Tumescent Liposuction is a surgical sculpting fat removal technique that limits bleeding with anesthesia fluid pushed into the tissues. This technique has become the method of choice for liposuction surgery. The adrenaline in the solution helps limit the blood loss seen with traditional liposuction increasing the safety in reasonable volume operations. The Lidocaine anesthetic numbs the tissues for several hours. The tumescent liposuction technique requires additional skills of the surgeon since the final sculpture shape is hidden by the extra fluid.
Who is the best candidate for Tumescent Liposuction?
Generally the best candidate is someone with localized areas of protruding fat. These focused deformities have the most dramatic results. Patients who are slightly overweight can benefit from suction lumpectomy. It is best to be at or near your normal weight. Liposuction is better as a fine refining tool after weight loss or for those areas that just will not go away. Good skin elasticity permits the tissue to shrink easily to your new contour. There are no absolute age limits for lip sculpture.
How long tumescent liposuction surgery does take:
The length of tumescent liposuction surgery depends on what needs to be done and where. Some patients ask for only one small area to be sculpted, while others have many regions treated. It can take from 45 minutes for a small case to four or more hours for more extensive surgery.
Does Tumescent liposuction produce permanent results?
After liposuction the body's new shape is more or less permanent. If a patient does gain a moderate amount of weight after liposuction, then the figure will simply be a larger version of the new body shape. Fat cells that are removed by liposuction do not grow back. As long as the patient does not gain excessive amounts of weight, the new, more pleasing silhouette is permanent. Of course even after liposuction, advancing age will produce the usual changes in the shape of the body associated with the aging process. If a person gains weight after liposuction, she/he will not accumulate as much fat in the treated areas as would have happened if liposuction had not been done.
The Tumescent Liposuction Procedure:
Cannulas have now been miniaturized so that they can be inserted through much smaller openings in the skin. A number of small holes may be placed in the skin around the treated area (instead of few larger holes). The cannulas are inserted through these small openings and the fat is removed. The term "tumescent" means swollen and firm, which is how this technique prepares the fatty tissue for removal. A solution of Lidocaine (a local anesthetic) is injected into the fatty area along with a solution to constrict the blood vessels (typically epinephrine). The Lidocaine is absorbed by the fatty tissue and causes the tissues to become swollen and firm. A large area of fatty tissue can be numbed using this technique, allowing for a large area of liposuction to be performed while the patient is under local anesthesia.
The epinephrine causes the blood vessels to constrict or shrink in the area of the procedure, which has a number of advantages. The vasoconstriction limits blood loss during the procedure and provides for a longer-lasting numbing effect, because there is less blood flow to carry the Lidocaine away from the area of the procedure.
After tumescent liposuction, the area of the liposuction procedure may stay numb for thirty-six hours without further injection of Lidocaine or other pain killers.
Recovery after Tumescent Liposuction:
Tumescent Liposuction leaves the local anesthetic solution in the tissues resulting in much greater comfort after surgery than the older techniques. This prolonged relief can be of value in cases done under general anesthesia or sedation. Once this wears off, most patients experience some discomfort that is usually easily managed with some oral medication for a few days.
You may weigh more, about the same, or less right after surgery. Some of this is from the extra fluid used during the tumescent technique that you will urinate over the next day or so. Some weight will be from the field of tissue swelling. How much and where depends on what was done. Since there is less bruising and bleeding from Tumescent Liposuction, there is less blood to be absorbed and irritate tissues. The lack of this irritation means that the swelling goes down much faster.
After sedation or general anesthesia, eat lightly at first to avoid an upset stomach. Drinking some extra liquids will help your body adjust its fluid balance. Since there is a lot of fluid injected during Tumescent Liposuction, some does leak out of the tiny wounds after surgery. This is normal and should end by the next day. Using feminine pads or dressings to catch this liquid is an effective way to deal with this minor inconvenience. You can resume showering by the second day after surgery. Tumescent Liposuction results in a rapid improvement of your shape. Most of the swelling goes down in a few days but part of the result is from the contraction of tissue that has been treated. Although my patients see a dramatic improvement within 7-14 days, it will take 3 to 4 months to see most of the changes in your contour.
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