Dr. Prashant Murugkar

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Tumescent Liposuction

Liposuction is the most effective method of removing extra fat pockets from various areas of the body. Although there are various techniques used for liposuction but tumescent liposuction is the most popular and commonly preferred technique that can remove fat from almost all parts of the body.

Basically, tumescent means a swollen and firm area and, tumescent liposuction works on the same principle. The procedure involves injection of large volume of ultra-diluted local anesthesia into the targeted area. The drugs generally used are lidocaine (gives complete local anesthesia) and epinephrine (causes vasoconstriction to eliminate surgical bleeding). The injection of LA into the fat under the skin causes the area to be tumescent, meaning swollen and firm. This is followed by general liposuction procedure of sucking the fat out of the body.

tumescent liposuction

Who should go for Tumescent Liposuction?

Tumescent liposuction is the best way to remove fat which is localized and is mainly because of genetic susceptibility. The main areas of fat removal include:

  • Face
  • Neck
  • Chin
  • Breast
  • Stomach
  • Hips
  • Flanks
  • Back
  • Inner and outer thighs
  • Buttocks
  • Knees
  • Calves
  • Ankles

Other than fat removal, tumescent liposuction technique can also be used in following cases:

  • Lipoma removal
  • Madelung disease
  • Benign fatty tumors
  • Emptying of hematomas
  • Axillary hyperhidrosis (excessive underarm sweating)
  • Axillary bromhidrosis (excessive body odor)
  • Pseudo gynecomastia (enlarged male and female breasts)

Benefits of tumescent liposuction

  • Safe and Effective

The safe dosage of lidocaine is up to 45 mg/kg and can even go higher if required in certain conditions. Moreover lidocaine is lipid-soluble and is suctioned out with the aspirated fat. That is why it is the most effective and safe liposuction technique as compared to the older methods that simply use general anesthesia.

  • No need of diet or exercise

This method can very well improve the contour of your body by removing fat deposits from areas that generally don’t slim up even after controlled diet and exercise.

  • Without Anesthesia

There is no need of intravenous sedatives, narcotic analgesics, or general anesthesia in this procedure as the tumescent solution itself is made up of lidocaine.

  • Minimal Bleeding

Epinephrine in the tumescent solution causes widespread constriction of capillaries leading to minimal or no blood loss during and after surgery.

  • No Fluid Replacement

There is no need of intravenous fluid replacement during and after the procedure.

  • Decreased risk of infection

The use of bacteriostatic lidocaine significantly decreases the risk of infections in this procedure.

  • No need of secondary surgery

Tumescent itself means magnification. So the defects are swollen up and are less likely to be missed reducing the need of secondary procedure.


Authored by Dr. Prashant Murugkar

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Dr. Prashant Murugkar is a well-known and highly trained International Celebrity Laser Cosmetic Surgeon in Mumbai Dr Prashant has more than a decade of expertise to help you look Naturally Beautiful.

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