Liposuction: Principles and Practice by Melvin A. Shiffman, Alberto Di Giuseppe

By Melvin A. Shiffman, Alberto Di Giuseppe

This fantastically illustrated publication covers all elements of liposuction: anatomy, pathology, biochemistry, preoperative care, apparatus, the whole variety of strategies, problems, postoperative care, results, lipedema, and scientific criminal facets. in comparison with the profitable first variation, the textual content has been broadly up-to-date and lots of extra chapters incorporated, with specific consciousness to lately brought innovations. whereas new expertise is helping to enhance effects, adventure, care, and ability at the a part of the beauty health care provider are crucial if optimum effects passable to the sufferer are to be accomplished. The members to this booklet have expended a lot effort and time to give the beauty and plastic health care professional with as a lot info as attainable at the thoughts and makes use of of liposuction for the needs of beauty and non-cosmetic surgical procedure. Liposuction: ideas and Practice should be of worth for citizens and fellows and for practising and hugely skilled surgeons in cosmetic surgery, plastic surgery, basic surgical procedure, and different subspecialties.

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The development of vasovagal reactions after injections of any kind may cause hypotension, bradycardia, diaphoresis, pallor, nausea, and loss of consciousness. These adverse reactions may be misinterpreted by the patient and even the physician as allergic reactions [180]. A careful history from the patient describing the apparent reaction usually clarifies the cause. If there is still concern about the possibility of true allergy to local anesthetic, then the patient should be referred to an allergist for skin testing [181].

Early signs of toxicity, usually occurring at serum levels of about 3–4 mg mL for lidocaine, include circumoral numbness, lightheadedness, and tinnitus. As the serum concentration increases toward 8 mg/mL, tachycardia, tachypnea, confusion, disorientation, visual disturbance, muscular twitching, and cardiac depression may occur. At still higher serum levels above 8 mg/mL, unconsciousness and seizures may ensue. Complete cardiorespiratory arrest may occur between 10 and 20 mg/mL [155, 163, 164].

This topical anesthetic preparation must be applied under an occlusive dressing at least 60 min prior to the procedure to develop adequate local anesthesia [176]. Even after 60 min, the anesthesia may not be complete and the patient may still experience significant discomfort. Many physicians prefer to use their own customized formula, which they obtain from a compounding pharmacy. Frequently, the patient is given the topical anesthetic to be applied at home prior to arrival to the office or surgical center.

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