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Liposuction I/A ratios of 0.8 to 1.1 optimize postoperative satisfaction and reduce bruising in patients

Liposuction I/A ratios of 0.8 to 1.1 optimize postoperative satisfaction and reduce bruising in pati…
Photo by David Trinks / Unsplash
Key Takeaway
Consider an I/A ratio of 0.8 to 1.1 for satisfactory liposuction effects with reduced bruising.

This randomized controlled trial assessed patients who have undergone liposuction. The researchers compared varying ratios of infiltration fluid doses and the total aspirate mixture (I/A) with proportions of 0.3 to 0.5, 0.5 to 0.8, 0. to 1.1, 1.1 to 1.4, and 1.4 to 1.7. The primary outcome was postoperative satisfaction, while secondary outcomes included operation time, blood volume in the liposuction bottle, number of dressing changes, length of hospital stay, degree of bruising, swelling, and pain.

Operation time and blood volume in the liposuction bottle were closely related to the I/A ratio. The number of dressing changes, length of hospital stay, degree of bruising, swelling, and pain were less in groups B and C (I/A ratios 0.5 to 0.8 and 0. to 1.1) than in other groups. Postoperative satisfaction was affected by the I/A ratio.

Safety data regarding adverse events, serious adverse events, discontinuations, and tolerability were not reported. The study limitations were not reported. Funding or conflicts of interest were not reported. The practice relevance indicates that an I/A ratio in the range of 0.8 to 1.1 can achieve a satisfactory surgical effect, and when it is approximately 0.9, it is the best ratio.

Study Details

Study typeRct
EvidenceLevel 2
PublishedMay 2026
View Original Abstract ↓
BACKGROUND: The purpose of this study was to explore the impact of varying ratio of infiltration fluid doses and the total aspirate mixture (I/A) on the outcomes of liposuction surgery. METHODS: Patients who have undergone liposuction were randomly divided into 5 groups; the proportion of the planned infusion dose and the total amount of aspirated mixture was 0.3 to 0.5, 0.5 to 0.8, 0. to 1.1, 1.1 to 1.4, and 1.4 to 1.7, respectively. The intraoperative conditions of the 5 groups were recorded, and the I/A was calculated; the A, B, C, D, and E of the 5 groups were finally determined according to the different proportions. The postoperative satisfaction and complications of the 5 groups were compared, and the differences between the groups were analyzed statistically. RESULTS: The operation time and blood volume in the liposuction bottle were closely related to the I/A ratio. The number of dressing changes; length of hospital stay; and degree of bruising, swelling, and pain in groups B and C were less than in the other groups during the hospitalization. At the same time, the I/A ratio also affected the postoperative satisfaction of patients. CONCLUSION: An I/A ratio in the range of 0.8 to 1.1 can achieve a satisfactory surgical effect, and when it is approximately 0.9, it is the best ratio, which can provide a reference scheme for clinical practice.
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