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The Tumescent liposuction techniqueinvolves infusing fluid into the subcutaneous tissue before proceeding withliposuction. This fluid containsepinephrine and local anesthesia. This helps alleviate post-operative pain and minimizes bleeding duringthe procedure. In addition, thefluid improves the pressure gradient and allows greater amounts of fat to beremoved. Inmost cases the tumescent fluid is resorbed and excreted by the kidneys in 24 to45 hours. Despite this, patientsmay continue to be swollen for 3-4 weeks following this procedure because thebody responds to any type of injury by retaining fluid. This phenomenacan be minimized with massage, compression, exercise and low salt diets.
Some of the fluid is removed at the liposuction. The remaining fluid is absorbed over 24 hours and the excess is excreted in the urine. There is some swelling in the tissues from the surgery which remains for months until complete resolution.
If you have open drainage (incision sites are 2mm round holes left open to encourage drainage), 90% of the drainage is over in 24 hours. The drainage can persist for up to 3-5 days on average. If it is closed drainage (all of the incisions are sutured), the fluid is trapped under the skin and can persist for 7-14 days.
When the area heals after tumescent lipo, there can be irregular tissue for months. In 6-8 months, thing should be back to normal, minus the fat. Although some irregularity is expected after lipo if an aggressive procedure is performed. Micro-tumescent needs to be defined by the one advertising the procedure as the tumescent name is general at best. Thank you for your question and good luck with everything.
The tumescent solution is a combination of fluid plus local anesthetics and epineprhine. Studies have shown that most of the local anesthetics are absorbed by 18-24 hours.However, at the same time the injjury of liposuction causes your own body fluids to pool in the area. Similar to the reasons why your lip swells when you get punched.So, as the tumescent fluid is being absorbed, your bodies inflammatory process causes swelling which contributes to the drainage observed. This reaches a maximum at 48-72 hours.