The patient is first given comprehensive information about the objec- o tives and risks of the procedure on the day of the first consultation. A written record is kept of this. All the risks are set down in writing at this time. It should be made clear that the patient may experience pain during the operation and that occasionally pressure damage may occur to the nerves and soft tissue. This will subside again in the space of a few weeks. The loss of a large amount of blood necessitating blood transfusions does not normally occur when the tumescence technique is used. Bloody effusions and a feeling of numbness in the operation site can occur after the procedure. Dimpling and the limits of the possibilities of liposuction must also be explained to the patient, as must the risk of thrombosis and embolism as well as the small scars that will occur at the insertion sites. In rare cases allergic reactions can occur in the skin, mucous membranes, heart, circulation, kidneys, or nerves. For this reason liposuction should be carried out on an inpatient basis with standby and monitoring.
If there are considerable irregularities in contour, the patient should be advised to have a corrective operation.
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