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I have a moderate-to-serious heart arrythmia and mitral valve prolapse and I really obsessed about having lipo, even tho I had ba and rhinoplasty two years prior (I developed the arrythmia after that but always had MVP). I really worried about having general anesthesia again since this is the biggest risk for any problems with lipo, so I talked to my cardiologist and original PS and it was decided by all of us that the best thing for me would be to have the lipo with local only (tumescent) and take oral pain meds. In actuality, this didn't work well for me because I felt a lot of pain, but in my case it was probably the second (lipo) doctor's mistake medicating me properly (my original ps did not do lipo without general anesthesia). Anyhow, I felt tremendous relief when I met first with my wonderful and nurturing cardiologist before the procedure and received a medical clearance first from him before the procedure. I also worried about the epinephrine and opiates causing irregular heart rhythm (they did not). My doctor was the one who warned me about this but told me don't worry, if it did happen, it wouldn't affect my life or health. I can't tell you how much he reassured me! Would it be a neurologist who follows you (for the lupus)? Perhaps a visit for medical clearance would set your mind at ease like it did for me. And maybe not going under general but having the tumescent with local would be less risky with your lupus (another thing to ask your doctor)? It seems like you've been through an awful lot with handling the lupus; the least that you deserve is a chance to deal with the subsequent weight gain and feel better about it!
It sounds like a new doctor is definitely in order for you. I don't know much about Lupus, other than it's an autoimmune disorder and usually people are not able to stay in direct sunlight, right? Also, that there are different symptoms for different people, right? So I wonder what you'd have to worry about most? Maybe you could post on a Lupus website and ask if anyone there has had lipo before?
When I was planning for my lipo, I did google searches on the internet for "heart arrythmia + liposuction." I was able to see that there was very little that came up (a good sign I thought). I asked people here and not too many people had heart palpatations with the procedure. I also get really dizzy often (with tight clothing, with chemical smells) so I worried about wearing the garments, too. What would be the main problem that the lupus could present with lipo? You asked me about pain and nerve damage - my pain was during the procedure. I don't know why it was so bad for me. I usually have high pain tolerance (e.g. delivered my oldest where it was too late to get epidural) and this was somewhat similar to some of that pain. I think the doctor didn't use enough tumescent solution. He seems cheap (skimpy) so maybe that's what happened. So many other people have tumescent only and talk the whole way through, laughing and joking (that was NOT me!!). No, I had no nerve damage. The healing was much easier for me than I thought (tho I didn't have that much taken out - only 1,000 cc's to my regret ).
Anyhow, once you find a new doc and do some more research you should be well on your way to your procedure! Let me know if I can answer any more questions and I am looking forward to your progress
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