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Dr. Linder's Blog


Posted On: August 14, 2009 Author: The Office of Dr. Stuart Linder Posted In: Liposuction

BHLipo3Presently, there are many forms of liposuction now available, including tumescent technique, super wet technique, dry technique, power-assisted liposuction, ultrasonic liposuction, and smart liposuction.  I believe the safest approach is tumescent technique liposuction.  I believe that this should be the standard of care because it is safe and predictable when performed by Board Certified Plastic Surgeons under general anesthesia with a Board Certified Anesthesiologist.  Removal of fat can safely be performed using small cannulas such as 3 mm triple lumen Mercedes cannulas with blunt tips to one atmosphere of vacuum suction pressure.  The amount of fat to be removed can easily be taken from the deeper fat tissue areas of localized fat areas along the iliac crest rolls, lower abdomen, hips, inner and outer thighs, as well as the lateral breast.  These are safe zones and usually do well.

Tumescent liposuction requires installation of fluid into the area to be sculpted.  Three components of fluid are 1) lactated ringer or sodium chloride wetting solution; 2) epinephrine to reduce bleeding causing vasoconstriction of blood vessels; and 3) an anesthetic such as local 1% Lidocaine, which will allow for numbing up to 24 hours.

Post liposuction, we always use compressive garments.  For the abdomen, we use abdominal binders.  For the thighs, we use girdles, which will allow for compression for 6 to 8 weeks and allow for a smoother postoperative contour with reduction of swelling and edema.

Tumescent liposuction performed by Board Certified Plastic Surgeons in an accredited ambulatory center under general anesthesia on patients who are good candidates with good skin tone in the specific designated areas will achieve an exceptional result.