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What Makes Tumescent Liposuction the Gold Standard?

Published on September 7, 2019

Liposuction is a cosmetic surgical procedure that involves the removal of fat from various parts of the body. There have been variants of liposuction that have been practiced over the years, but the most common and popular option is tumescent liposuction. This technique has been practiced for many years and is considered the gold standard for fat reduction.

What Makes Tumescent Liposuction the Gold Standard?

Tumescent liposuction has become the gold standard in liposuction for a number of reasons. First, it avoids the need for general anesthesia, thus making this procedure safer and more patient-friendly. General anesthesia comes with a number of potential side effects, including temporary nausea, dry mouth, headache, shivering, and blurred vision. Local anesthesia avoids these.

The reason why general anesthesia is not necessary is because of the tumescent solution that is injected at the start of the tumescent-liposuction procedure. The tumescent solution includes lidocaine, a local anesthetic, which numbs the area before the treatment is performed.

The tumescent solution is made up of three components: normal saline, lidocaine, and epinephrine. Epinephrine, also known as adrenaline, constricts blood vessels in the region undergoing liposuction in order to lessen the amount of bleeding that occurs during surgery.

Traditional liposuction involves more bleeding, which results in more swelling and bruising. Because less swelling and bruising occur during tumescent liposuction than traditional liposuction, the recovery process is shorter and more comfortable for the patient.

The tumescent solution results in the fat becoming swollen and firm. This makes it easier for the surgeon to remove the unwanted fatty tissues in the trouble areas. Traditional fat removal involves the use of a sharp cannula, which loosens the stubborn fat from the surrounding tissues. When fat is harder to remove, the surrounding tissues can be damaged. Making removal easier results in less trauma to the surrounding tissues and thus less swelling and bruising after surgery.

The Tumescent-Liposuction Process

Tumescent liposuction can be used to remove fat from various parts of the body. These include:
• Neck
• Upper arms
• Breasts
• Back
• Abdomen
• Flanks and love handles
• Hips
• Buttocks
• Thighs
• Ankles

Once the tumescent solution is injected, a very small incision is made in the area where the fat is to be removed. A microcannula – a small thin tube with a blunt end – is then inserted. Medical suction is used to remove the targeted swollen fatty tissue in order to contour the area and reduce it in volume.

Results of Tumescent Liposuction

After the tumescent-liposuction procedure, a compression garment may be worn on the treated area. This should be in place for around a week. The surgeon then evaluates the progress of the recovery and removes the compression garment. Where required, medication is given to reduce any pain.

Once all swelling and bruising has ameliorated and recovery is complete, the full results of the procedure can be seen in the form of reduced and natural-looking contours. Once removed, fat cells do not grow back, meaning the results are permanent.

Arrange Your Tumescent-Liposuction Consultation

Board-certified plastic surgeon Dr. Lu-Jean Feng is a highly regarded medical professional with years of experience. Dr. Feng is your ideal choice for quality fat reduction and body contouring. To schedule your consultation with Dr. Feng, contact us and set up a consultation.

Patient Testimonials

  • “I believe she is the best in the country at what she does. Instantly I noticed my neck and shoulder pain was gone and I could breathe much better” – Crystal Hefner
  • "When it comes to explant surgery I think Dr. Feng is the best doctor in the world. She’s done more studies, she’s testified in trials, the whole spectrum of anything to do with explant surgery she’s done it.”
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  • “Every communication I had with their office was so professional, and they were so kind and accommodating.”
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  • "Went from being overweight, to physically fit and ready for a marathon within 7 months of my surgery. You are in the best of care at her surgical center.”
  • "I was thrilled to have NO PAIN from my procedure! Almost 9 hours of surgery and I awoke with NO nausea, no pain. I was afraid after the nerve block wore off I would have pain…but NO!"
  • "She took a good long time talking with me and my husband, so if there was a time when I had to wait, I figured she was giving someone else her undivided attention…I felt totally taken care of"
  • "Dr. Feng is an expert in her field… [attended] Yale at 16… She has perfected the anesthesia so that nausea can be avoided and she uses nerve blocks to make sure that you aren’t in pain after the procedure"
  • "Dr. Feng removed my ruptured breast implants as well as the inflamed capsules and sent them to her pathologist, which was instrumental in getting my health insurer to cover the surgery, which she also appealed on my behalf"
  • "Words cannot begin to capture the gratitude that I would like to express to you right now. Without your talent, vision and perfectionism my breasts, my health and probably my outlook on life would have been very unhealthy"
  • "I am cured! Those were (my doctor’s) exact words…If it wasn’t for your kindness, your tremendous talent and of course your outstanding staff I would have never known what it feels like to have a normal life again"
  • "I get a comment from every doctor I see about my fabulous scar. I almost have nothing to be seen. Everyone thinks it looks awesome!"
  • "She explanted my 7 year old implants for me and gave me a lolipop lift. She is extremely talented. She made my breast look better than they did with implants"
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