JAN-FEB 2016

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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52 JANUARY/FEBRUARY 2016 | Surgical Aesthetics © GETTY IMAGES SURGICAL AESTHETICS LIPOSUCTION SAFETY By Inga Hansen There are several factors to consider when assessing the right patient, anesthesia type and facility for your liposuction procedures. LIPOSUCTION REMAINS one of the most sought-after cosmetic procedures in the U.S. While the rate of adverse events is low, serious complications can occur. "Once you start doing large volume liposuction, you end up with a lot of fl uid shifts, and you can stress the cardiovascular system and cause a lot of problems," says Miami-based plastic surgeon Roger Khouri, MD. Reducing the risks of liposuction requires surgeons to consider several factors, including the health of the patient, the facility in which the procedure will be performed and the volume of fl uid to be both infi ltrated and removed. LIPOASPIRATE LIMITS In September, researchers from Northwestern University's Feinberg School of Medicine published the results of a retrospective study (Plastic and Reconstrucive Surgery) conducted in an effort to determine safe lipoaspirate volume for liposuction procedures. They reviewed 4,534 lipectomy cases through the Tracking Operations and Outcomes for Plastic Surgeons (TOPS) database. "We wanted to see if there were any top threshold values at which the risk of complications increases," says Karol Gutowski, MD, a plastic surgeon in Chicago and one of co-authors of the study. "We weren't able to fi nd a certain point at which the complications become prohibitive. We did fi nd that it depends on a person's body mass. A person with a higher BMI can tolerate more removal than someone who is lighter, and that kind of makes sense."

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