Super-wet vs Tumescent ?

Question

Hello, I read that the super- wet technique during lipo removes LESS fluid than just plain tumescent. I believe my surgeon uses PAL and tumescent. I want as much fat removed as possible and would be devestated if only 30-50%/L is fat, considering that I’m going to be high volume to my legs (I’m short & in the low 120’s). Whats the point of removing liters of fluid from my body & only coming out with a total of 5-6 lbs of fat removed & 5-6 lbs of fluid? Can I request super-wet?

David Hansen, MD · Answer

Super wet and general anesthesia are old techniques which have had many of the worst results.  Tumescent local lipo with the micro canulas and where your doc can stand you up to fine tune the results are the only way to go if you want quality results. I routinely get 90-95% fat removal with tum. lipo. There is minimal fluid removal.  Just mainly all fat. Using PAL is also great.

Connie Hiers, MD, FACS · Answer

The amount of fluid removed is not the same as the amount of fat removed. The more fluid that is put in, the more fluid will be removed, but not more fat. Every surgeon has his/her preference of how much fluid to use.  That is your surgeon's decision and not your request.

Daniel P. Markmann, MD · Answer

When it comes to liposuction, it always involves injecting Tumescent Solution.  This is a saline solution that contains Epinephrine (AKA Adrenaline).  It usually contains a numbing agent such as Lidocaine and if it is being used on awake patients Sodium Bicarbonate is usually added as well.   Your question relates to how much of this solution is injected.  There is the Tumescent Technique that requires injecting the largest volume of fluid, the Super Wet Technique which uses about half as much fluid.  Then there is the Wet Technique which uses even less fluid.   No matter which techniques is used, the same amount of fat can be removed.

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