How is the Tumescent Technique of Liposuction Performed?

Liposuction can be performed in the dermatologic surgeons office facility, in an outpatient surgical suite or in a hospital. If general anesthesia is not otherwise indicated, its potential complications can be avoided by the use of local anesthesia (often used with light sedation) via the tumescent technique. This breakthrough technique refers to filling the skin with local anesthetic in order to remove unwanted fat more efficiently.

With tumescent liposuction, large volumes of a solution containing dilute lidocaine (a local anesthetic) and dilute epinephrine (a drug to shrink capillaries and prevent blood loss) are injected with minimal discomfort directly into areas of excessive fatty deposits. Once the liquid is injected, a small incision is made in the skin, and a tube connected to a vacuum is inserted into the fatty layer. Using to and fro movements, the fat is drawn through the tube into a collection system.

The tumescent method enables the dermatologic surgeon to remove large ... more.

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