Tumescent anesthesia is a technique commonly used in cosmetic and dermatologic procedures. It involves subcutaneous infiltration of large volumes of tumescent fluid containing lidocaine (0.05% or 0.1%), saline, and epinephrine (1:1,000,000) to produce anesthesia, swelling, and firmness of targeted areas. It also makes the target tissue firm and turgid from absorbed water, which can aid certain procedures. It was originally devised for use in liposuction, but has since been applied to other surgical situations, including plastic surgery, burn care, and vascular surgery. It is a relatively safe way to achieve extensive regional anesthesia of skin and subcutaneous tissue with a high total dose but a low risk of systemic toxicity. The subcutaneous infiltration of a large volume of very dilute lidocaine and epinephrine causes the targeted tissue to become swollen and firm, or tumescent, and permits otherwise painful procedures to be performed on patients without subjecting them to the inherent risks of general anesthesia, and with reduced blood loss due to the vasoconstriction induced by epinephrine.
How do you make tumescent anesthesia?
Procedure. Endovenous laser therapy is performed using tumescent anesthesia. A 5-mL syringe with a 25-gauge needle may be used to subcutaneously infiltrate 2 mL of tumescent anesthetic solution (420 mL of normal saline, 60 mL of 1% lidocaine with epinephrine, and 20 mL of sodium bicarbonate) over the access site.
What is the tumescent technique?
TUMESCENT local anesthesia (TLA) is a technique that provides anesthesia of large areas of skin and subcutaneous tissue by means of the direct infiltration of large volumes of a dilute local anesthetic solution into subcutaneous fat
Is tumescent liposuction safe?
Like all surgery, tumescent liposuction carries both benefits and risks. Complications are rare and typically minor. … The frequency of complications is significantly reduced when the procedure is performed by a qualified and well trained dermatologic or plastic surgeon.
Does Tumescent liposuction tighten skin?
The best candidates for tumescent liposuction have good muscle tone and skin elasticity. For those patients with significant loose skin, a surgical excision of both fat and skin (such as a “tummy tuck”) may be a better option
How long does tumescent anesthesia last?
18 hours This technique is most often used in conjunction with IV sedation. Its anesthetic effects can last up to 18 hours. This technique is not without risk of complications. Lidocaine toxicity is a concern given the large amounts used in this technique
How long does tumescent liposuction take?
one to two hours The procedure takes one to two hours to perform, and since there is less chance of too much fluid being introduced into the body, super-wet liposuction is safer than tumescent.
Is tumescent liposuction permanent?
The resulting contour changes are generally permanent — as long as your weight remains stable. After liposuction, the skin molds itself to the new contours of the treated areas.
What is the difference between liposuction and tumescent liposuction?
Tumescent liposuction provides all the fat removal and body contouring benefits of liposuction but decreases the associated risks and offers a better outcome than traditional methods. … Tumescent liposuction is now considered the gold standard for removing fat and reshaping your curves with liposuction
What is the purpose of tumescent solution?
Tumescent anesthesia is an infiltration technique now widely used in cosmetic surgery. It involves the infiltration of a relatively large volume of a solution containing lidocaine, adrenaline, sodium bicarbonate, and isotonic saline into the subdermal fat plane. What is the purpose of an endoscopic brow lift?
What does tumescent liposuction mean?
DEFINITION: Tumescent liposuction is a technique for the removal of subcutaneous fat under a special form of local anesthesia called tumescent anesthesia
