Abstract
Liposuction is a frequently performed procedure in plastic surgery done to sculpt the body from excess adipose tissue or reinject it again in different sites for many reasons including cosmetic and reconstructive indications. It is also a safe procedure and associated with low number of complications like infection, hematoma or other injuries to adjacent viscera, nerves, and vasculature. We report a case in our hospital in Riyadh of a 31 years old Saudi female patient arrived at the ER department with wide spread areas of skin necrosis covering the thighs, buttocks, abdomen and part of the lower back. With history and physical examinations, it was discovered that the patient underwent a liposuction involving the same areas, the patient did the procedure in a private clinic overseas without proper follow up after the procedure. furthermore, the patient developed Deep Vein Thrombosis (DVT) at the lower left limb during the admission. The patient underwent multiple sessions of debridement and skin grafting. Her overall condition improved, and she was discharged home in a stable condition and for follow up in the clinic. Reporting such a case to the plastic surgery community is important to prevent unwanted and avoidable complications in a routine procedure in plastic surgery practice.