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Tumescent Liposuction Vs. Liposuction

Not sure i get the diff betw liposuction and tumscence lipo.  Can a doc explain please?

Sort 26 expert answers by:
+2

Big Difference between Tumescent Liposuction and Traditional Liposuction

Tumescent anesthesia is a term used by some docs to mean safer local anesthesia by tumescing or swelling up the fat with diluted local anesthesia. They may still be using the older method of sucking out the fat with the larger cannulas, which give more wavy, dimply irregular results like traditional liposuction and still may or may not use the general anesthesia to put patients to sleep as well. This is still traditional liposuction. True tumescent anesthesia doesn't use general... more
David Hansen, MD
Beverly Hills Dermatologic Surgeon
+4

Liposuction options are overwhelming- help!

Hi there- Tumescent liposuction, VASER Lipo, Smart Lipo, Cool lipo, Pro Lipo, Slim Lipo, Water Jet lipo... What does this all mean? If I don't get Smart lipo does that mean I'm dumb? If my surgeon recommends Slim Lipo does that mean he/she isn't a "Pro"? It truly is a ridiculous situation we have come to with regard to liposuction and the number of people trying to cash in on America's desire to be rid of its collective fat. In well motivated patients, body contour improvement can be a more
Armando Soto, MD
Orlando Plastic Surgeon
+2

Tumescent liposuction = Liposuction

To greatly reduce bleeding and pain the fat about to be vacuumed is these days ALWAYS infiltrated and filled (IE tumesced) with a dilute solution of Adrenaline (epinephrine) and a local anesthetic (usually Lidocaine). EVERY single liposuction surgeon in this country performs tumescent liposuction. The tumescent solution enables us greater symmetrical fat extraction, greater fat removal with a lot less discomfort afterward. Depending on the amount of fat to be removed and number of areas... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Tumescent Liposuction is the role

Nowadays TUMESCENT LIPOSUCTION is a role when treating with suction an adipose tissue excess. Usually we infiltrate a fluid solution in the zone we are going to treat, 20 minute prior to suction surgery. This tumescent solution usually is compossed of a dilution of adrenaline, lidocaine and bicarbonate in saline or lactate ringer. The most used pattern is 3:4 or 3:5 (three parts injected for four-five parts of extraction planned). Postoperative pain reduction and a decrease in operative bood... more
Enrique Etxeberria, MD
Spain Plastic Surgeon
+1

Tumescent Liposuction

All liposuction procedures performed today involve some degree of tumescence. Tumescence simply refers to the injection of fluid (usually a mixture of saline, lidocaine, and epinephrine) into the areas of planned liposuction prior to the actual removal of fat. The addition of the fluid decreases operative blood loss, decreases pain, and increase the tissue turgor so that removal of fat can be performed more effectively. 1. Tumescence Liposuction- the... more
Jaime Perez MD
Tampa Plastic Surgeon
+1

What is the difference between tumescent lipo and lipo?

All liposuction techniques utilize a wetting solution that helps magnify the treated area, decrease blood loss, and in some cases provide a local anesthetic. "tumescent" is used by many to describe the above. In the scientific literature, "tumescent liposuction" is a term used by doctors who perform lipo in their offices and inject roughly 3 times as much fluid in as they remove. Most plastic surgeons use a "superwet" technique which infiltrates approximately... more
Jeffrey Kenkel, MD
Dallas Plastic Surgeon
+1

Tumescent Liposuction vs Liposuction

Tumescent liposuction is one technique of liposuction in which a solution of saline and local anesthesia is injected into the surgical field before fat aspiration. This is done to minimize bleeding and limiit the amount of sedation or general anesthesia needed.
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+1

Tumescent liposuction vs. "wet" technique

Most docs perform versions of the "wet" technique which is quite similar to tumescent liposuction. It is always best to ask your prospective surgeon what he or she actually does however. Best Regards.
John P. Di Saia, MD
Orange Plastic Surgeon
+1

Tumescent liposuction vs. traditional lipo

Tumescent liposuction involves injection of fluid which includes numbing medication as well as a medication to decrease bleeding into the fat. This allows the fat to be removed easier with less blood loss and thus overall increasing the safety of the procedure when compared to traditional liposuction.
Ankit Desai, MD
Jacksonville Plastic Surgeon
+1

Tumescence does not refer to liposuction itself but is a technique

Tumescence refers to a technique that involves infiltrating tissue with one of the Intravenous solutions (i.e. Ringers Lactate) containing a local anesthetic[i.e. lidocaine} and the blood vessel constricting drug epinephrin. The infiltration is continued until the tissue involved becomes boggy and thick or in other words tumescent. Tumescent infiltration is used to initiate several surgical procedures such as Facelift and Tummy Tuck. For these procedures, it supplies the local anesthetic... more
David  A. Ross, MD
Chicago Plastic Surgeon
+1

Pure tumescent liposuction with tumescent liposuction under general anesthesia

With pure Tumescent Liposuction (which is first described by Dr. Klein in Southern California, utilized by most dermatologic surgeon), the procedure is performed under mild sedation and there is no general anesthesia, the procedure can take half of a day if not whole day, and patients can provide feedback if the liposuction surgeon is too rough. With traditional plastic surgery approach, tumescent lipsuction is performed under general anesthesia with IV infusion of fluids, procedure... more
William Ting, MD
Bay Area Dermatologic Surgeon
+1

