Going in – or out – for “lipo”?

 

Are you going in - or out - for "lipo?"  This is Dr. Steven Andrew Davis, Speaking of Health. What's celebrating 22 years in the US?  A brand of soft drink?  A durable light bulb?  No - it's "lipo", as known to millions; liposuction in correct medicalese.

"Lipo" is chic and popular to the tune of more than half a million procedures a year in the
US.  Is it safe?  Generally, yes, but problems can occur.  In a survey of over a thousand plastic surgeons there were 95 fatalities out of almost a half-million liposuction procedures, a death rate of almost 1 in 5,000 operations.   In this survey about 80%
of the liposuction fatalities occurred in an office setting, giving rise to some concern about office-based liposuction surgery.  But wait – the American Society for Dermatologic Surgery did a study of over 500 dermatologists a year later and found a zero percent death rate in over 65,000 procedures, almost all of which were performed in the doctor's office. What's the catch - why the disparity - why no deaths for
office-based dermatologists compared to plastic surgeons? 

Most likely not physician skill, but rather the kind of anesthesia used. In the liposuction operation.  While almost none of the dermatologists used general anesthesia, many plastic surgeons do, and that can raise the risk.  General anesthesia's advantage may be an increased comfort level for the patient and surgeon, but its disadvantage is a rare, but
palpable risk of death.  Despite some pressure to put such cosmetic procedures in a hospital setting, almost three-quarters of malpractice claims related to lipo procedures were performed in a hospital setting.

The safety of
America's most popular cosmetic operation: for "lipo", where it's done is not the only key.  For a copy of this script and a journal reference, access our web site, speakingofhealth.com. Speaking of Health, I'm Dr. Steven Andrew Davis, for CBS News.

Ref: Yu, TC and Perez, MI. in cosmetic Dermatology. Vol 17. April, 2004.
Pgs. 209-212.