Liposuction: Nursing Considerations and Perioperative Care

Ameena Abdu Nasheb Sharahili (1), Dahma Ahmed Ahmed Bakri (1), Norah Turki Hakami (2), Layla Abdul Haq Abdul Algafoor Mostafa (3), Wafa Kamiyhan SH Alanazi (4), Jehan Ahmad Almurab (5), Manal Abdu Mohammed Zidan (6), Merfat Mohammed ali ALsaeed (7), Latifah Abdulaziz Mohammed Alqahtani (8), Ghala Haylan Bin Libdh (9), Amani Abdullah Hassan Oribi (10), Amal ALahmari (11)
(1) Ahad Al- Masarha General Hospital,Ministry of Health, Saudi Arabia,
(2) King Fahd hospital,Ministry of Health, Saudi Arabia,
(3) Ohud Hospital , Ministry of Health, Saudi Arabia,
(4) Arar, Ministry of Health, Saudi Arabia,
(5) King Salman specialist hospital, Hail health cluster,Ministry of Health, Saudi Arabia,
(6) RCC-Jazan ,Ministry of Health, Saudi Arabia,
(7) Al Omran General Hospital, Ministry Of Health, Saudi Arabia,
(8) Aldar Albidda primary health care - Riyadh first cluster,Ministry of Health, Saudi Arabia,
(9) Prince Sultan Center in Al-Ahmadiyah,Ministry of Health, Saudi Arabia,
(10) Fahdah Prince Primary Health Care Center-Jazan,Ministry of Health, Saudi Arabia,
(11) follow-up Department in the Officef His Excellency,Ministry of Health, Saudi Arabia

Abstract

Background: Liposuction is one of the most commonly performed cosmetic surgical procedures worldwide, primarily aimed at body contouring through the removal of localized subcutaneous fat deposits. Advances in surgical techniques, equipment, and perioperative care have significantly improved patient safety and aesthetic outcomes, increasing the role of nurses and interprofessional teams in achieving optimal results. 


Aim: This article aims to review liposuction with a specific focus on nursing considerations, perioperative care, patient selection, procedural techniques, possible complications, and the role of the interprofessional healthcare team in ensuring patient safety and recovery.


Methods: A narrative review approach was used to synthesize current principles of liposuction practice. The article examines anatomical foundations, indications and contraindications, equipment, operative techniques, and perioperative nursing responsibilities based on established clinical guidelines and published evidence. 


Results: Proper patient selection, knowledge of subcutaneous fat anatomy, careful technique, and modern equipment contribute to safe and effective liposuction outcomes. Nursing interventions, including preoperative education, intraoperative monitoring, postoperative surveillance, early ambulation, and patient counseling, play a critical role in minimizing complications such as contour deformities, thromboembolism, and local anesthetic toxicity. 


Conclusion: Liposuction is a safe and effective body-contouring procedure when performed with meticulous surgical planning and comprehensive nursing care. Interprofessional collaboration and vigilant perioperative monitoring are essential to reduce complications and enhance patient satisfaction.

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References

Collins PS, Moyer KE. Evidence-Based Practice in Liposuction. Annals of plastic surgery. 2018 Jun:80(6S Suppl 6):S403-S405. doi: 10.1097/SAP.0000000000001325.

Triana L, Palacios Huatuco RM, Campilgio G, Liscano E. Trends in Surgical and Nonsurgical Aesthetic Procedures: A 14-Year Analysis of the International Society of Aesthetic Plastic Surgery-ISAPS. Aesthetic plastic surgery. 2024 Oct:48(20):4217-4227. doi: 10.1007/s00266-024-04260-2.

Bellini E, Grieco MP, Raposio E. A journey through liposuction and liposculture: Review. Annals of medicine and surgery (2012). 2017 Dec:24():53-60. doi: 10.1016/j.amsu.2017.10.024.

Ahmad J, Eaves FF 3rd, Rohrich RJ, Kenkel JM. The American Society for Aesthetic Plastic Surgery (ASAPS) survey: current trends in liposuction. Aesthetic surgery journal. 2011 Feb:31(2):214-24. doi: 10.1177/1090820X10395508.

Tabbal GN, Ahmad J, Lista F, Rohrich RJ. Advances in liposuction: five key principles with emphasis on patient safety and outcomes. Plastic and reconstructive surgery. Global open. 2013 Nov:1(8):e75. doi: 10.1097/GOX.0000000000000007.

Chia CT, Neinstein RM, Theodorou SJ. Evidence-Based Medicine: Liposuction. Plastic and reconstructive surgery. 2017 Jan:139(1):267e-274e. doi: 10.1097/PRS.0000000000002859.

Mendez BM, Coleman JE, Kenkel JM. Optimizing Patient Outcomes and Safety With Liposuction. Aesthetic surgery journal. 2019 Jan 1:39(1):66-82. doi: 10.1093/asj/sjy151.

Rinker B. The evils of nicotine: an evidence-based guide to smoking and plastic surgery. Annals of plastic surgery. 2013 May:70(5):599-605. doi: 10.1097/SAP.0b013e3182764fcd.

