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Tumescent Liposuction Columbus Ohio - Is Tumescent Liposuction Safe?
In the early years of liposuction, the procedure was performed under anesthesia without first inserting any fluid. As a result, there was considerably more blood loss both during and after the procedure with 20-30% of what was removed being blood. This significantly reduced the amount of fat which could be removed at a single setting compared to present day techniques.
Tumescent liposuction was developed in the late 80’s to reduce both pain and blood loss during and after surgery. With the tumescent technique, after the small liposuction incisions are made, a very dilute solution of local anesthetic (Lidocaine, Xylocaine) with epinephrine is injected into the area that is going to be treated. The local anesthetic numbs the area to be treated so that some procedures can be done without general anesthesia and it significantly reduces pain after larger surgeries that are done with anesthesia. The addition of epinephrine makes an even more dramatic change. Epinephrine causes small blood vessels in the skin and fat to constrict so that there is much less blood lost during the surgery allowing for safe removal of much larger volumes of fat than can be done with non-tumescent liposuction.
There is a limit, of course, to the amount of tumescent fluid that can be used as large amounts of both epinephrine and lidocaine can be toxic. Therefore, surgeons keep a close count on how much tumescent fluid is administered to ensure that a safe volume is used. By reducing pain during the surgery, less anesthesia can be administered; particularly less narcotic can be used which makes the surgery safer and lowers the risk on nausea.
Use of the tumescent technique does not prevent a surgeon from using other forms of liposuction such as ultrasonic or laser liposuction as they can be performed concomitantly. The tumescent technique has been so successful at reducing pain and bleeding that it is now also used for facelifts, breast augmentation, breast lifts, breast reductions, tummy tucks and more.
Tumescent liposuction was developed in the late 80’s to reduce both pain and blood loss during and after surgery. With the tumescent technique, after the small liposuction incisions are made, a very dilute solution of local anesthetic (Lidocaine, Xylocaine) with epinephrine is injected into the area that is going to be treated. The local anesthetic numbs the area to be treated so that some procedures can be done without general anesthesia and it significantly reduces pain after larger surgeries that are done with anesthesia. The addition of epinephrine makes an even more dramatic change. Epinephrine causes small blood vessels in the skin and fat to constrict so that there is much less blood lost during the surgery allowing for safe removal of much larger volumes of fat than can be done with non-tumescent liposuction.
There is a limit, of course, to the amount of tumescent fluid that can be used as large amounts of both epinephrine and lidocaine can be toxic. Therefore, surgeons keep a close count on how much tumescent fluid is administered to ensure that a safe volume is used. By reducing pain during the surgery, less anesthesia can be administered; particularly less narcotic can be used which makes the surgery safer and lowers the risk on nausea.
Use of the tumescent technique does not prevent a surgeon from using other forms of liposuction such as ultrasonic or laser liposuction as they can be performed concomitantly. The tumescent technique has been so successful at reducing pain and bleeding that it is now also used for facelifts, breast augmentation, breast lifts, breast reductions, tummy tucks and more.
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