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What is Tumescent Liposuction?

Tumescent liposuction is now recognized world wide as the technique permitting the greatest safety, the most rapid recovery, the least pain and the best aesthetic results. Before and after tumescent liposuction photos

Tumescent liposuction is also the only technique that, in the hands of an expert surgeon, permits liposuction totally by local anesthesia, avoiding the dangers of general anesthesia, IV sedation and narcotic analgesics.

There are surgeons who prefer to simultaneously use general anesthesia and tumescent liposuction. Some surgeons rely on general anesthesia because they do not have the skill to achieve complete anesthesia with tumescent liposuction. Others recommend general anesthesia just because they prefer patients to be unconscious. Still others use general anesthesia because it permits liposuction to be completed more rapidly.


However, the use of general anesthesia ought not to be based on what is most convenient for the surgeon, but rather what is best for the patient. Ultimately, the patient should choose the type of anesthesia based on all the information at his or her disposal.

Development of Tumescent Liposuction

Although liposuction is a relatively new form of cosmetic surgery, there have been several recent improvements in the technique. One of the most significant improvements has been the introduction of tumescent liposuction, developed by Jeffrey A. Klein, M.D. in 1985. It permits liposuction totally by local anesthesia instead of general anesthesia. This technique is now considered the safest form of liposuction for removing very large amounts of fat because there is virtually no blood loss. Not only has tumescent liposuction proven to be safer than the standard technique using general anesthesia but it also has proven to be less painful, has minimized post operative recovery time, and has produced optimal cosmetic results.

Tumescent liposuction was first presented by Dr. Klein in 1986 at the Second World Congress of Liposuction Surgery in Philadelphia. His article that first described the technique appeared in the American Journal of Cosmetic Surgery in 1987.


Liposuction Totally By Local Anesthesia

The word tumescent means swollen and firm. Tumescent liposuction uses large volumes of a dilute solution of lidocaine, a local anesthetic, in combination with the vasoconstrictive drug epinephrine, which temporarily shrinks capillaries.

Local anesthesia used in tumescent liposuction for liposuction is so effective that patients no longer need intravenous sedatives, narcotic analgesics, or general anesthesia. Over the years, numerous patients who previously had liposuction with general anesthesia have had second treatments with tumescent liposuction. Virtually every one of these patients has found tumescent liposuction to be less painful, to provide better results and to result in more rapid healing and recovery.

Virtually No Blood Loss

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 older methods that simply use general anesthesia.

Dr. Klein recently completed a study of large volume liposuction of 112 patients, each of whom had between 1,500 ml to 3,400ml (1.5 quarts to nearly 1 gallon) of fat removed using tumescent liposuction. None of these patients required a blood transfusion. In fact, the average patient lost approximately three teaspoons (15 ml) of blood. Tumescent liposuction is so effective at minimizing blood loss that the majority of patients with large volume liposuction lose less blood during the surgery than they do at the time of their routine pre-operative laboratory studies.

The Scottsdale Cosmetic Health Insitute services the Phoenix and Scottsdale, Arizona area. Our facility is not only famous for Mesotherapy treatments, but is also renowned for its cutting edge medical and cosmetic procedures. For more information on liposuction please contact us.


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