What can go wrong after liposuction?
Liposuction is one of the most commonly performed cosmetic procedures. The range and severity of potential complications increase with the volume of fat removed and the number of treatment areas.
The most common complications
- Contour irregularities. Uneven fat removal and asymmetry. Significant deformities require revision surgery.
- Seroma and hematoma. Common in larger-volume procedures. Most seromas resolve with aspiration.
- Infection. Occurs in approximately 1–3% of cases. Can progress rapidly in large treatment areas.
- Skin necrosis. Particularly when liposuction is combined with other procedures.
- Fluid imbalance. Large-volume liposuction removes significant fluid. Inadequate replacement can cause dangerous drops in blood pressure.
- Lidocaine toxicity. In rare cases, systemic absorption can cause cardiac arrhythmia or seizure.
- Deep vein thrombosis (DVT). Prolonged surgical time increases risk. Can progress to pulmonary embolism.
Sources: ASPS; Dixit & Wagh, “Unfavorable Outcomes of Liposuction,” Indian Journal of Plastic Surgery, 2013.