Thigh and Knee Liposuction Workup

Updated: Oct 31, 2018
  • Author: John A Grossman, MD; Chief Editor: Zubin J Panthaki, MD, CM, FACS, FRCSC  more...
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Workup

Laboratory Studies

Every patient must undergo an appropriate complete medical history and physical examination. A perfunctory examination and limited laboratory studies for a young and apparently healthy patient are inappropriate. Laboratory tests should include the following:

  • CBC

  • Urinalysis

  • Electrolytes (if patient is taking diuretics)

  • Chest radiograph (when none has been performed for more than 1 year or if patient has history of cigarette smoking)

  • Electrocardiogram (for men older than 40 years and women older than 50 years, unless there is a history of hypertension, stroke, arrhythmias, diabetes, cigarette smoking)

  • Pregnancy test in women of childbearing age

  • HIV and hepatitis testing

  • Accurate weight (and date of that weight) as well as measurements of the areas to be liposuctioned (If the patient's personal physician or an outside physician other than the surgeon is performing the physical examination, record weight and measurements at the surgeon's office. Patients are notorious for providing inaccurate reports of their weight and dimension measurements.)

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Imaging Studies

Other than a routine chest radiograph where indicated by age, smoking history, or history of prior disease, no imaging studies are necessary in the preoperative liposuction patient. Ultrasound examinations of the fat layer before and after suctioning are interesting but expensive and unnecessary.

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Histologic Findings

Histologic findings are not relevant, as surgeons are not working with tissue pathology; however, research studies pertaining to histologic changes following liposuction have been performed. Carpaneda in 1996 reported that "Histologic studies [postliposuction] disclosed extensive amounts of dead adipocytes and free fat within the aspirated area. The pockets left behind were filled with serum hemorrhagic material and evolved to the healing process. Collagen synthesis increased initially then followed by gradual decrease and a remodeling process. Our findings suggest that liposuction techniques preserve some vessels and nerves, but the final resolution may take several months or years, depending on the amount of tissue damage." [9]

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