Wednesday, February 5, 2014

Why Tumescent microcannula Liposuction ?

I often get asked why do tumescent microcannula liposuction and how is it different than other liposuction surgery?

Tumescent liposuction is when liposuction is done with smaller suction cannulas under local anesthesia with a dilute Lidocaine:epinephrine mix that allows for slight inflation or tumescing of the treatment area as well as excellent bleeding/bruising control.  The inflation or tumescing is helpful in aiding safe removal of fat and avoidance of surrounding structures.  Dermatologists perfected the tumescent liposuction technique over the past couple decades and have demonstrated that it is consistently safer with a much lower risk of complications compared to liposuction done with general anesthesia.  In addition, years of successful tumescent liposuction have exposed the comparative dangers of liposuction done with general anesthesia. Such dangers include infection, respiratory depression, hemorrhage, DVT/pulmonary emboli and more which are rarely seen with the tumescent technique but a significant risk with general anesthesia technique.

To improve efficiency of fat removal and skin tightening, many dermatologists will use lasers during the liposuction procedure.  I like the SmartLipo and VaserLipo devices for these purposes.  They have allowed us to do hi-definition liposuction such as recreating the six-pack in a man's abdomen, as well as tighten loose skin after fat removal.
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