If you are at or near your ideal weight but can't seem to lose certain stubborn pockets of fat, such as a muffin top, love handles, bra fat, double chin or saddlebags, tumescent liposuction can sculpt your body to your ideal shape. Liposuction has a more than 30-year history of safe and satisfactory results, and has continued to evolve to give a smoother, more subtle body contours. Depending on your anatomy, you might even benefit from a procedure we call “liposculpture,” in which fat is removed more deeply from around the muscles to further define them.

Dr. Julio Garcia, a Las Vegas plastic surgeon at the Cosmetic & Plastic Surgery Clinic, has an artist's eye and decades of experience that ensure your tumescent liposuction results will look flattering and natural. During your consultation, you will learn more about whether you are a good candidate for this permanent fat-removal and body-contouring procedure and what kind of results you can expect.

What Is Tumescent Liposuction?

Since the advent of the internet, many standard plastic surgery procedures have been re-named or re-branded by various doctors and practices as a marketing technique. Liposculpture, Vaser 4-D, lipoplasty and lipo are some of the more common ones. However, no matter what name liposuction goes by, the same principles and steps apply, with slight variations.

“Tumescent” means “to swell.” In the case of tumescent liposculpture, the area that is to be treated is first “swollen” with a special anesthetic solution that contains both lidocaine (to numb the pain) and adrenalin (to constrict blood vessels and therefore control bleeding). The solution also ruptures the fat cells, which allows them to be mixed into the liquid that is then vacuumed away.

Because the anesthetic is applied locally through the solution, there is no need for general anesthesia. This not only increases the safety of the liposuction procedure, but makes recovery easier and faster.

Smaller “Straws,” Better Detail

Tumescent liposuction represents a step forward from the early days of liposuction, when large cannulas (straws) of approximately 8 mm in diameter were used to remove the fat. It was quite an aggressive procedure and while results were impressive, there were sometimes problems with lumpiness or unevenness.

Tumescent liposuction utilizes microcannulas, which are significantly smaller and measure only approximately 2.8 mm to 3.5 mm in diameter. This allows the plastic surgeon far greater control, permits finer detailing, and is less traumatic for the patient. The special anesthetic solution also makes the procedure more comfortable and obviates the need for general anesthesia, hastening recovery time.

Ultrasound Assisted Tumescent Liposuction

In this revolutionary form of tumescent liposuction, Dr. Garcia adds ultrasound energy to the cannulas to liquify the fat, facilitating its removal. The ultrasound waves can also help to shape and contour the body's curves.

How Do I Know If I'm a Candidate for Liposuction?

While tumescent liposuction is a fat-loss technique, it is not a weight-loss technique. If you are obese or are thinking in terms of losing pounds rather than inches, liposuction is not right for you. A healthy diet and exercise regimen would be the first best step.

An ideal candidate for liposuction is already healthy and in very good shape. You should be actively engaged in a healthy lifestyle, eating plenty of fresh fruits and vegetables, and high-quality proteins and fats. And yet, even after doing all the “right” things, you still have stubborn pockets of fat that will not budge. The most common areas for stubborn fat that don't respond to diet and exercise are the lower abdomen (muffin top), tops of the hips (love handles), outer thighs (saddle bags), and double chin. All of these can be treated successfully and permanently with tumescent liposuction.

How Good Is Your Skin?

One caveat before proceeding with tumescent liposuction is to have a board-certified plastic surgeon evaluate the condition of your skin. If it is still firm, supple and elastic, you should do very well with liposuction. After the fat has been removed, there will be significant areas of volume depletion. If your skin is resilient, as you begin to recover it will tighten and reshape itself according to your new contours.

If your skin is lax, saggy or crepey, however, either you will need combination therapy with a skin-tightening modality, such as ThermiTight, or you may need to consider another type of fat-removal technique, such as a tummy tuck or neck/face lift, which will remove excess skin as well as fat.

Tumescent Liposuction Results Are Permanent

Once the fat cells have been disrupted by the tumescent solution and removed through the cannulas, they will not return or re-grow. Most of the fat will be removed during your liposuction session. Some components of destroyed cells will remain, and your body will eliminate these through the lymphatic system over the new few months.

After your procedure, you will experience some swelling and bruising. These will prohibit you from fully appreciating your new contours. But rest assured, if the fat has been removed during liposuction, your shape is closer to your ideal than ever. Your swelling will last approximately one to four months. Once the swelling has resolved, you'll be able to see your new shape!

Because the fat was actually removed and cannot return, the results of your liposuction are permanent, provided you continue your healthy diet and exercise regimen. Be warned, if you become lax and start consuming more calories than you burn, the remaining fat cells may expand to accommodate the extra fat and you may find yourself gaining inches again. The continued good results of your tumescent liposuction procedure are up to you.

Contact Dr. Garcia, a Las Vegas Plastic Surgeon, Today

If you are ready to learn more about how tumescent liposuction can finally give you your dream shape , please contact Dr. Julio Garcia at the Cosmetic & Plastic Surgery Clinic, (702) 870-0058 or rgarcia@lvcosmeticsurgery.com, to schedule your consultation. You can also use our email form. We welcome patients from the Las Vegas/Henderson area and around the world.

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