Liposuction

Question 1

Tumescent local anaesthetic using lidocaine and epinephrine allows removal of large volumes of fat with minimal blood less and low post op morbidity

Answer 1

True

Question 2

Liposuction is a good option for weight loss

Answer 2

False, for sculpting

Question 3

Incomplete rectum abdominis muscle is a risk for liposuction

Answer 3

True eg. Any surgery complicated by dehiscence , hernia, infection or subsequent adhesions

Question 4

New scars are more soft and pliable, and can be suctioned through, but older scars should be suctioned around

Answer 4

False vice versa

Question 5

Any medication that prolong bleeding time are contraindicated in liposuction

Answer 5

True

Question 6

If patient is on a CYP2D6 inhibitor , dose of lidocaine needs to be reduced to 35mg/kg

Answer 6

False CYP450 inhibitor

Question 7

Most patients who claim allergy to lidocaine are actually allergic to METHYLPARABEN

Answer 7

True

Question 8

Screening mammogram should be performed pre operatively and repeated 6 mo after liposuction

Answer 8

True

Question 9

Personal or family history of Brest cancer is an absolute contraindication for breast liposuction

Answer 9

False, relatively contraindication

Question 10

Other uses for liposuction

Answer 10

Axillary hyperhidrosis, bromhidrosis, osmidrosis, lymphoedema, lipomas, debulking plexiform neurofibromas

Question 11

Absorbent pads placed over incision sites and held in place with tape or tubular elastic retainer

Answer 11

True

Question 12

Heavy compression required for first week post liposuction then mild compression for further 2 weeks

Answer 12

False heavy compression first 24h then mild compression 2-4 days

Question 13

Decreased skin sensation and dysesthesias are a long term complication

Answer 13

False, immediate post operative, improves with time

Question 14

Bigeminy can be a sign of ventricular atopy not epinephrine hypersensitivity

Answer 14

False both