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A female asked:

Can large areas be treated with tumescent liposuction? how big of an area can be minimized with tumescent liposuction?

5 doctor answers5 doctors weighed in
Dr. Donny Peterson
A Verified Doctoranswered
20 years experience
A : A few factors come into play in determining the best answer to your question. Lidocaine toxicity: most surgeons will limit the amount of Lidocaine given to 35mg to 50mg per kg of patient weight; this will limit the number of body areas that can be anesthetized. If a patient is under IV sedation, then the Lidocaine tumescent fluid can be diluted and placed in more body areas. Safe fat removal: many surgeons will limit the amount of fat removal to under 5 liters in a single session if a patient is being treated as an outpatient. If larger volumes are removed, it would be safest to be observed in an inpatient setting after the procedure. This is significantly influenced by the age, weight, bmi, and health status of a patient. For the average overweight (bmi 25-30) patient, 5 body areas are what can typically be treated in a single session. Don j peterson, md cosmeticsurgicalarts.Com.
Dr. Otto Placik
Surgery - Plastics 35 years experience
Yes, : Yes, large areas can be treated wtih liposuction. Given the upper limits of Lidocaine toxicity, it is generally recommended to limit tumescent infiltration to about 7 liters.
Dr. Azita Madjidi
Surgery - Plastics 31 years experience
Yes: Tumescence is routinely used to minimize blood loss from liposuction. So the limit is the amount of fat aspirated not the amount of tumescence used or the size of the area.
Dr. Tom Pousti
Specializes in Plastic Surgery
Yes , but...: Yes, large areas can be treated with liposuction surgery. However, primary concern should always be safety and careful attention should be paid to factors such as blood loss, fluid shifts, intravenous fluid “resuscitation”, amount of Lidocaine used etc. Careful selection of plastic surgeon and anesthesiologist will be important. Best wishes.
Dr. Thomas Fiala
Plastic Surgery 34 years experience
Here in Florida,: We're limited to 4 litres worth of fat removal with liposuction. So, we discuss where we're going to use that "allowance" with the patient for the optimal contouring.

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