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October 3, 2001

Liposuction in Medical Offices—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;286(13):1575-1576. doi:10.1001/jama.286.13.1573

In Reply: I did not state that liposuction under general anesthesia is less safe than that using dilute local anesthesia. Nonetheless, this is probably true.

The interpretation of the Florida data must be guarded since the total numbers of either procedure performed in Florida medical offices is unknown. The data do not support Dr de Jong's statement that "any liposuction surgery causes relatively more adverse incidents in office practice than other procedures." All the Florida deaths and other incidents were related to liposuction performed under general anesthesia. There were no deaths or incidents related to liposuction using dilute local anesthesia (tumescent technique).