9911-1900 Perry
Perry AW, Petti C, Rankin M.
Lidocaine is not necessary in liposuction.
Plast Reconstr Surg. 1999 Nov;104(6):1900-2; discussion 1903-6. PMID: 10541196
Section of Plastic Surgery at the University of Medicine and Dentistry of New
Jersey-Robert Wood Johnson Medical School, Franklin Park, USA.
arthur.perry.md@worldnet.att.net
Lidocaine is an integral part of most wetting solutions used in liposuction.
Although the Physician's Desk Reference states that the permissible dose of
lidocaine is 7 mg/kg, doses as high as 75 mg/kg have been used in liposuction.
Lidocaine is used in the wetting solution even when the procedure is performed
under epidural or general anesthesia. The justification for this is a reduction
in postoperative pain. This study compared the pain between paired, mirrored
sides of 10 patients when lidocaine was used on only one side. There was no
statistically significant difference between the postoperative pain at 5, 30,
60, and 120 minutes and on the first postoperative day. Because there was no
difference in pain whether or not lidocaine was used, and because lidocaine is
potentially toxic and lethal, this study concludes that lidocaine is not
necessary in liposuction.
Publication Types:
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