Abstract
Objective: This study was aimed at evaluating the complications that occurred in patients undergoing large volume liposuction and to see if there was a correlation between amount of aspirate and the rate of complications.
Methodology: A detailed history, complete physical examination, BMI, and anthropometric measurements were documented for all patients. All patients under went liposuction using tumescent technique under general anesthesia in Yusra General Hospital. Patients were discharged home after 24 to 48 hours. Pressure garments were advised for 6 weeks and were called for weekly follow up for 6 weeks. Pressure garments were advised for 6 weeks. Complications were documented. SPSS version 20 was used for analysis of data.
Results: Out of 217 patients, 163 (75%) were female and 54 male. Mean age was 37.1 SD±6.7 years. Bruising and seroma were most common complications; 4.1% and 2.3%, respectively. The incidence of infection was 0.9%. One patient had over-correction and four patients (1.8%) had under-correction. Significant blood loss was encountered in one patient. Two patients (0.9%) had pulmonary embolism and 2(0.9%) suffered from necrotizing fasciitis. None of our patients undergoing large volume liposuction had fat embolism and there was no mortality.
Conclusion: Careful patient selection and strict adherence to guidelines can ensure a good outcome and can minimize risk of complications. Both physicians and patients should be educated to have realistic expectations to avoid complications and improve patient safety.

Key words: Liposuction, obesity, subcutaneous fat, bariatric surgery