Liposuction

Tumescent Liposuction

Tumescent liposuction is a treatment without general narcosis for removal of excess adipose (fatty) tissue from under the skin. This is a very gentle method toward the surrounding tissue and no hospitalization is required. Tumescent liposuction is a modern technique of withdrawing accumulated fat from those parts that are not affected even by physical activity. Certain regions of the body contain lipid reserves that can be defined genetically and no diet or physical exercise will remove them. In such regions after liposuction fat does not reaccumulate so that the result is permanent.

The principle of tumescent liposuction consists in filling the tissue to be withdrawn with a special solution containing an anesthetic which fully desensitizes the given area. The solution is left to act for about 30 minutes when the fatty tissue softens. Then several very thin (2–4 mm) incisions are made and a suction cannula is inserted (the cannula diameter for this type of liposuction is less than 4 mm) and the introduced fluid together with the adipose tissue are withdrawn.

The total treatment is painless since the solution contains a very dilute local anesthetic. It also contains a low concentration of epinephrine which constricts the blood vessels in the region and thus decreases bleeding. Throughout the treatment the client is fully conscious and in good psychic condition, he or she can phone, read or watch the TV.

An advantage of the method lies in the possibility of leaving the client in an upright position and carry out any modifications that would not be clearly visible when reclining on a bed.

During classical liposuction (such as is not carried out here), such as is done in full anesthesia, cannulas up to 1 cm in diameter are used that may affect the subcutaneous tissue, cause large blood contusions and the healing is lengthy and painful. It can even bring about subcutaneous scars which result in visible unevenness of the surface and in scars. Hence this method is on the decline and tumescent liposuction is making huge progress.
Ideal candidates for tumescent liposuction are persons who are not obese but exhibit an overweight of 5–15 kg, are healthy, undergo no drastic diet and join in occasional exercise. There is no age limit for the treatment, it depends entirely on the health and physical condition of the client. With clients over about 55 years of age one can expect that after the removal of the adipose tissue the entire body section will be decreased, skin will attach itself properly but the skin elasticity will not reach 100 %. The client is informed about this completely natural consequence.