The tumescent anesthesia was developed by a dermatologist named Dr. Jeffrey Klein in 1982. Since then, significant improvement to liposuction has been recorded through history.
The tumescent technique refers to the liposuction procedure involving large volumes of diluted solution of lidocaine (a local anesthetic) combined with epinephrine – enabling the capillaries to shrink and reducing the sedation needed by the patients.
The tumescent technique was developed to reduce post-operative swelling, bruising and pain associated with liposuction. In addition, tumescent liposuction minimizes blood loss and in turn, reduces the risks of a blood transfusion.
Benefits of Tumescent Technique
The Tumescent technique benefits liposuction patients in several ways. It can:
1) Increases the doctor’s precision, particularly in delicate areas
2) Decreased risk of bleeding
3) Reduces the need for blood transfusion
4) Provides less swelling, bruising and pain
5) Benefit patients who need extensive reduction of fat
The Tumescent Liposuction Procedure
Most tumescent liposuction patients are performed with general anesthesia. However, other patients may find the anesthetic solution combined with sedation enough to counter the pain. Three options of anesthesia include general anesthesia, a combination of tumescent and sedatives or the anesthetics in the solution itself.
During a tumescent liposuction technique, a warm liquid (containing a solution of epinephrine, lidocaine, anesthetics and intravenous liquid) is injected into the area needed to remove excess fat. This solution will make the excess fat become swollen, firm and bloodless. The liposuction procedure is then performed on the areas where tumescent liquid was placed. The excess fat is then sucked out of the body.
Depending on the number of many areas to be treated and the extent of each procedure, a tumescent liposuction may last about 30 minutes to 6 hours.
Recovery After Tumescent Liposuction Procedure
Immediately after the tumescent liposuction, the doctor will require you to wear a compression garment, which will be worn for several weeks.
During the first few days, bruising, swelling and soreness can be experienced. It is recommended that you walk around as soon as you find it comfortable. Although mild discomfort may be experienced, prescribed medications can counter this instantly.
Several days after the tumescent liposuction, the bruising will start to fade. Stitches will be removed and you may go back to performing light activities.
During a tumescent technique or traditional liposuction, the fat cells are removed in order for it not to grow back.
The new body contour will be permanent as long as the patient will not gain large amounts of weight.
Surgical facility And Cost
The tumescent liposuction is usually performed in a surgical facility, office-based center or a hospital. A patient requiring over five liters of excess fat to be removed may require an overnight stay at the facility. However, for minor liposuction, the patient may go home a few hours after the operation, with an adult to drive them home.
The costs of tumescent technique for liposuction may range from $1,500 to $1,800 for every region, including both sides. Each additional region may be priced at $500 to $1,000 per area. This estimate does not include facility costs, anesthesia, operating room and other related expenses.
The total cost of a tumescent liposuction may range from $2,000 to $4,000, depending on the region, clinic and surgeon.
Side Effects, Risks, Complications and Contradictions
Tumescent liposuction is relatively safe. However, certain risks and complications, which are similar to liposuction, can still occur. These include infections, delayed healing time, large scars and permanent scarring, bleeding, adjacent organ injury and adverse reactions to the tumescent solution.
A serious complication, which occurs rarely, can also occur due to lidocaine toxicity. This complication typically happens when the patient is given high concentrations of lidocaine.