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Tumescent Liposuction Technique

By admin | January 9, 2012


The gold standard with the American Board of Plastic Surgery for liposculpture is the use of tumescent technique.  Tumescent liposuction is associated with three components.  Number one is the tumescent fluid of lactated ringer or sodium chloride.  This fluid is used to infiltrate into the fat specifically, hydrating the fat and allowing the contouring of the specific body part with reduction of contour surface irregularities and deformities.  The second component is Lidocaine.  Lidocaine is a numbing agent.  Lidocaine allows for up to 24 hours of pain relief and is very useful for tumescent technique liposculpture.  Finally, epinephrine, which is added in order reduce bruising and bleeding, as well as allows for vasoconstriction of the arterial blood vessels and thereby allowing for a great reduction of bruising in the postoperative period.  Postoperative compression garments should be included at 6 to 8 weeks of girdles and abdominal binders to reduce the swelling as well as to allow for a confluent smoothing effect of the abdomen, hips, flanks and inner and outer thighs.

The picture here describes preoperatively a patient with significant lipodystrophy of the iliac crest roll hips, periumbilical lower abdomen, as well as the interomedial and posterolateral saddlebags and the infragluteal fold banana rolls.  This patient underwent a 2 liter tumescent liposculpture procedure and is now six months postoperatively showing a nice contour softening of the inner and outer thighs, infragluteal fold as well as a reduction of the muffin top and hip area as well as the periumbilical fat.

Topics: Body Sculpting, Liposuction | No Comments »

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