The basic technique of liposuction is used in all patients undergoing the liposuction procedure. As the procedure has developed and been refined, more variations have also been introduced.
Fluid Injection is a technique that is commonly used by plastic surgeons in which a medicated solution is injected into fatty areas before the fat is removed. The fluid is a mixture of intravenous salt solution, epinephrine (a drug that contracts blood vessels) and lidocaine (a local anesthetic) that will help the fat to be removed more easily and will reduce blood loss and provide anesthesia during and after surgery. Fluid injection also helps in reducing bruising after surgery.
Dr. Lesavoy will decided the amount of fluid that is injected.
In Tumescent Liposuction, large volumes of fluid that sometimes as much as three times the amount of fat to be removed are injected in the tumescent technique. Tumescent liposuction is usually performed on patients who need only a local anesthetic, and takes significantly longer than traditional liposuction (sometimes 4 to 5 hours). Because the injected fluid will contain an adequate amount of anesthetic, additional anesthesia may not be necessary. The name of the technique refers to the swollen and firm or “tumesced” state of the fatty tissues when they are filled with solution.
The Super-Wet Technique
The Super-Wet Technique is similar to the tumescent technique, only lesser amounts of fluid are used. The amount of fluid injected is usually equal to the amount of fat that is to be removed. This technique may often require IV sedation or general anesthesia and normally takes one to two hours of surgery time.
Ultrasound-Assisted Lipoplasty (UAL)
UAL requires the use of a special ultrasonic energy producing cannula. As it passes through the areas of fat, the energy then explodes the walls of the fat cells, liquefying the fat. The fat is subsequently removed with the traditional liposuction technique.
UAL improves the ease and effectiveness of liposuction in fibrous areas of the body, such as the enlarged male breast or the upper back. It is also used in secondary procedures, when enhanced precision may be needed. UAL usually takes longer to perform than traditional liposuction.