What is tumescent liposuction?
The word tumescent refers to anything that is swollen and firm. In the tumescent technique for liposuction, a large volume of very dilute solution of local anesthesia (lidocaine and epinephrine) is infiltrated (injected) into the fat beneath the skin, causing the targeted area to become tumescent, in other words, swollen and firm. The local anesthetic lidocaine in the tumescent solution provides such complete local anesthesia, that it eliminates the need for general anesthesia, or IV sedation. The drug epinephrine (adrenalin) provides profound localized vasoconstriction that it virtually eliminates surgical bleeding during tumescent liposuction. By eliminating the risks of general anesthesia and the risks of excessive surgical bleeding, the tumescent technique for liposuction totally by local anesthesia has eliminated the greatest dangers associated with the older forms of liposuction.
What areas can be treated?
Some fat deposits simply won't budge despite our best efforts to get in shape with exercise and proper nutrition. The most common sites for women are the abdomen (includes waistline sculpting), saddlebags (upper outer thighs), inner and anterior (front) thighs, hips and back, buttocks, neck and chin (see neck lift) and arms. For men, the most popular treatment sites are the flanks ("love handles") and abdomen as well as neck and chin (see neck lift).
Am I a Candidate?
Liposuction is neither a substitute for proper diet and exercise nor a cure for obesity. To get the most from this procedure, you should be of average weight with extra fat localized in specific areas. It is important that you have healthy, elastic skin with the capacity to shrink evenly after your surgery. This is determined during your consultation. Since liposuction removes only fat, it cannot eliminate dimpling or correct skin laxity. Candidates should be in good general health.
What are the benefits of tumescent liposuction?
Local anesthesia used in the tumescent technique for liposuction is so effective that patients no longer need intravenous sedatives, narcotic analgesics, or general anesthesia. As a result of the widespread capillary constriction caused by the epinephrine in the anesthetic solution, there is minimal bleeding during and after surgery. This is a major improvement in the liposuction technique compared to the older methods that simply use general anesthesia.
How does the tumescent technique reduce bruising after liposuction?
There is dramatically less bruising with tumescent liposuction totally by local anesthesia compared to other liposuction techniques under general anesthesia. There are two reasons for this significant decrease in bruising. First, because there is so little blood loss with the tumescent technique, there is almost no blood that remains beneath the skin to cause bruising after surgery. The second reason for decreased bruising is that with the tumescent technique there is a considerable amount of post-operative drainage of the blood tinged anesthetic solution. The incisions are so small (about 1.5 mm), the incisions do not require stitches. By allowing these wounds to remain open for two to three days after the surgery, most of the residual blood-tinged anesthetic solution drains out. This minimizes bruising and swelling and accelerates the rate of healing.