Mittal P, Heuft T, Richter DF, Wiedner M. Venous Thromboembolism (VTE) Prophylaxis After Abdominoplasty and Liposuction: A Review of the Literature. Aesthetic plastic surgery. 2020 Apr:44(2):473-482. doi: 10.1007/s00266-019-01576-2.

Kyle A. Body dysmorphia and plastic surgery. Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses. 2012 Jul-Aug:32(3):96-8; Quiz 99-100. doi: 10.1097/PSN.0b013e31826a9d90.

Zakine G, Baruch J, Dardour JC, Flageul G. Perforation of viscera, a dramatic complication of liposuction: a review of 19 cases evaluated by experts in France between 2000 and 2012. Plastic and reconstructive surgery. 2015 Mar:135(3):743-750. doi: 10.1097/PRS.0000000000001030.

. Liposuction: Concepts, safety, and techniques in body-contouring surgery. Cleveland Clinic journal of medicine. 2020 Jul 31:87(8):476

Ziccardi VB. Adjunctive cervicofacial liposuction. Atlas of the oral and maxillofacial surgery clinics of North America. 2000 Sep:8(2):81-97

Haack J, Friedman O. Facial liposculpture. Facial plastic surgery : FPS. 2006 May:22(2):147-53

Lam SM, Glasgold RA, Glasgold MJ. Fat harvesting techniques for facial fat transfer. Facial plastic surgery : FPS. 2010 Oct:26(5):356-61. doi: 10.1055/s-0030-1265016.

Fodor PB, Cimino WW, Watson JP, Tahernia A. Suction-assisted lipoplasty: physics, optimization, and clinical verification. Aesthetic surgery journal. 2005 May-Jun:25(3):234-46. doi: 10.1016/j.asj.2005.03.001.

Rohrich RJ, Beran SJ, Fodor PB. The role of subcutaneous infiltration in suction-assisted lipoplasty: a review. Plastic and reconstructive surgery. 1997 Feb:99(2):514-9; discussion 520-6

Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. The Journal of dermatologic surgery and oncology. 1990 Mar:16(3):248-63

Chen H, Zhi J, Wang L, Jin Z, Xu J, Xing F, Wen C, Wang Q, Chen C, Li W, Xu E, An J, Wei L. Subanesthetic Dose of Esketamine Improves the Sedative and Analgesic Effects of Dexmedetomidine and Remifentanil in Liposuction Anesthesia: A Prospective, Double-Blinded, Randomized Controlled Trial. Drug design, development and therapy. 2024:18():3645-3658. doi: 10.2147/DDDT.S470891.

Stein MJ, Sasson DC, Harrast J, Alderman A, Matarasso A, Gosain AK. A 16-Year Review of Clinical Practice Patterns in Liposuction Based on Continuous Certification by the American Board of Plastic Surgery. Plastic and reconstructive surgery. 2023 Sep 1:152(3):523-531. doi: 10.1097/PRS.0000000000010254.

Ostad A, Kageyama N, Moy RL. Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 1996 Nov:22(11):921-7

Rohrich RJ. Evidence-based patient safety advisory for ambulatory surgery. Plastic and reconstructive surgery. 2009 Oct:124(4 Suppl):1S-2S. doi: 10.1097/PRS.0b013e3181b55e9d.

Mavroforou A, Giannoukas A, Michalodimitrakis E. Medical litigation in cosmetic plastic surgery. Medicine and law. 2004:23(3):479-88

Willet JW, Alvaro AI, Ibrahim AK, Javed MU. A Systematic Review of Efficacy and Complications of High-Definition Liposuction. Plastic and reconstructive surgery. 2023 Jul 1:152(1):57-63. doi: 10.1097/PRS.0000000000010203.

Beidas OE, Gusenoff JA. Update on Liposuction: What All Plastic Surgeons Should Know. Plastic and reconstructive surgery. 2021 Apr 1:147(4):658e-668e. doi: 10.1097/PRS.0000000000007419.

Gitman M, Fettiplace MR, Weinberg GL, Neal JM, Barrington MJ. Local Anesthetic Systemic Toxicity: A Narrative Literature Review and Clinical Update on Prevention, Diagnosis, and Management. Plastic and reconstructive surgery. 2019 Sep:144(3):783-795. doi: 10.1097/PRS.0000000000005989.

Authors

Ameena Abdu Nasheb Sharahili
ameenas@moh.gov.sa (Primary Contact)
Dahma Ahmed Ahmed Bakri
Norah Turki Hakami
Layla Abdul Haq Abdul Algafoor Mostafa
Wafa Kamiyhan SH Alanazi
Jehan Ahmad Almurab
Manal Abdu Mohammed Zidan
Merfat Mohammed ali ALsaeed
Latifah Abdulaziz Mohammed Alqahtani
Ghala Haylan Bin Libdh
Amani Abdullah Hassan Oribi
Amal ALahmari
Sharahili, A. A. N., Dahma Ahmed Ahmed Bakri, Norah Turki Hakami, Layla Abdul Haq Abdul Algafoor Mostafa, Wafa Kamiyhan SH Alanazi, Jehan Ahmad Almurab, … Amal ALahmari. (2025). Liposuction: Nursing Considerations and Perioperative Care. Saudi Journal of Medicine and Public Health, 2(2), 2797–2805. https://doi.org/10.64483/202522475

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