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Risk factors associated with Liposuction - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Weight Loss
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2582 Questions
User :   Hi,I am 50 years old with history of high blood pressure and hyperlipidaemia.I am 5ft11 and weight 92kilos...most of the fat is in the waist/tummy area.due to severe backache problem I am unable to excercise much and as such wanted to know if it is safe for me to go for lyposuction for removal of excess fat form my tummy.
Doctor :   Hi
Doctor :   give me a couple of mins while I read your query.
Doctor :   ok
Doctor :   can i know your gender ?
User :   Male
Doctor :   ok
Doctor :   what are the exercises that you have been restricted from?
Doctor :   and how is your diet?
User :   even brisk walking is not allowed
User :   normal non veg food....dont overeat....
Doctor :   OK
Doctor :   are you on medicines for blood pressure?
User :   yes
User :   Concor 5mg
Doctor :   i would like to tell you that
Doctor :   liposuction is generally not advised for everyone
Doctor :   as it is a major surgery
Doctor :   and high blood pressure is a contra indication for the same
User :   okay
Doctor :   if the BMI is very high and the person cannot control the weight gain , liposuctionis done as alternattive
User :   would you recommend an alternative to liposuction?
Doctor :   there are medications for weight loss
Doctor :   i Am not sure if it could be taken in your case.
Doctor :   let your doctor decide on this, as he is following continuously with you.
User :   any safe medication you would like to suggest
Doctor :   I would ask you to maintain a good diet
User :   sure
Doctor :   I don think of any safe medication for your case profile
Doctor :   do you consume alcohol?
User :   no never
Doctor :   choose food with high fibre
Doctor :   70gms per day, drink lot of water.
Doctor :   good to know you do not consume alcohol
Doctor :   have you checked for diabetes?
User :   normal
User :   no family history either
Doctor :   ok
Doctor :   thats good.
Doctor :   did I answer your question?
User :   i am taking Lipicard 200 mg once a day for contorlling the tryglycerides
Doctor :   are there any more questions i could help you with
Doctor :   ok
Doctor :   If you have lower back pain
User :   i am maintaining a normal diet so how do i lose weight?
User :   yes i do
Doctor :   you must avoid the factors causing them
Doctor :   think on what causes back pain in you
Doctor :   and try to act on it
User :   i have disc prolpase between L4 and L5
Doctor :   ok
Doctor :   then you will be aware of all the pre cautions i hope.
User :   yes I do
User :   i joined a gym but had to stop working out
Doctor :   thats great
Doctor :   no do not gym
Doctor :   it will increase your back pain.
User :   and my back problem is aggravted due to my abdominal fat hence this query abt liposuction
Doctor :   You can exercise but the exercises are very specific
Doctor :   Do not contain yoiurself with the advice of the Orthopedician
Doctor :   There are different experts for this called
Doctor :   Orthopedic Physiotherapist
Doctor :   and Occupational Therapist
User :   yes i have been to them...for strengthening my back muscles
Doctor :   Who would advice you on the nature of exercise
Doctor :   and how to work with the problem without pain
Doctor :   Do you smoke?
User :   i travel a lot...long flights...and that aggravtes my discomfort
User :   yes I do
Doctor :   Smoking is the most important risk factor for back pain
User :   Okay
Doctor :   because of the low blood supply to the muscles
Doctor :   Being overweight comes as the four risk factor
User :   Okay
User :   Thanks for your advice
Doctor :   So to sum up
Doctor :   1) Quit smoking
Doctor :   2) Increase high fibre, veggie in your diet
Doctor :   3) Avoid activities which can increase the pressure on the muscles
Doctor :   of the back
Doctor :   4) Exercise for overall fitness, if it helps to reduce weight it is added advantage
Doctor :   5) Regular consults with Physio to modify the exercises
User :   So you do not recommend any surgical intervention in my case for remoavl of fat?
Doctor :   I recommend if all the conservative measures mentioned above are burnt
User :   But even then it comes with certain risks....i mean the surgery
Doctor :   The risks of surgery depends on the skill and the expertise of the surgeon
User :   Who would u reocmmend in the Delhi area?
User :   for consultation?
Doctor :   Bariatric Surgery
User :   are you suggesting that Bariatric Surgery is a better option ?
Doctor :   Liposuction is part of Bariatric surgery, but less invasive than Bariatrics surgery
Doctor :   In this method, the subdermal fat deposits are removed
User :   but i understand there are some post operative complications
User :   in some cases.
Doctor :   Yes
Doctor :   It depends on the skill of the surgeon and the risk factors in the patient and relative conditions associated.
User :   I understand....thanks for your advise...appreciate it.
Doctor :   pleasure here
Doctor :   have i answered all your questions?
User :   one last question...what is the most common post operative complication in lyposuction?
Doctor :   infection is very common and most important
User :   what about clotting?
User :   I understand it proves to be fata at times
Doctor :   do you mean bleeding?
Doctor :   if you mean embolisms, they are rare
User :   yes embolism
User :   pulmonary embolism is what people have reported
Doctor :   the chances are less compared to other risk factors
Doctor :   they are one of the complications.
User :   so overall this treatmnet is fraught with certain risks....some of them could be pretty serious...right?
Doctor :   yes.
Doctor :   hence we do not advice this as the first resort.
User :   i spoke with a couple of surgeons....and they made it sound a sif its an OPD procedure
Doctor :   as you have risk factors as well like smoking, high blood pressure.
User :   yes
Doctor :   its a simple procedure but has risks
Doctor :   hope i answered your query.

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