How Much Fat Can Be Removed With Liposuction
How much fat can liposuction remove?
Although in that location'southward no magic bullet for weight loss, new research suggests that surgeons may exist able to safely remove more fat during liposuction surgery than previously believed.
Right at present, surgeons follow guidelines that set a maximum extraction limit of v,000 milliliters of fatty (eleven pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient'due south body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person'due south trunk fat based on height and weight measurements.
"The problem is that this guideline seems like it was picked out of a hat," said study co-author Dr. Karol Gutowski, a lath-certified plastic surgeon and a clinical associate professor at the Academy of Illinois at Chicago.
"And though the guideline itself is just a recommendation, non the law, some states -- like California -- have passed legislation based on this guideline. Simply at that place's no data backside it. No science," he explained.
Fifteen years ago, Gutowski and his colleagues set a database to track the outcomes of liposuctions performed by board-certified plastic surgeons. "And we found that if you have a higher BMI, y'all tin can remove more fat safely, which means that the calculation should be based on each patient's unique body condition," he said.
Dr. Scot Glasberg, president of the American Society of Plastic Surgeons (ASPS), said the new analysis is "an innovative and more electric current arroyo than what we have out there at the moment."
Glasberg said the "reality is liposuction is incredibly rubber. But obviously if you set out to take [more 10 pounds] of fat from a person who weighs 130 pounds, versus someone who is 230, you're looking at a very different state of affairs. So I recall that the notion of a sliding calibration based on BMI makes a lot of sense."
Gutowski and his colleagues' findings were published in the September effect of Plastic and Reconstructive Surgery.
Liposuction is not covered by most insurance, and the ASPS estimates a $three,000 out-of-pocket price tag.
The organization said that more than 211,000 American men and women underwent liposuction in 2014, representing a 5 percentage increment from the twelvemonth before. The procedure now ranks number three amid all plastic surgery options, afterwards nose reshaping and chest augmentation, the ASPS said.
Nearly liposuction patients are women, the study found. However, Gutowski said that men now account for between 10 to 15 pct of patients, a figure that rises to equally loftier as 20 percentage if male person chest-reduction surgeries are besides included.
He said nigh patients are treated as outpatients and go home the same day equally the procedure. And despite short-term soreness, patients are typically upward and moving right away. Most people can resume their usual daily routine within a couple of weeks, he added.
As for take a chance, the study team described the current complexity rate as "very low," with serious problems occurring among fewer than one in every 1,000 patients.
For the study, the investigators tracked more 4,500 liposuction patients. None of the patients died following fat extraction, and the total complexity rate was less than 1.5 percent. Near of the complications weren't considered serious, the researchers said.
Nevertheless, the researchers found that the complication adventure rose as the amount of fat removed increased. They noted that while fatty extraction averaged about 4.five pounds per patient, those who had over eleven pounds of fat removed had a higher-than-average complication charge per unit of 3.vii percentage.
The research team likewise found that the central factor in complication take a chance turned out to be BMI. Those with a higher BMI were better able to tolerate large-scale fat removal than those with a lower BMI, the study authors said.
However, the researchers cautioned that while BMI could be a useful yardstick for pre-determining safety levels of fatty removal, each patient'due south individual risk factors must exist considered.
Liposuction is not risk-free, nevertheless.
According to the U.Southward. Food and Drug Administration, potential complications include infections, clots of fat in the lungs, possible puncture of internal organs and even death.
Some studies gauge the risk of death as low as three deaths for every 100,000 procedures performed. Other studies have suggested the chance is between 20 and 100 deaths per 100,000 surgeries, the FDA said.
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