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.