by Alan Mozes
. Health reporter
How To Weight Lift For Fat Loss - With Liposuction, Weight Should Guide Fat Removal Limits: Study
Friday, (health news) - although there is no magic bullet for weight loss, the new research suggests that surgeons can safely remove more fat during liposuction surgery than if They believed earlier.
Now, surgeons follow the guidelines that establish a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight status or body fat. But the new study suggests that surgeons can use the patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is an approximate estimate of a person's body fat based on height and weight measurements.
"The problem is that this guideline seems to be chosen from a hat," said the co-author of Dr. Karol Gutowski, a certified plastic surgeon in the Council and a clinical associate professor at the University of Illinois in Chicago.
"and although the guideline is only a recommendation, not the law, some states - such as California - have passed the legislation based on this guideline. But there is no data behind it. No science," he explained.
.Fifteen years ago, Gutowski and his colleagues have created a database to track the results of lipaspiros performed by plastic surgeons certified on board. "And we find that if you have a higher BMI, you can remove more fat safely, which means that the calculation should be based on the exclusive body status of each patient," he said.
dr. Scot Glasberg, President of the American Society of Plastic Surgeons (ASPs), said the new analysis is "an innovative and more current approach than what we have out there at the moment."
Glasberg said that "reality is liposuction is incredibly secure. But obviously if you decide [more than 10 pounds] of a person's fat that weighs 130 pounds, versus someone who is 230, you are looking for a very different situation. So I think the notion of a slider based on BMI makes a lot of sense. "
The findings of Gutowski and his colleagues were published in the September issue of plastic and reconstructive surgery.
Liposuction is not covered by most insurance, and the ASPs estimates a price tag of $ 3,000.
The organization said that more than 211,000 American men and women were submitted to liposuction in 2014, representing an increase of 5% in the previous year. The procedure now occupies the number three among all plastic surgery options, after reformulation of the nose and breast increasing, the ASPs said.
Most liposuction patients are women, the study found. However, Gutowski said that men now represent between 10 to 15% of patients, a figure that rises up to 20% if male breast reduction surgeries are also included.
He said that most patients are treated as outpatient patients and go home on the same day as the procedure. And despite short-term pain, patients are typically up and move immediately. Most people can resume their usual daily routine within a few weeks, he added.
The study team described the current complication rate as "very low", with serious problems occurring between less than one in 1,000 patients.For the study, researchers traced more than 4,500 liposuction patients. None of the patients died after fat extraction, and the total rate of complications was less than 1.5%. Most of the complications were not considered serious, the researchers said.
However, the researchers found that the risk of complication rose as the amount of fat removed increased. They observed that while fat extraction was on average about 4.5 pounds per patient, those who had more than 11 pounds of fat removed had a higher complication rate than the average of 3.7%.The research team also found that the key factor in the risk of complication turned out to be BMI. Those with a higher BMI were more able to tolerate large-scale fat removal than those with a lower BMI, study authors said.
Even so, researchers warn that although BMI could be a useful criterion for pre-determinants safe levels of fat removal, the individual risk factors of each patient should be considered.
liposuction is not risk free, however.
According to the Administration of Food and Drugs U.S., possible complications include infections, fat clots in the lungs, possible drilling of internal organs and even death.
Some studies estimate the risk of death as low as three deaths for every 100,000 procedures performed. Other studies have suggested that the risk is between 20 and 100 deaths per 100,000 surgeries, the FDA said.
