Tumescent Liposuction

Liposuction was developed in the late 1970s by Dr Illouz in Paris, France. It was introduced in the United States in 1981. The Tumescent Liposuction technique was introduced in 1986 by a California dermatologist, Dr Jeffrey Klein. Dr Green utilizes Tumescent Liposuction to re-contour the body – removing excess, unwanted, fat deposits that have been resistant to diet and exercise. Sites that are most commonly treated include the inner and outer thighs (‘saddlebags’), abdomen, flanks (‘love handles’), waist, arms and neck.

What is Tumescent Liposuction?

This form of Liposuction is accomplished with local anesthesia – there is no need for general anesthesia or, even, sedation. By avoiding general anesthesia and intravenous sedation, their associated risks are avoided as well.

The procedure involves the introduction of the local anesthetic solution – lidocaine – into those sites of unwanted fat immediately prior to its removal. By using a very dilute solution, a large volume can safely be administered. This large volume ‘tumesces’ or, temporarily, swells the tissue. In addition to providing anesthesia, the large volume of the solution has the effect of ‘liquefying’ the fat so that it is easily removed with small cannulae (the instruments used to remove the fat). When Liposuction is performed without the Tumescent technique, the fat is not ‘liquefied’ and larger cannulae are required which are associated with significantly more pain and bruising after the procedure, compared to the use of small cannulae that are used with the Tumescent Liposuction technique.

Am I awake during the procedure?

Yes. During Tumescent Liposuction you are awake but, if you prefer to be mildly sedated, an oral sedative can be given.

How much weight can I expect to shed after Liposuction?

After Liposuction, your weight may be reduced by only one to a few pounds even though a significant difference in shape may be achieved. That’s because fat takes up more volume than other tissue of equal weight, such as muscle. More important than weight loss is the way clothing fits after treatment. Tumescent Liposuction is not intended as a weight loss procedure but instead is a technique to re-contour the body.

Who is a good candidate for Tumescent Liposuction?

The ideal candidate is someone who is in good health, actively exercises, and is of normal body weight but has localized fat deposits that have been resistant to exercise and diet. However, even those who are mildly to moderately overweight may be good candidates.

How long does the procedure take?

Tumescent Liposuction can take from 2 to 4 hours depending upon the number of areas treated. Many people have more than one site treated, e.g., outer thighs and abdomen

When may I resume normal activities?

If tolerated, normal activity may be resumed immediately. While, some may prefer to relax for a few days after liposuction, others feel that they can resume most activities as soon as the day after Tumescent Liposuction.

What is the recovery period?

There may be some mild bruising and swelling, but usually these are minimal. These changes may be gone within 1 to 2 weeks.

Is Tumescent Liposuction painful?

Discomfort is usually mild and persists for a few days. Most people require only a non-prescription analgesic. However, a stronger analgesic is prescribed if required.

Are any special garments worn after Liposuction?

Yes. A compression garment is worn overlying the treated sites for 2 weeks. It is removed for bathing but should, otherwise, be worn at all times.

When can I bathe?

Bathing can be done anytime after the procedure. You may shower and bathe after liposuction just as before.

Will the fat reappear?

After puberty, it is generally agreed that new fat cells do not appear. When fat cells are removed with liposuction, they are not replaced. However, the existing fat cells will enlarge or shrink based upon any overall weight gain or loss, respectively.

Are the results of liposuction long-lasting?

Yes. The results are long-lasting as long as there is no significant weight gain. If weight is gained, the weight is distributed proportionately, just as before liposuction. It does not preferentially redeposit at sites previously treated by liposuction. Optimal and lasting results are best maintained with a weight management program that incorporates a regular exercise regimen and an appropriate and balanced diet.

Can skin irregularities appear?

Skin irregularities are uncommon with Tumescent Liposuction. Such irregularities are more common after the non-tumescent liposuction.

Is Tumescent Liposuction a safe procedure?

There may be risks and side effects with any medical procedure. However, the Tumescent Liposuction technique is considered safe, with life-threatening complications almost unheard of. It is much safer than Liposuction that does not utilize the Tumescent Technique.

How can I learn more about Tumescent Liposuction?

You may contact the office and schedule a consultation with Dr Green. During this visit, the procedure is discussed in detail, your skin will be examined and treatment recommendations will be outlined.


You may send us an E-mail with your questions.

Schedule an appointment:

You can schedule an appointment for a consultation by calling our offic at:

For an appointment call: 301-907-7250


10.32.09: Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices. This is a Maryland safety regulation which governs who can legally perform medical cosmetic procedures.  Dr. Green administers all injectable treatments (including Botox™, Juvederm™, Voluma™ , Kyblella™ and other fillers & Sclerotherapy) and laser treatments.

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