Tumescent is a term meaning firm and swollen. When a sufficient quantity of strong diluted lidocaine and epinephrine are injected into the body’s subcutaneous fat, it will lead to swelling of those targeted tissues of the body. This condition is also known as tumescent. This implies that tumescent liposuction is a technique (local anesthetic) to allow for injection of huge quantities of subcutaneous fat. The system permits for local anesthetics liposuction. Two things set this liposuction method apart from the other methods. They include the fact that it does away with general anaesthesia, as well as the application of sedatives and IV narcotics. This liposuction technique has provision for local anaesthesia. It also prevents huge surgical blood loss, as well as constricts the capillaries. Furthermore, it ensures there is sufficient fluid to the body by the injection of the subcutaneous fats to the body. This ensures there would be no need for IV fluids.
Tumescent anaesthetic solution could require 5-40 fold of lidocaine dilution formulation of local anesthesia; this should be of a commercial quantity. When you get a commercial solution of lidocaine that is those used by anaesthesiologists and dentists, it contains 1 gram of lidocaine as well as 1 miligram of epinephrine for every 50 ml of saline. This is different from what you get when in tumescent solution of local anaesthesia which contain 1 gram of lidocaine as well 1 ml of epinephrine for every 1000 ml of saline. This implies that it is has twenty folds of dilution of lidocaine and epinephrine commercial versions.
Safety of Dilution and Vasoconstriction
Tumescent liposuction by complete local anaesthesia is very safe even though large quantities of epinephrine and lidocaine are used. The major reason it is very safe to use is because of the high dilution of tumescent location anaesthetic method that is used in the treatment. Sufficient quantities of diluted epinephrine used in the system leads to high constriction of the capillaries, especially those around the targeted fat. This is helpful because it delays the rate which lidocaine and epinephrine are absorbed to the body. Epinephrine and undiluted lidocaine are usually absorbed into the body system in an hour or less than that.
Tumescent dilution could lead to widespread constriction of the capillary and this delays the absorption process and this makes it to last for one day or more than that. This is helpful because it ensures that there is nothing like peak concentration of lidocaine in the bloodstream, this in turn ensures that there is reduced toxicity of lidocaine. This is quite different from that of dentists who are known to use concentrated epinephrine, which often lead to an accelerated heart beat when it is absorbed in the bloodstream rapidly. When a diluted tumescent epinephrine is used instead, epinephrine absorption rate is reduced and this is slowed by the widespread vasoconstriction. This ensures there is a decrease in the heart rate.
Vasoconstriction Does Not Lead to Blood Loss
Profound vasoconstriction could occur as a result of tumescent infiltration of the large volume of dilute epinephrine to the subcutaneous fat. Tumescent vasoconstriction is such perfect that liposuction can actually take place without any blood loss. This is different from what used to be before the invention of this new technique. The old technique was characterized by heavy blood loss such that autologous transfusion of blood was part of the system.
Local Anaesthesia Is Prolonged By Vasoconstriction.
Local anaesthetic is able to remain in the fatty tissue for several hours because of vasoconstriction. It ensures that lidocaine is not absorbed fast into the body system. This helps in the performance of a surgical procedure because it can be completed in ten hours after the infiltration process. This makes allowance for 24 to 36 hours for any postoperative analgesia.
Required Lidocaine Dosage
The maximum quantities of lidocaine dosage that is recommended is 40 mk/kg to 50 mg/kg when lidocaine was heavily diluted. This quantity is relatively large when this compared to the quantity used with epinephrine, which stands at 7 mg/kg, this is the maximum quantity considered as safe for anaesthesiologists use. Usually they employ non-diluted lidocaine as nerve blocks like epidural blocks.
This is the stainless steel tube that is often inserted in the subcutaneous fat via a small insertion in the skin. Microcannula size is put at 3 mm or less than that. The diameter ranges from anything 1 mm to 3 mm. It is specifically designed such that fat can easily be sucked away from the system. Larger size that is those with diameter ranging from 3 mm to 6m would demand a larger incision and this always leaves with it larger scars at the body surface, which is always very visible.
This is the round hole in the body and this is made with skin biopsy round punches. This is regarded as the access site for the passage of liposuction cannula during the process. This also makes it easy for the removal of blood tinged anesthetic treatment after liposuction has taken place. It is possible for microcannulas to fit into the space that is provided for it, because it could easily strengthen. This is why it can easily pass through 1.0, 1.5 as well as 2.0 deep in the body. It does not take a very long time before the hole could be healed without any scar. Adits holes are usually such tiny that there is no need to close them using sutures after the procedure. Because of this, it becomes easier for postoperative drainage of blood through tumescent anesthesia. This would also minimize post operative bruising as well as tenderness and swelling. If bigger cannulas is needed then, there would be a need for a larger incisions. When the larger incisions are closed using sutures, it means that there would be a delayed drainage as well as prolonged bruising, swelling, pain after the liposuction has been carried out.
