Is Tumescent Liposuction safe?

Doctor Answers 13

Tumescent liposuction in Los Angeles

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Tumescent liposuction is an excellent method to restore body proportions by reducing excess deposits of fat on the body. 

Dr. Karamanoukian 

Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Tumescent Liposuction is the Safest !

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Once you eliminate general anesthesia, then the risks with liposuction is minimal. Tumescent lipo under local with the smaller cannulas is so safe and easy to undergo and you get the best results. Sincerely, David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

Tumescent Liposuction Is Very Safe

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Tumescent liposuction is surgery and therefore does have some risk, but it is a very safe procedure with an excellent safety profile. Because it is now performed with microcannulas (suctioning straws) entirely under local anesthesia, it is less invasive than traditional liposuction. The biggest risk in surgery is general anesthesia, which can be avoided in tumescent liposculpture because it uses small incisions and very small cannulas. Even safer than tumescent liposuction are the nonsurgical fat-elimination techniques, such as CoolSculpting, Thermi and Vanquish.  Please consult a board-certified dermatologist to find out about your options.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 26 reviews

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Tumescent safe?

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The tumescent technique was a breakthrough years ago and actually made liposuction better and safer.With that said, it does include medications within it and there is a safe maximum amount which shouldn't be exceeded.Your surgeon and anesthesia person should be aware of the recommendations needed to keeps things safe

Robert Savage, MD (retired)
Wellesley Plastic Surgeon

A very safe procedure

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Liposuction is one of the most commonly performed procedures.

Complication rates are exceedingly low.

Still, all surgeries have risk, and liposuction is no exception.

Patients have had a fatal outcomes from liposuction. Other devastating outcomes have happened as well.

Few things are certain in life.

When performed by a competent surgeon on the right patient, liposuction is considered a safe procedure.

Best of luck,

Mats Hagstrom, M.D.

Mats Hagstrom, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 21 reviews

Liposuction Safety

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Tumescent liposuction is probably the safest method of liposuction. Tumescent fluid consists of a dilute solution of numbing medicine (lidocaine), epinephrine (prevents bleeding), and sterile saline. The fluid is placed into the areas first, making the fatty space thicker and exaggerated to allow safe passage of the liposuction cannulas. The epinephrine constricts blood vessels and prevents bleeding. The saline is hydrating. After the instillation of tumescent fluid, liposuction can be performed as safely as possible with the added bonus of patient comfort from the lidocaine. 

Tumescent liposuction combined with the added safety of a board certified anesthesiologist

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Tumescent liposuction is very safe.  It is the standard by which all liposuction is judged.  It reduces the bleeding and bruising and gives pain relief for 12 hours after surgery.  When combined with general anesthesia, the amount of medication required to keep you asleep is lowered, the benefits of less bleeding and prolonged pain relief are still realized and the most important factor of all, a board certified Anesthesiologist is assign to maintain the safety of the the airway and your vital signs throughout the case.  Truly this is the best of both worlds.  If a surgeon is offering tumescent liposuction with you awake or with twighlight oral anesthesia you must ask them why.  It is likely that they do not have privileges to perform the procedure at their facility with you asleep.  The size of the cannulas is determined by the technical considerations about how best to sculpt the fat away. Small cannulas are used in tumescent liposuction when combined with general anesthesia too. The size of the cannulas should not by a sales pitch about the absence of general anesthesia.  If this is being sold to you, beware. Check credentials, check where the doctor has been educated and trained, check if they are a surgeon, check if they have privileges to perform the procedure in a hospital, look at their website, evaluate their postoperative photographs, read their reviews, check the state medical board for disciplinary action.  Awake liposuction is notoriously performed by under-qualified, under-trained, potentially dangerous doctors who have no formal training in surgery.  This is your body, make sure you are in the hands of a board certified plastic surgeon with vast experience and skill in liposuction and a clean record.

Is Tumescent Liposuction safe?

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Tumescent liposuction is the safest form of liposuction. It has the lowest risk of complications and the local anaesthetic in the tumescent solution helps control postoperative pain longer than other forms of liposuction do.

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
4.9 out of 5 stars 40 reviews

Tumescent liposuction

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Tumescent liposuction is very safe. It can be done very safely as an outpatient procedure under local anesthesia with minimal oral sedation. We can avoid the sore throat, the increased risk of pneumonia, and many of the general anesthetic drugs. the incisions are small since smaller cannulas are used. I would suggest meeting with a board certified plastic surgeon who does tumescent liposuction and discuss all your concerns.

Connie Hiers, MD
San Antonio Plastic Surgeon
4.8 out of 5 stars 18 reviews

Safety of Tumescent Liposuction

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While there is no medical procedure that is 100% safe, tumescent liposuction has a great track record of being one of the safest cosmetic procedures. This is mostly due to the lack of general anesthesia.

One of the risks of tumescent liposuction is lidocaine toxicity which can be avoided by not exceeding the recommended amount of lidocaine that you body can handle (this is based on weight). 

Be sure to tell your surgeon about any medical problems because certain conditions (liver disease, bleeding disorders) can raise your risk and are contraindications to doing the procedure.

Otherwise, if you are healthy and your surgeon is experienced and capable, you should do great.

Joel B. Singer, MD
New York Plastic Surgeon

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.