• Tumescent Liposuction: Brigitte Nielsen Plastic Surgery
• Tumescent Liposuction ? how much of fluid infiltration do we really need
• Liposuction and medical tourism in Asia

Introduction

If you’ve ever heard about liposuction or its technique, you’ve probably heard of tumescent liposuction. Body-Jet liposuction was developed from the tumescent technique, allowing this new procedure to bring about better results.

Body-Jet new technique makes it different from and superior to the tumescent technique, which we will discuss in greater detail.

Why Body-Jet is safer and better

The Body-Jet, also referred to as Water Jet Liposuction (WAL), uses a thin, fan-shaped jet that is channeled into the fat tissue. As a result, the fat easily loses its structure and is released.

For the Body-Jet, a pressure system has been developed. This pressure system directs the infiltration solution through a closed tubing system via a piston pump and into a very thin application cannula.

The application cannula is surrounded by an external cannula, which can have different diameters and openings depending on its purpose.

The surgeon who performs liposuction using the Body-Jet technique can choose the rate of infiltration and the level of pressure by using computer software.

The solution

To minimize the side effects of liposuction, this new technique was developed with a two-stage concept.

Pre-infiltration produces rapid anesthetization and vasoconstriction in the liposuction treatment. Then, the liposuction will be carried out through a rinsing solution.

The two-stage concept uses two tumescent solutions that are combined for the water jet technique. The infiltration is performed with a short-acting analgesic with rapid uptake. In this process, the infiltration is also performed with a long-acting analgesic with slow uptake.

The process is performed under continually added and almost immediate aspiration during the liposuction treatment. Therefore, the concentration in the rinsing solution can be reduced.

The surgeon can avoid the “tearing up” effect because the Body-Jet technique gives the surgeon ability to easily “suck” the fat off the patient’s body.

Preparation

With the Body-Jet, the patient will be prepared as though for a typical liposuction treatment. Anesthetization and vasoconstriction take place over a shorter period of time, compared with the tumescent technique.

The patient will be awake during the process and can work with the surgeon to obtain the desired result. The patient can get up during the treatment and look in the mirror to see the results. This is another advantage of the Body-Jet, since it gives the patient the ability to see the results, even before the process has ended.

Result

As you can see, the way the Body-Jet performs the liposuction process makes it easier for the surgeon to remove fat out from the patient’s body.

To summarize, the advantages of the Body-Jet technique are the following:

1. The tissue is not destroyed.

2. Pain, swelling and blue patches are reduced.

3. A smaller quantity of analgesia is required.

4. The result can be optimized during the treatment.

5. Subsequent corrections are minimized.

6. The results can be seen immediately.

7. The operation period is significantly shorter.

Summary

Body-Jet gives the patient better results and satisfaction. If you compare Body-Jet with tumescent technique, you can see that Body-Jet is the better choice.

• Tumescent Liposuction : A Better Technique?
• What You Should Know About Tumescent Liposuction
• Understanding The Tumescent Liposuction Procedure

 

Liposuction techniques vary by certain distinguishing features. Some of the older techniques have been replaced by more advanced and safer methods. The volume of solution injected under the skin and the use of additional mechanical devices differentiate today’s procedures.

Common techniques used in liposuction surgery today include:

Tumescent Liposuction
Ultrasonic Assisted Liposuction (UAL)
Power Assisted Liposuction (PAL)
Super Wet
Wet
Dry

It is important to consult a qualified and skilled cosmetic surgeon and discuss each of these techniques in detail. Factors such as medical history, general health, desired results and your surgeon’s recommendations will determine the best procedure for you.

What does each technique involve?

Tumescent Liposuction – This procedure is considered the safest of all liposuction techniques due to some unique characteristics. These are:

The patient does not need to be under general anesthesia.
Fluid loss is reduced.
An IV is unnecessary in most cases.
The patient experiences little discomfort.
An injection containing lidocaine, epinephrine and saline is used.

A large volume of the solution is injected into the fatty areas to be removed. This solution is a local anesthetic, so the patient is awake during the procedure. The fatty tissue becomes swollen and firm and the amount of blood removed during the procedure is greatly reduced.

Ultrasonic Assisted Liposuction (UAL) – This procedure is performed by using a large amount of tumescent fluid along with a metal probe or paddle. The device delivers ultrasonic energy and heat into the subcutaneous fatty areas, breaking down the fat so it can be removed. The patient is required to be under general anesthesia or heavy IV sedation during this procedure.

This method is becoming less common due to the risk of severe scarring and full-thickness burns.

Power Assisted Liposuction (PAL) – This procedure moves a cannula (small, hollow tube) rapidly in-and-out or in a spinning motion. This constant, quick motion separates and removes the fat cells from targeted areas of the body. The power is supplied by an electric motor or compressed air. The PAL procedure allows for less manual movement by the surgeon for a quicker procedure. This method uses the anesthesia technique employed in tumescent technology.

Super Wet Technique – Requires general anesthesia. This procedure requires the injection of diluted local anesthesia. It uses less than half of the volume that the tumescent technique uses. There is significantly more blood loss that with the tumescent technique, but less than with the wet technique.

Wet Technique – This procedure also requires general anesthesia. A large amount of local anesthesia containing epinephrine is injected into the fatty areas. Excessive blood loss is common with this technique so it is rarely used in today’s liposuction procedures.

Dry Technique – This procedure is no longer used for two main reasons. No local anesthetic was injected into the surgery locations. Also, there was more blood loss during this surgery than any other liposuction procedure.