Better Liposuction Outcomes
Better liposuction results can always be achieved using microcannulas. This is because this procedure makes for a more controlled and gradual fat removal process. Because of this, there are the chances that the surgeon would achieve a better result. When there is a larger cannulas, the risks associated with it become grave because there could be skin depression, as well as irregularities that could follow. Although this could remove fat very rapidly, the danger here is that more than the required quantities of fat can be removed in the process. Moreover, control is difficult here. Any attempt to control the flow of fat is always difficult to achieve because the fat would always find its way to the existing channels. Because of the inability of control, there is always the high risk associated with this type of procedure and because of that, there is the problem of irregularities.
Other Benefits of Tumescent Anaesthesia
Because the local anaesthesia applied for this procedure could last a long time, this procedure is less painful, and it is also more pleasant when compared with those liposuctions that are carried out under IV seduction or general anaesthesia. With this type of procedure, it becomes possible for patients to do away with postoperative nausea and other conditions associated with it, such as vomiting. Moreover, tumescent is found to be efficient, because it offers enough quantities of fluids to the patient’s body, which makes it irrelevant to apply IV fluids. When excessive IV fluids are applied, there could be the danger of overloading.
The procedure can be carried out in very simple steps. Cannula is used for the draining of fluids or it can also be used to add fluid to the body as well.
It is possible for surgeons to put smaller and tiny incisions to the body because of miniaturization of the cannulas.
Before there could be any removal of fat from the system, there would be a mixture of the local anaesthetic known as lidocaine and epinephrine that is injected into the body system, especially the fatty tissues.
This brings up the fatty tissues when it is absorbed. This firms and swells the area. This makes for an easy procedure for the surgeon, and makes it easy for larger quantities of fat to be removed out of the system just in a single operation.
When the medications begin to take effect, fat is already evacuated away from the system through cannulas already inserted to the body.
Time need for the procedure to be accomplished
Tumescent liposuction can be carried out within a few hours. It is possible for the patient to go back from the hospital the same day.
Most patients can be even go on with their daily activities a few days after the procedure. However, it is recommended that patients rest for a week to achieve a complete recovery.
What are The Results Expected From the Procedure?
This procedure is meant for those people who are not only active, but very healthy as well. The procedure is always needed to correct some parts of the body, which have refused to accommodate a non invasive method of fat removal.
It can also be applied for the obese and overweight patients, especially those that are actively involved in a weight loss program. This procedure cannot be regarded as a substitute nor a cure for overweight and obesity. This is because certain quantities of fats are often billed to be removed through this procedure at a time. For many people, many of such procedures could be required to achieve the desired result.
Risks and Safety Factors
When a trained surgeon is contacted to perform this procedure, the risk factor is highly minimized. Moreover, the administration of lidocaine would reduce any chance of the area being infected.
The problem that could arise such as severe complications are reduced because of the administration of local anaesthesia and not general anaesthesia. One of the safety worries patients have to contend within general anaesthesia is the unconscious state.
Before you carry out this type of procedure, you have to discuss all the safety and risk issues with your doctor before the operation begins. The doctor will provide you with the list of all possible complications you could suffer from. You should know all these before you permit the procedure.
Discomfort, Pain and Anesthesia
You will always receive local anaesthesia before this procedure is carried out. Some doctor will apply a mild sedative to relax the body, some other people do not see any necessity for that. Because of that they combine epinephrine and lidocaine as they offer the long term anaesthesia that are needed. This is sufficient to prevent pain and it does not require additional medication for almost half day.
The major reason while this effect could last for such a long time is because of epinephrine, which is administered constricts blood to those areas of the body that are affected, this prevents lidocaine from being flushed away. The incision is such small and tiny that do not require bandages and stitches after the procedure.
Because the incision is small, the pains that accompany it minimized for a short time it is done. When there is a larger incision there would be a need for the traditional liposuction, and this is always painful.
Just like other types of surgical procedures there is always discomfort and this is not the same among patients. Before the procedure is carried out, you are going to get instructions as what to do when there is a severe pain after the procedure.
Many patients can always come back to their normal activities a few hours after the procedure has taken place. This means that there is no need for general anaesthetic to be administered to reduce pain.
There will be no stitches at all and where there is any, it will be little and it does not require the usual bandages. You will leave with a compression cloth and this will be used along with your normal clothes. You can use it for sometimes after the procedure.
The cloth is to help your skin to heal very fast and that is meant to provide you a better and more effective result. Some people can go back to their usual work within a few days after the procedure. Everybody would have been fully recovered and go back to the routine activities after a week.
Is Tumescent Liposuction Covered by Mu Insurance?
This type of surgical procedure is often regarded as a cosmetic procedure and that is why it is not usually covered by insurance. Moreover the procedure is not as expensive as the traditional liposuction and that is financial payment plans would be accepted by many surgeons.
It's Benefits over Traditional Liposuction
Local anaesthesia makes it possible that you are awake while the procedure is taken place. The surgeon would easily determine the best place to apply the procedure after studying your muscle tone. Moreover, it allows for faster removal at a time, this is because of lidocaine and epinephrine injections that were administered. It makes for easy relief. The tiny incision reduces swelling, blood loss, as well as scarring. Above all, it reduces recovery time.