FAQ – TUMESCENT LIPOSUCTION
What does the word tumescent mean?
Tumescent means swollen, also can be related to terms like distended or bloated.
What is the tumescent liposuction technique?
The word tumescent means swollen; hence, a large volume of dilute lidocaine (local anesthetic) and epinephrine is infiltrated into subcutaneous tissue before the liposuction itself, making this tissue tumescent (swollen).
What is tumescent liposuction?
During this procedure, a large amount of a solution made with local anesthesia called lidocaine and a vasoconstrictor like epinephrine is infiltrated into the subcutaneous fat making this area tumescent. Combining these medications will cause vasoconstriction, reduce bleeding risk during the procedure, and apply local anesthesia instead of general anesthesia or IV sedation.
What are the benefits of this tumescent technique?
This technique offers some benefits over older liposuction techniques, avoid the use of sedative drugs or general anesthesia, changing this for local anesthesia instead, and reducing the risk of bleeding even after the procedure due to the epinephrin application directly into the subcutaneous fat that will be removed.
When was this technique developed?
This tumescent technique was developed in 1985 by Dr. Jeffrey A. Klein, a dermatologist in California, and published two years later in the American Journal of Cosmetic Surgery. The first liposuction technique was developed in the late 70’s in Europe and could only be performed under general anesthesia, and blood loss was an issue. This led to Dr. Klein developing this technique where the downtime is minimal, there is no need for general surgery, and blood loss is kept to the minimum.
How much blood is lost during tumescent liposuction?
One of the benefits of this technique against the previous liposuction technique is the modest amount of blood loss. In the older techniques, significant blood volume was involved, and sometimes blood transfusions were part of the recovery.
Is bruising the same during regular and tumescent liposuction?
Bruising during tumescent liposuction is less compared to other techniques. First of all, the incisions’ size during the tumescent technique is minimal; between 1-3mm, these are non-sutured incisions called adits; this maintains these incisions open for about 48 hours and permits to drain out the remaining fluid. Also, with the vasoconstriction caused by adrenaline, the blood release under the skin is minimal, so the chances of bruising are minimized.
Are they complications associated tumescent liposuction?
Contour irregularities can occur if liposuction is too superficial. Infection, lidocaine toxicity and fat embolism have been reported, but are very uncommon.