Liposuction is also referred to as lipoplasty, suction-assisted lipectomy and liposculpture. It is the most commonly performed cosmetic surgery today. Since its inception in 1974, great methodological and technological advances have created more options for patients. One of the most utilized techniques in liposuction is the tumescent technique.

In the past, liposuction required patients to have pre-operative blood transfusions, since the loss of blood was so significant. The tumescent technique is relatively recent and is considered one of the safest options in liposuction; this technique can greatly reduce the swelling, pain, and bruising usually associated with the surgery. Though not completely risk-free, the tumescent method is a good option for many patients.

Any patient that is a good candidate for traditional liposuction is considered a good candidate for tumescent liposuction. The tumescent method can be used on any area of the body but is usually performed on areas that require more detailed sculpturing, such as the face, neck, ankles, arms and calves. A patient that has a large area of fat needing treatment may also be considered a good candidate. This should be an option that is discussed in detail with the qualified physician.

The tumescent technique involves injecting a rather large amount of anesthetic liquid into the excess fat being treated. This fluid injection causes the fat pockets to swell, thereby leaving a pathway between the excess fat and the muscle tissue. This enables a hollow steel tube, called a canulla, to move with ease and precision through the treated area. This method assists in controlling blood loss and swelling.

General anesthesia can be a risk in any surgical procedure; doctor and patient should carefully consider any underlying health issues when discussing anesthesia. Typically, patients undergoing the tumescent method require only a local anesthetic, and many doctors may allow the tumescent solution used in the procedure as the only means of anesthesia.

As with nearly everything regarding plastic surgery, options and results will vary from person to person. Advertisements portraying dramatic before and after results are not always a reflection of reality. A reputable physician should make clear that results vary. Maintaining an open mind is a key factor in being satisfied with the results of the surgery.