Skip to main content
SpringerLink
Log in
Book cover

Liposuction pp 51–54Cite as

Tumescent Technique

  • Chapter
  • First Online:

Abstract

The tumescent technique has improved the problem of blood loss during liposuction. A larger amount of lidocaine can be used up to 55 mg/kg depending on the patient’s weight. Klein introduced local tumescent anesthesia and showed that at least 35 mg/kg of lidocaine can be used in diluted solution. Klein proposed a number of solutions with different medication and strength of medication in the diluted solution. It is difficult to state exactly what Klein’s solution contains when the term is used in the literature. The tumescent technique is the use of a diluted formula of medications to expand the tissues in which it is injected and result in anesthesia and decreased blood loss during liposuction.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Dillerud E. Suction lipoplasty: a report on complications, undesired results, and patient satisfaction based on 3511 procedures. Plast Reconstr Surg. 1991;88(2):239–46.

    Article  CAS  PubMed  Google Scholar 

  2. Courtiss EH, Choucair RJ, Donelan MB. Large-volume suction lipectomy: an analysis of 108 patients. Plast Reconstr Surg. 1992;89(6):1068–79.

    Article  CAS  PubMed  Google Scholar 

  3. Ersek RA. Severe and mortal complications. In: Hetter GP, editor. Lipoplasty: the theory and practice of blunt suction lipectomy. 2nd ed. Boston: Little, Brown; 1990. p. 223–5.

    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. Guidelines of care for liposuction. Committee on Guidelines of Care. J Am Acad Dermatol. 1991;24(3):489–94.

    Google Scholar 

  5. Hetter GP. Blood and fluid replacement for lipoplasty procedures. Clin Plast Surg. 1989;16(2):245–8.

    CAS  PubMed  Google Scholar 

  6. Courtiss EH, Kanter MA, Kanter WR, Ransil BJ. The effect of epinephrine on blood loss during suction lipectomy. Plast Reconstr Surg. 1991;88(5):801–3.

    Article  CAS  PubMed  Google Scholar 

  7. Goodpasture JC, Bunkis J. Quantitative analysis of blood and fat in suction lipectomy aspirates. Plast Reconstr Surg. 1986;78(6):765–72.

    Article  CAS  PubMed  Google Scholar 

  8. Gargan TJ, Courtiss EH. The risks of suction lipectomy: their prevention and treatment. Clin Plast Surg. 1984;11(3):457–63.

    CAS  PubMed  Google Scholar 

  9. Clayton DN, Clayton JN, Lindley TS, Clayton JL. Large volume lipoplasty. Clin Plast Surg. 1989;16(2):305–12.

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  11. Hetter GP. Blood and fluid replacement. In: Hetter GP, editor. Lipoplasty: the theory and practice of blunt suction lipectomy. 2nd ed. Boston: Little, Brown; 1990. p. 191–5.

    Google Scholar 

  12. Klein JA. Tumescent technique for local anesthesia improves safety in large-volume liposuction. Plast Reconstr Surg. 1993;92(6):1085–98.

    Article  CAS  PubMed  Google Scholar 

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

    Article  Google Scholar 

  14. Matarasso A. Superwet anesthesia defines large-volume liposuction. Aesthet Surg J. 1997;17(6):358–64.

    Article  CAS  PubMed  Google Scholar 

  15. Klein JA. The tumescent technique for lipo-suction. Am J Cosmet Surg. 1987;4(4):263–7.

    Google Scholar 

  16. Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol. 1990;16(3):248–63.

    Article  CAS  PubMed  Google Scholar 

  17. Klein JA. Tumescent technique chronicles: local anesthesia, liposuction, and beyond. Dermatol Surg. 1995;21(5):449–557.

    Article  CAS  PubMed  Google Scholar 

  18. Klein JA. Tumescent formulation. In: Klein JA, editor. Tumescent technique: tumescent anesthesia & microcannular liposuction. St. Louis: Mosby; 2000. p. 187–95.

    Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  20. Hanke CW, Bernstein G, Bullock S. Safety of tumescent liposuction in 15,336 patients. Dermatol Surg. 1995;21(5):459–62.

    Article  CAS  PubMed  Google Scholar 

  21. Kaplan B, Moy RL. Comparison of room temperature and warmed local anesthetic solution for tumescent liposuction: a randomized double-blind study. Dermatol Surg. 1996;22(8):707–9.

    Article  CAS  PubMed  Google Scholar 

  22. Lillis PJ. Tumescent technique for liposuction surgery. Dermatol Clin. 1990;8(3):439–49.

    CAS  PubMed  Google Scholar 

  23. Narins RS, Coleman WP. Minimizing pain for liposuction anesthesia. Dermatol Surg. 1997;23(12):1137–40.

    Article  CAS  PubMed  Google Scholar 

  24. Ostad A, Kageyama N, Moy RL. Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction. Dermatol Surg. 1996;22(11):921–7.

    Article  CAS  PubMed  Google Scholar 

  25. Samdal F, Amland PF, Bugge JF. Plasma lidocaine levels during suction-assisted lipectomy using large doses of dilute lidocaine with epinephrine. Plast Reconstr Surg. 1994;93(6):1217–23.

    Article  CAS  PubMed  Google Scholar 

  26. Toledo LS. Syringe liposculpture: a two-year experience. Aesth Plast Surg. 1991;15(4):321–6.

    Article  CAS  Google Scholar 

  27. Cardenas-Camarena L, Tobar-Losada A, Lacouture AM. Large-volume circumferential liposuction with tumescent technique: a sure and viable procedure. Plast Reconstr Surg. 1999;104(6):1887–99.

    Article  CAS  PubMed  Google Scholar 

  28. Elam MV, Packer D, Schwab J. Reduced negative pressure liposuction (RNPL): could less be more? Int J Aesthet Restor Surg. 1997;3(2):101–4.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Private Practice, 17501 Chatham Drive, Tustin, CA, 92780, USA

    Melvin A. Shiffman M.D., J.D.

Authors
  1. Melvin A. Shiffman M.D., J.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Melvin A. Shiffman M.D., J.D. .

Editor information

Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

  2. Department of Plastic Surgery, Regional Hospital-Ancona, Ancona, Italy

    Alberto Di Giuseppe

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Shiffman, M.A. (2016). Tumescent Technique. In: Shiffman, M., Di Giuseppe, A. (eds) Liposuction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48903-1_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-48903-1_2

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48901-7

  • Online ISBN: 978-3-662-48903-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation