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Tumescent Technique

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Cosmetic Surgery

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Abstract

The tumescent technique has improved the problem of blood loss, reducing it to 1–7.8% from the early dry technique of 30% loss. The term “superwet anesthesia” has been used to describe the same fluid injection as with the tumescent technique. This technique consists of an infusion of saline with epinephrine and lidocaine and an aspirate removal of approximately 1:1. Local tumescent anesthesia usually has a fluid infusion to aspirate of 2:1 or 3:1. The difference between local tumescent anesthesia and tumescent technique is discussed and the technique described.

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References

  1. Dillerud E (1991) Suction lipoplasty: a report on complications, undesired results, and patient satisfaction based on 3511 procedures. Plast Reconstr Surg 88(2):239–246

    Article  PubMed  CAS  Google Scholar 

  2. Courtiss EH, Choucair RJ, Donelan MB (1992) Large-volume suction lipectomy: an analysis of 108 patients. Plast Reconstr Surg 89(6):1068–1079

    Article  PubMed  CAS  Google Scholar 

  3. Ersek RA (1990) Severe and mortal complications. In: Hetter GP (ed) Lipoplasty: the theory and practice of blunt suction lipectomy, 2nd edn. Little, Brown, Boston, pp 223–225

    Google Scholar 

  4. Drake LA, Ceilley RI, Cornelison RL, Dobes WL, Dorner W, Goltz RW, Lewis CW, Salasche SJ, Chanco Turner ML, Alt TH et al (1991) Committee on Guidelines of Care for Liposuction. J Am Acad Dermatol 24:489–494

    Article  PubMed  CAS  Google Scholar 

  5. Hetter GP (1989) Blood and fluid replacement for lipoplasty procedures. Clin Plast Surg 16(2):245–248

    PubMed  CAS  Google Scholar 

  6. Courtiss EH, Kanter MA, Kanter WR, Ransil BJ (1991) The effect of epinephrine on blood loss during suction ­lipectomy. Plast Reconstr Surg 88(5):801–803

    Article  PubMed  CAS  Google Scholar 

  7. Goodpasture JC, Bunkis J (1986) Quantitative analysis of blood and fat in suction lipectomy aspirates. Plast Reconstr Surg 78(6):765–772

    Article  PubMed  CAS  Google Scholar 

  8. Gargan TJ, Courtiss EH (1984) The risks of suction lipectomy: their prevention and treatment. Clin Plast Surg 11(3):457–463

    PubMed  CAS  Google Scholar 

  9. Clayton DN, Clayton JN, Lindley TS, Clayton JL (1989) Large volume lipoplasty. Clin Plast Surg 16(2):305–312

    PubMed  CAS  Google Scholar 

  10. Dolsky RL (1990) Blood loss during liposuction. Dermatol Clin 8(3):463–468

    PubMed  CAS  Google Scholar 

  11. Hetter GP (1990) Blood and fluid replacement. In: Hetter GP (ed) Lipoplasty: the theory and practice of blunt suction lipectomy, 2nd edn. Little, Brown, Boston, pp 191–195

    Google Scholar 

  12. Klein JA (1993) Tumescent technique for local anesthesia improves safety in large-volume liposuction. Plast Reconstr Surg 92(6):1085–1098

    Article  PubMed  CAS  Google Scholar 

  13. Pitman GH (1996) Tumescent liposuction: operative technique. Oper Tech Plast Reconstr Surg 3(2):88–93

    Article  Google Scholar 

  14. Matarasso A (1997) Superwet anesthesia defines large-­volume liposuction. Aesthet Surg J 17(6):358–364

    Article  PubMed  CAS  Google Scholar 

  15. Klein JA (1987) The tumescent technique for lipo-suction. Am J Cosm Surg 4(4):263–267

    Google Scholar 

  16. Klein JA (1990) Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol 16(3):248–263

    PubMed  CAS  Google Scholar 

  17. Klein JA (1995) Tumescent technique chronicles: local anesthesia, liposuction, and beyond. Dermatol Surg 21:449–557

    Article  PubMed  CAS  Google Scholar 

  18. Klein JA (2000) Tumescent formulation. In: Klein JA (ed) Tumescent technique: tumescent anesthesia & microcannular liposuction. Mosby, St. Louis, pp 187–195

    Google Scholar 

  19. Greco RJ (1997) Massive liposuction in the moderately obese patient: a preliminary study. Aesthet Surg J 17(2):87–90

    Article  PubMed  CAS  Google Scholar 

  20. Hanke CW, Bernstein G, Bullock S (1995) Safety of ­tumescent liposuction in 15,336 patients. Dermatol Surg 21:459–462

    Article  PubMed  CAS  Google Scholar 

  21. Kaplan B, Moy RL (1996) Comparison of room temperature and warmed local anesthetic solution for tumescent liposuction: a randomized double-blind study. Dermatol Surg 22:707–709

    Article  PubMed  CAS  Google Scholar 

  22. Lillis PJ (1990) Tumescent technique for liposuction ­surgery. Dermatol Clin 8(3):439–449

    PubMed  CAS  Google Scholar 

  23. Narins RS, Coleman WP (1997) Minimizing pain for liposuction anesthesia. Dermatol Surg 23:1137–1140

    Article  PubMed  CAS  Google Scholar 

  24. Ostad A, Kageyama N, Moy RL (1993) Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction. Aesthet Plast Surg 17:205–209

    Article  Google Scholar 

  25. Samdal F, Amland PF, Bugge JF (1994) Plasma lidocaine levels during suction-assisted lipectomy using large doses of dilute lidocaine with epinephrine. Plast Reconstr Surg 93(6):1217–1223

    Article  PubMed  CAS  Google Scholar 

  26. Toledo LS (1991) Syringe liposculpture: a two-year experience. Aesthet Plast Surg 15:321–326

    Article  CAS  Google Scholar 

  27. Cardenas-Camarena L, Tobar-Losada A, Lacouture AM (1999) Large-volume circumferential liposuction with tumescent technique: a sure and viable procedure. Plast Reconstr Surg 104(6):1887–1899

    Article  PubMed  CAS  Google Scholar 

  28. Elam MV, Packer D, Schwab J (1997) Reduced negative pressure liposuction (RNPL): Could less be more? Int J Aesthet Restor Surg 3(2):101–104

    Google Scholar 

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Authors and Affiliations

  1. Newport Specialty Hospital, Tustin, CA, USA

    Melvin A. Shiffman (Chair, Section of surgery)

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  1. Melvin A. Shiffman
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Correspondence to Melvin A. Shiffman .

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Editors and Affiliations

  1. Chatham Drive 17501, Tustin, 92780-2302, California, USA

    Melvin A. Shiffman

  2. , Department of Plastic Surgery, Regional Hospital-Ancona, Via Simeoni 6, Ancona, 60122, Italy

    Alberto Di Giuseppe

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Shiffman, M.A. (2013). Tumescent Technique. In: Shiffman, M., Di Giuseppe, A. (eds) Cosmetic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-21837-8_8

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  • DOI: https://doi.org/10.1007/978-3-642-21837-8_8

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-21836-1

  • Online ISBN: 978-3-642-21837-8

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