Tumescent Liposuction Vs. Liposuction Surgery

What's tumescent liposuction and how's it difft from normal lipo?

Doctor Answers (29)

ALL liposuction IS SURGERY, and Well Done liposution always is tumescent

+3

Hi there-

The term "tumescent" simply means that a large amount of medicated fluid is first injected into your fatty tissue layer to improve the safety and effectiveness of the liposuction procedure.

A well trained surgeon certified by The American Board of Plastic Surgery will ALWAYS use this step, regardless of the machine they prefer to do the surgery.

Make no mistake about it- no matter where it is being done, and no matter what type of anesthesia you have, or who is doing it, liposuction IS surgery, and Smart Lipo, Cool Lipo, Pro Lipo, Body Jet Lipo, VASER lipo- they are ALL liposuction.

So be careful who you let do it on you, and please realize that there are many people who would be happy to take your money and do this surgery on you- but you will only have one chance to have it done safely and correctly.

Don't be fooled by marketing hype- choose your surgeon carefully.

 


Orlando Plastic Surgeon
5.0 out of 5 stars 102 reviews

Tumescent liposuction allows for better results and is safer than traditional liposuction

+2

Tumescent liposuction is local anesthesia (not general anesthesia) and is associated with those docs who tend to do more up to date liposuctions. It is safer and usually gives better results since docs who do it tend to use the smaller micro canulas.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 24 reviews

Tumescence is a preparation not liposuction

+2

Tumescence is not liposuction at all but a preparation of the fat for removal used in almost all cases. The technigque involves filling the fat with a dilute solution of lidocaine (an anesthetic) and epinephrine (to reduce bleeding and bruising). It also makes passage of the liposuction cannula (the tube that removes the fat) physically easier for the surgeon.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 8 reviews

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Tumescent liposuction

+1
Tumescent liposuction involves applying fluid with medicine for controlling bleeding and decreasing pain in
the area prior to liposuction.  We have learned over the years that this allows safer and easier removal of fat, much less bleeding, and is much more comfortable for you. Most plastic surgeons use this technique for liposuction.

Connie Hiers, MD
San Antonio Plastic Surgeon
5.0 out of 5 stars 4 reviews

Tumescent lipo is the same as “normal” lipo.

+1
The majority of plastic surgeons use tumescent liposuction as their method of choice, so when you hear a reference to liposuction, it’s almost always going to be tumescent liposuction. That being said, if you are considering lipo, definitely ask your surgeon which method he or she will be using so that you’re aware. You should also know that all liposuction is a type of surgery; it seems so commonplace that a lot of patients assume that almost any doctor can effectively perform it. This is incorrect. The best liposuction results are seen from a board certified plastic surgeon who regularly performs the procedure.

Frank Campanile, MD
Denver Plastic Surgeon
4.5 out of 5 stars 14 reviews

Traditional Liposuction vs Tumescent Liposuction

+1

Traditional liposuction represents a historical procedure which has been largely replaced by tumescent liposuction.  The procedures are essentially the same with one exception, before starting the actual liposuction procedure fluid is infused into the subcutaneous tissue when tumescent liposuction is performed.  This fluid is rich in epinephrine and lidocaine.
This approach offers several advantages over traditional liposuction.  The lidocaine minimizes pain in the immediate post-operative period.  The epinephrine causes small blood vessels to constrict, which results in less post-operative bleeding and bruising.  Since there is less bleeding, larger volumes of aspirate can be removed with this technique.
This offers several advantages over traditional liposuction.  These include more aspirate removed, less bleeding, less bruising and better overall results with greater contour improvement.  For these reasons, the vast majority of liposuction cases are performed utilizing tumescent technique.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 76 reviews

Tumescent Liposuction Vs. Liposuction Surgery. What's the difference?

+1

The word tumescent refers to injecting a specific fluid into the area to be liposuctioned prior to doing the liposuction. This was formulated by Dr. Jeffrey Klein in the 1980's. The idea was and still is brilliant. The fluid infiltrated into the area contains an anesthetic and epinephrine, which constricts the blood vessels. The word tumescent refers to injecting the area until it is tight with the fluid. The result is ,much less bleeding, less bruising, and the ability to perform the procedure under local anesthesia. The recovery time is shorter as well.

Most liposuction  surgeons use a similar formula but may infiltrate less fluid than the amount to make the skin tight. This is called super-wet or just wet. It still results in basically the same effect, but may require a general anesthetic if less then the tumescent formula is used.

The micro cannulas are very small cannulas and are used by most plastic surgeons that I know. This is the choice of the plastic surgeon and unrelated to the tumescent fluid.

All in all, I have found through the years that the primary ingredient in getting a good safe result with liposuction and any procedure for that matter depends upon the skill, experience and caring personality of the surgeon.

E. Ronald Finger, MD
Savannah Plastic Surgeon
5.0 out of 5 stars 33 reviews

Tumescent liposuction vs traditional liposuction

+1

Tumescence is a fluid of dilute pain relieving (lidocaine) and blood vessel constricting (epinephrine) medications.  It is used to decrease pain and minimize blood loss associated with surgery.  It generally decreases recovery time and minimizes collateral damage associated with liposuction.  The fluid is injected under the skin and into the fat that is to be liposuctioned. After waiting several minutes for the medications to work the liposuction is performed.  Larger amounts of fat can be removed more safely than with traditional liposuction.  This is now the standard of care when it comes to liposuction.  I use tumescence fluid for many of my operations not just liposuction.

Chad K. Wheeler, MD
Spokane Plastic Surgeon
5.0 out of 5 stars 21 reviews

Tumescent Liposuction

+1

Liposuction is a surgical procedure where subcutaneous fat is removed with a small metal cannula hooked to a powerful vacuum device.  There are different types of liposuction; laser, power assisted, ultrasound, vaser,etc, but they all rely on a suction device to remove the fat and leave the skin, muscle, blood vessels, nerves and lymphatics intact.

Tumescence is placing large amounts of fluid in the subcutaneous space prior to liposuction to assist in the removal of the fat.  The fluid is a sterile mixture of isotonic solution combined with epinephrine and a local anesthetic.  It provides for a less painful procedure, with less blood loss and a better removal of the fat.  All liposuction procedures use some form of tumescent fluid placement prior to the procedure.

David Finkle, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 45 reviews

Tumescent Is A Liposuction Technique Not A Special Kind Of Liposuction

+1

There is general public confusion about tumescent liposuction. Tumescent refers to the infusion of a special fluid before doing the actual suctioning of fat. It reduces bleeding and provides a numbing effect. It also makes the glide of the suction cannula easier.  Every liposuction technique today uses the tumescent concept and has so for several decades. It is not a special kind of liposuction but an established and standard liposuction technique. The only time tumescent liposuction had any significance as a separately named procedure was way back in the 1980s when some methods of liposuction were done dry or with a non-tumescent technique. That method caused a horrible amount of bruising and was not possible to be done without being put to sleep. There's a good reason why it is no longer done.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
5.0 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.