| Federal Council of Medicine
Resolution 1711 of December 10, 2003
Establishes safety parameters for liposuction surgeries, giving the patient
the right to information and the doctor limit and criteria for the execution
of the aforementioned surgeries.
The Federal Council of Medicine under law 328 of Sept. 1957, regulated
by the decree 44045 of 19 July 1958 acknowledges that the liposuction
surgery is responsible for a large percentage or plastic surgeries in
this country; it also acknowledges many cases of complications caused
by this surgery and the multiplicity of conducts adopted in its execution
given the freedom regarding the procedures for the indication of the surgery;
given that the patient’s health is the greatest aim, in this direction
should all the actions be undertaken; it is forbidden to the doctor to
execute any procedures without informing the patient and having his/her
consent; the doctor must respect the patient’s decision regarding
the therapeutical procedure; taking into consideration medical and scientific
research up to date, it is dedided that:
Art. 1- the liposuction technique is recognized as valid;
Art. 2 – they are not indicated to lose weight;
Art.3 – there must be specific training for its
execution with prior degree in plastic surgery;
Art. 4 – The procedures for the liposuction should
follow normal procedures for other surgeries.
Art. 5 – These surgeries should be executed in
rooms equipped for plastic surgery and regular surgeries.
Art. 6 – An anesthetist should be present during
sedation.
Paragraph 1 – The anesthetic used should be selected
by the anesthetist in charge.
Paragraph 2 – The patient should be informed and
authorize the anesthetic to be used.
Paragraph 3 – Care is recommended to avoid the
possibility of intoxication by local anesthetic.
Art. 7 – The monitoring of hemodynamics and urinary
discharge should be observed so as to enable an adequate volemic reposition.
Art. 8 – In case a blood reposition is predicted
before surgery, it should be informed to the patient.
Art. 9- The volume should not exceed 7% of body weight with the
infiltrating technique; or 5% when non-infiltrating technique. Likewise,
it should not exceed 40% of body area whatever technique used.
Paragraph 1 – Cases exceeding the ones mentioned
here should have explicit medical indication and should be executed in
hospitals fully equipped, with explicit nomination of surgeon responsible
for indication and execution.
Paragraph 2 – The coincidence of maximum parameters
above mentioned should be avoided in the same surgical act.
Paragraph 3 – The aspired volume is considered
to be the material collected floating.
Art. 10 – The association of surgical procedures
should be avoided when the volume and body area are near the maximum admitted.
Art. 11 – Prevention measures should be taken to
prevent TVP and thrombosis.
Art. 12 – The hospital release should be conform
to law CFM 1409/94, even for patients in non-ambulatory regimes.
Art. 13 – This resolution is valid after its publication.
Edson de Oliveira Andrade
Council President
Rubens dos Santos Silva
General Secretary
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