Tumescent Liposuction in Broward, FL

Tumescent liposuction refers to a technique that uses large volumes of very dilute local anesthesia that is injected into the body fat, causing the targeted areas to become tumescent, or swollen and firm. Local anesthesia is widely regarded as the safest form of anesthesia. Because local anesthesia persists for many hours, there is no need for narcotic pain medications after tumescent liposuction surgery.

Liposuction is defined as the removal of fat from deposits beneath the skin using a hollow stainless steel tube (called a cannula) with the assistance of a powerful vacuum. Liposuction can be accomplished either with the use of general anesthesia, heavy IV sedation, or in some cases, with local anesthesia.

Liposuction complications are often the direct result of lack of caution, poor judgment, overconfidence, ignorance about pharmacology, or adherence to faulty dogma. Hollywood Dermatology discusses these factors and explains to patients how to reduce the risk of liposuction surgical complications.

The tumescent technique for liposuction is unquestionably the safest form of liposuction. When tumescent liposuction is done correctly (not excessively), it is a very safe procedure. For example, there have been no reported deaths associated with tumescent liposuction by local anesthesia. Even when general anesthesia is combined with the tumescent technique, liposuction is quite safe, provided the volume of fat removed and the number of areas treated during a single surgery is not excessive. The dilute epinephrine contained in the tumescent anesthetic solution profoundly shrinks capillaries and thus virtually eliminates surgical blood loss.

The tumescent technique permits the use of microcannulas which in turn yields smoother cosmetic results. Traditional liposuction cannulas (stainless steel tubes) have a relatively large diameter and remove fat rather quickly. However, with the use of large cannulas (diameter greater than 3 millimeters) there is an increased risk of irregularities and depressions in the skin. Tumescent liposuction performed by Dr. Weiss using microcannulas with a diameter less than 3 millimeters, allows fat to be removed in a smoother and more uniform fashion. Some surgeons prefer larger cannulas because it allows liposuction to be done more quickly.

After tumescent liposuction, there is a certain amount of blood-tinged local anesthetic solution that remains under the skin. This excess fluid is either slowly absorbed over several weeks into the blood stream, or it can be rapidly removed by drainage through skin incisions and absorbed by special absorptive pads (HK Pads).

Rapid drainage of blood-tinged anesthetic solution out of incision sites accelerates the rate of healing, and reduces post-operative pain, swelling, and bruising. Post-liposuction drainage of blood-tinged anesthetic solution can be maximized by 1) leaving incision sites open and not closed with sutures, 2) placing several adits (1.5 mm tiny round holes) in the skin to encourage drainage, 3) placing HK Pads on the skin to absorb the drainage, and 4) wearing spandex compression garments to encourage drainage.

The duration of a tumescent liposuction procedure can vary based on:

• The size and number of areas treated
• The amount of fat removed
• The patient's individual anatomy

On average, the surgery takes between three and four hours. Patients will receive a more accurate estimate tailored to their situation when they meet with their surgeon. 

Recovery time after tumescent liposuction is generally quicker than that of traditional liposuction. This has to do, in part, with the minimally invasive nature of the procedure. 

Most patients can return to light activities within a few days and resume normal activities within one to two weeks.

Swelling and bruising generally subside within a few weeks. However, it can take several months for the final results to manifest. Following post-operative care instructions will ensure optimal healing and results.

The amount of fat the surgeon can safely remove during tumescent liposuction varies. It depends on factors like the patient's health, body composition, and specific goals.

Generally, the safe limit is around 4-5 liters (approximately 11 pounds) of fat. Removing more than this amount increases the risk of complications.

The surgeon will assess the patient's condition during the consultation. They will then provide a personalized plan to achieve the desired results.

Preparing for tumescent liposuction involves several steps. Patients should:

• Consult with the surgeon: Discuss medical history, medications, and any concerns.
• Avoid some medications: Patients may need to stop blood thinners and anti-inflammatory drugs. The surgeon may recommend stopping certain supplements, such as vitamin E, as well.
• Quit smoking: Smoking can hinder the healing process. It's recommended to quit several weeks before the procedure.
• Arrange for post-operative care: Patients should ensure someone can drive them home after surgery. They should also ask someone to assist them for the first 24-48 hours.
• Follow pre-operative instructions: Adhere to all dietary or preparatory instructions. This might include fasting before surgery or wearing comfortable clothing.

Following these steps ensures a smooth procedure and quick recovery.

Tumescent liposuction can improve the shape and contour of the body. It may not produce significant reductions in the appearance of cellulite, though.

Surgeons may recommend additional treatments for patients concerned with cellulite. Examples include laser therapy, radiofrequency, or specific cellulite reduction procedures. 

Patients should discuss these and other concerns with their surgeon. This allows them to explore the best options for achieving smooth and toned skin.