Board certified cosmetic surgeons employ the latest techniques available to them. During your consultation, ask as many questions as possible about your elected procedure. Be sure all of your questions have been answered thoroughly and clearly before making any decisions.

• Understanding The Tumescent Liposuction Procedure
• What is Tumescent Solution and How Can it Help your Liposuction Procedure?
• Ultrasonic Vs. Tumescent Liposuction

With advances in liposuction, areas of excess fat are injected with a sizable amount of anesthetic liquid before liposuction is performed. The anesthetic causes the compartments of fat to become swollen and firm or “tumesced.” The expanded fat compartments allow the liposuction cannula to travel smoothly beneath the skin as the fat is removed. This type of liposuction, called tumescent liposuction, can be used on any area of the body but is most often used on areas that require careful precision such as the face, neck, arms calves and ankles. Both men and women of all ages have been seeking tumescent liposuction.

This type of liposuction is a fairly new method that reduces post-operative bruising, swelling and pain. The amount of blood loss is minimized during tumescent liposuction, and this technique also reduces the chances that a blood transfusion will be necessary during the procedure. Liposuction patients are very glad to hear that.

Although blood loss is minimized with tumescent liposuction, patients undergoing the procedure still face the same risks associated with traditional liposuction. Some of the risks with this type of liposuction include pulmonary edema (fluid in the lungs) and lidocaine toxicity (too much lidocaine).

General anesthesia is typically the best option for the liposuction procedure. Or, if it’s appropriate, the tumescent solution may serve as the only means of anesthesia for the procedure. Your cosmetic surgeon will discuss all anesthesia options with you at the time of your consultation.

The Process

In tumescent liposuction, the warmed tumescent liquid (a mixture containing lidocaine, epinephrine and intravenous fluid) is injected into the area to be treated. As this liquid enters the fat, it becomes swollen, firm and blanched. Liposuction is then performed on the tumesced areas.

The anesthesia used can help to provide pain relief following liposuction and decrease the need for additional pain meds. For the first couple of days, most patients experience swelling in the areas that were treated and some fluid drainage from the incision sites. Patients usually resume light physical activity within the first few days following surgery, and normal physical activity can be resumed within a few weeks.

Patients typically see a marked difference almost immediately after surgery. After three weeks, more improvement can be seen after the majority of the swelling has subsided. After approximately three months, any persistent swelling will disappear and your final shape and contour will be visible.

Drainage from the incision sites is common with any liposuction. Occasionally, a small rubber drainage tube will be inserted beneath the skin for a couple of days to prevent fluid from building up. You may need to take antibiotics while these drains are in place, and until the major drainage has stopped altogether, you may need additional gauze pads to keep your clothing from getting damp.

• What You Should Know About Tumescent Liposuction
• Understanding The Tumescent Liposuction Procedure
• Ultrasonic Vs. Tumescent Liposuction

Liposuction and medical tourism in Asia

Liposuction is a surgical procedure that sculpts your body by removing unwanted fat from specific areas, such as your buttocks, thighs and upper arms. Liposuction (or lipoplasty) is a plastic surgery procedure that uses a combination of a vacuum and suction to remove fat in problem areas Liposuction, also known as lipoplasty (“fat modeling”), liposculpture or suction lipectomy (“suction-assisted fat removal”) is a cosmetic surgery operation that removes fat from many different sites on the human body. Areas affected can range from the abdomen, thighs, buttocks, to the neck, backs of the arms and elsewhere. The fat is usually removed via a cannula (a hollow tube) and aspirator (a suction device). singapore liposuction surgeryThe magnitude of fat removed varies by doctor, method, and patient, but the average amount is typically less than 10 pounds (5 kg). There are several factors that limit the amount of fat that can be safely removed in one session. The most important surgical challenges of any liposuction procedure is:

Remove the right amount of fat Cause the least disturbance of neighboring tissue, such as blood vessels and connective tissue Cause the least discomfort to both patient and surgeon Leave the person’s fluid balance undisturbed Ensure speedy recovery Try and get the desired look the patient wanted.

Ultimately, the operating physician and the patient make the decision. The procedure may be performed under general or local (“tumescent”) anesthesia. The safety of the technique relates not only to the amount of tissue removed, but to the choice of anesthetic and the patient’s overall health. It is ideal for the patient to be as fit as possible before the procedure and to have given up smoking for several months. Recovery depends on the extent of the liposuction. Generally patients are able to return to work within two days and two weeks. A bandage is worn for two to four weeks. Types of Liposuction: Dry liposuction Wet liposuction A small amount of fluid, less in volume than the amount of fat to be removed, is injected into the area. Super-wet liposuction In this method, the infusate volume is in about the same amount as the volume of fat expected to be removed. This is the preferred technique for high-volume liposuction by many plastic surgeons as it better balances hemostasis and potential fluid overload (as with the tumescent technique). Laser assisted liposuction Laser assisted liposuction is a procedure that uses thermal energy to affect lipolysis. Tumescent liposuction Tumescent liposuction is the step that precedes, ‘wet liposuction’. Under this procedure the surgeon injects a solution containing a local anesthetic and vasoconstrictor directly into the subcutaneous fat that needs to be removed. A few top Medical tourism providers that can help answer your Liposuction queries and arrange for treatment in Asia are : India4health.com, ThaiMedHealth.com, MalaysiaMedTravel.com

• Understanding The Tumescent Liposuction Procedure
• Ultrasonic Vs. Tumescent Liposuction
• Tumescent Liposuction: Brigitte Nielsen Plastic Surgery