Modern Liposuction uses Tumescent Technique

I can understand your confusion, as there is lots of advertising directed at the public nowadays. Some folks are trying to say they use the "new" tumescent technique. This technique has been around for years Every Board Certified Plastic Surgeon I know uses tumescent technique for his/her liposuction. In the O.R., one makes a small incision and then places a thin cannula into the area where you want to remove the fat. Tumescent fluid is placed via this cannula. The fluid consists... more
Jeffrey Roth, MD
Las Vegas Plastic Surgeon
+1

Liposuction

There are many different forms of liposuction. Tumescent is a form of infusing saline solution into the area to diminish the blood loss. It is just one variety.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

The Tumescent in Tumescent Liposuction

There are many different liposuction techniques. They all remove fat using a variety of instruments that may utilize laser, ultrasonic sound waves, water, oscillating cannulas or other specialized instruments to help remove the fat cells. Before the fat is removed, a special fluid is injected into the fat to facilitate help the above instruments functions better. The fluid is called "tumescent" fluid. It is an IV fluid to which is added a local anesthetic such as lidocaine and... more
James H. Schmidt, MD
Sarasota Plastic Surgeon
+1

We always use tumescence for Liposuction

There are many liposuction techniques, but one thing they all have in common is that some "tumescent" fluid is instilled prior to the procedure. This minimizes blood loss, decreases postop pain, and allows the canula to move through the fat more easily. I would recommend you concentrate on finding the right surgeon and then trust him or her to choose the liposuction technique that is right for your particular case. Good Luck!
Jeffrey Horowitz, MD
Baltimore Plastic Surgeon
+1

Tumescent Lipo

Most plastic surgeons these days utilize the tumescent technique. Fluid is infused to expand the area where the fat is, numb the area being treated with an anesthetic, and reduce bleeding with epinephrine, all mixed together in the solution. We combine power assisted tumescent liposuction with laser liposuction. We do all under local anesthesia, outpatient. Results are excellent.
Edmond A. Zingaro, MD
San Francisco Plastic Surgeon
+1

Tumescent liposuction is the most common method

Tumescent liposuction is the most common way that liposuction is performed. Prior to the actual liposuction procedure a mixture of saline or lactated ringers solution with a combination of epinephrine (to reduce bleeding), lidocaine (to numb the area), and sodium bicarb (to decrease the acidity of the lidocaine and make the injection more comfortable) is infused into the area to be treated. After the entire area is injected or "tumesced" the liposuction procedure is begun in a... more
Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon
+1

What is tumescent liposuction?

 Tumescent is a term that describes the infusion of fluid into tissue to make it firmer.  The purpose of this in liposuction is to infuse IV fluid plus local anesthetic plus epinephrine to shrink the blood vessels and allow for safer fat removal with less bruising.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Tumescent liposuction and liposuction

Tumescent refers to the fact that the tissues are injected with the anesthetic solution until they are hard. This numbs the area and prevents bleeding during the procedure. With liposuction, there are other issues to be considered, such as the cannula size to be used, and whether the liposuction will be suction only or laser/ultrasound assisted. see video
Ricardo Rodriguez, MD
Baltimore Plastic Surgeon
+1

Tumescent liposuction

All liposuction done in the U.S. these days is tumescent liposuction. It entails infusing fluid mixed with medication to constrict blood vessels and local anesthetic for comfort during surgery and after surgery. It is important not to use very large amounts of local anesthetics as toxicity may occur , the peak absorption of local anesthetic is at 12 hours, whe you are home. Make sure your surgeon undrstands local anesthetic toxicity and absorption and treatment of each local anesthetic used... more
Samir Shureih, MD
Baltimore Plastic Surgeon
+1

Tumnescent liposuction. What does that mean?

Tumnescent is the fluid we inject into the skin before we remove the fat. It is not a new technique. Almost all doctors use tumnescent. Why would we do that? The fluid has two things in it: 1. numbing medication and 2. epinephrine. The epinephrine is the most important factor, as it causes the small blood vessels to constrict so you don’t lose as much blood. The numbing medication can allow you to do liposuction without general anesthesia, though unless for a small area, I think for... more
Lauren Greenberg, MD
Palo Alto Plastic Surgeon
+1

Lipo vs Tumescent Lipo

They are really the same. The tumescent is somewhat redundant term. Pretty much all liposuction that is done is done by tumescent technique. This means that there is fluid that is infiltrated into the areas that are to have liposuction. Then the area is aspirated. The fluid contains lidocaine, which helps with postoperative pain and also has epinephrine, which helps decrease the bleeding and bruising. Hope that helps.
Farbod Esmailian, MD
Orange County Plastic Surgeon
+1

Tumescent liposuction

True tumescent liposuction is performed totally with local anesthesia. This is achieved by infiltrating the area to be treated with large volumes of diluted lidocaine and epinephrine. This “tumescent fluid” protects structures deeper than the fat layer, provides excellent local anesthesia, and minimizes bleeding. It is the safest method for fat removal. The tumescent technique for liposuction, created by dermatologist Dr. Jeffery Klein, is the most significant advancement in... more
Elizabeth F. Rostan, MD
Charlotte Dermatologist
+1

Tumescence is a preparation

Tumescence is not liposuction at all but a preparation of the fat for removal used in almost all cases. The technique 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
+1

Almost all liposuction is tumescent liposuction

Liposuction is the removal of fat from the body through the use of suction. In order to perform liposuction safely and comfortably, surgeons will inject a solution into the fit. This solution usually contains a local anesthetic and epinephrine. The local anesthetic will numb the area so that the liposuction itself is less painful. The epinephrine will cause the blood vessels in the area to contract, leading to less bleeding. A decreased amount of bleeding means less bruising. The word... more
Edward S. Lee, MD
Englewood Plastic Surgeon
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