• Unrealistic patient expectations
• Poor physical health of patient
• Patient who underwent crash dieting immediately prior to consultation
• Morbid obesity (megaliposuction controversial due to higher risk of mortality from fluid shifts)

• Liposuction is reserved for patients who are healthy and without significant illnesses. Although difficult to determine absolute contraindications, the authors believe that significant medical history should necessitate discussion with the patient's primary physician and/or anesthesiologist prior to approval of any procedure. Anticoagulants (including aspirin) should be stopped 2 weeks prior to surgery to avoid risks of hematoma and excessive bleeding. Physicians must be particularly attentive to herbal supplements that may affect anesthetic risks and bleeding. Obviously, patients who are unable to stop these medicines should not be considered for surgery, as in patients with cardiac valve replacement, atrial fibrillation, and those undergoing therapy for deep vein thrombosis and pulmonary embolism.
• Patients also must understand and discuss at length with the physician the potential risks and sequelae. Surgeons also should document all discussions with the patient regarding the potential surgery and potential risks. Port site scars also should be appreciated by the patient and occasionally can be modified to address specific needs of the patient.
• =Hemodynamic responses to liposuction have been recently characterized and have been found to not be insignificant. In a small study of healthy women

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