (e.g., laser and ultrasound), the standard technique provides the most predictable results. This involves infiltrating the fatty area with tumescent solution, which is a concoction of saline (sterile saltwater), lidocaine (local anesthesia), and epinephrine.
Epinephrine constricts the blood vessels and thus reduces the amount of blood loss and surgical trauma.