What is Tumescent Liposuction?
Tumescent liposuction refers to a technique that uses large volumes of a special diluted local anesthetic that is injected into the fat prior to the surgery, which causes the targeted areas to swell and become tumescent or firm for the surgeon to access the areas with more ease and while the patient is awake. Local anesthesia is widely regarded as the safest form of anesthesia. Because local anesthesia is long-lasting and persists for many hours, there is a highly reduced need for narcotics or pain medications post-surgery.
Furthermore, tumescent is sometimes called the "wet" or "super-wet" technique, tumescent liposuction involves infusing the area to be treated with sterile saline to help plump the fat cells and distinguish the fat layer from overlying soft tissue and underlying muscle and organs. The tumescent technique utilizes large volumes of natural saline (lightly salted water), containing specific amounts of a very dilute local anesthetic (specifically and only lidocaine), and adrenaline (epinephrine), which is dispersed into the fatty tissue. The injected area then becomes locally anesthetized—"numbed." With the tumescent technique, liposuction patients need no general anesthesia, as contrasted with the traditional/standard liposuction methods, which do require general anesthesia.
What are the Benefits?
Tumescent Liposuction has the lowest rate of complications documented in the medical literature and the greatest patient satisfaction. This type of liposuction is the safest and most precise technique in the field of liposuction, because of the combination utilizing the fine instruments and localized tumescent anesthetic. Local anesthesia used in the tumescent technique for liposuction is so effective that patients no longer need intravenous sedatives, narcotic analgesics or general anesthesia. The operable area is infiltrated with the tumescent solution and tiny cannulas are used to remove unwanted fat pockets. While the surgery is being performed, the patient remains awake and coherent enough to respond to prompts from the surgeon. In some cases, the surgeon may ask the patient to stand to get a better perspective and see if the surgical result is symmetrical and smooth.
Because of the small cannula, there is no need for stitches or drains thus reducing the risk of infection, concern of scaring and ensures a rapid recovery. Some other benefits of tumescent liposuction include minimal bleeding during and after surgery, which equal less bruising and swelling. This is a major improvement in the liposuction technique compared to the older methods that simply use general anesthesia.
Tumescent Liposuction has prove to be one of the safest ways to remove unwanted fat from various areas of the body, producing optimum, permanent results for a growing number of patients.
Device assisted liposuction (suction, ultrasound, power)
Since the 1960s surgeons in Europe have used primitive liposuction techniques which were largely ignored by the U.S., as they achieved irregular results with significant morbidity and bleeding. In the early 1980’s French surgeon, Dr Yves-Gerard Illouz, developed a technique of suction-assisted liposuction using blunt cannulas and high-vacuum suction. This type of liposuction was widely accepted by U.S. surgeons due to immediate results are and low fatality.
What is Suction- Assisted Liposuction?
All liposuction is essentially suction-assisted. This means the removal of fat from the body through the assistance of some form of suction. With devices assisted liposuction, fat cells are altered by the device then removed by a cannula. The cannula (like a straw) is inserted through a small incision. It is attached to a vacuum device. The surgeon pushes and pulls it carefully through the fat layer, breaking up the fat cells and drawing them out of the body by suction.
What is Ultrasound-Assisted Liposuction?
Ultrasound assistance is a technique used in addition to suction assisted liposuction uses high-frequency energy from ultrasound to literally alter fat cells and uproot them prior to suctioning.
This procedure can be either internal or external.
The internal process can take one or two-steps for completion. With one-step, the ultrasound device is in the tip of the cannula. The more common form of internal ultrasound-assisted liposuction is performed in two-steps: where an ultrasound probe is inserted to alter the fat, before the cannula is inserted into the same incision to extract it.
The external approach uses a device that is placed outside the body to emit energy through the skin and soft tissue, and then uses the suction-assisted method to remove the fat.
What are the Benefits?
Improvements in device assisted liposuction include the ability to use smaller cannulas, concluding smaller incisions and more precisely sculpted contours. This is made possible by accompanying device assisted liposuction with specialized techniques, mainly tumescence and ultrasound assistance.