ABSTRACT
This article outlines considerations that allow large-volume liposuction to be performed
safely. Requirements include appropriate patient selection, a solid operating team,
sequential infiltration and aspiration, limiting lidocaine to less than 35 mg/kg,
avoiding hypothermia, urine output monitoring, IV fluid restriction, and early and
frequent postoperative ambulation and massage. Plastic surgeons adhering to these
principles should be able to progress from limited and staged procedures to single-stage
large-volume aspirations while maintaining safety standards and achieving a high degree
of patient satisfaction.
KEYWORDS
Large-volume liposuction - lidocaine - lipoplasty fluid regimens
