The American Society of Plastic Surgeons (ASPS) believes that liposuction
is generally safe, provided that patients are carefully selected, the
operating facility is properly equipped, and the physician has basic
(core) accredited surgical training with special training in body
ASPS believes that ultrasound-assisted lipoplasty (UAL) is an acceptable alternative to traditional liposuction in some circumstances because it offers the potential of easier removal of fat in more fibrous areas.
However, because the heat generated by ultrasonic energy creates a risk for burns to treated areas, plastic surgeons should complete a CME category 1 approved training program in UAL before using the technique clinically.
ASPS believes that pre-injection methods (including "tumescent" and "super-wet" techniques) usually decrease blood loss and reduce the need for transfusion.
Surgeons who use these techniques to remove large volumes of fat and fluid must have a background of surgical education in the principles of fluid management.
ASPS does not recommend liposuction for individuals with complicated diabetes, poor circulation, significant heart or lung disease, or those with recent surgery in the region to be treated.