Liposuction – tumescent technique revisited

Regarding liposuction, our clinic has received various questions from many patients of different nationality.

At this time, we will discuss about slimming surgery using various accompanying devices which are said to be the “latest type” among them. For liposuction, it is famous for its wet method with ordinary cannulas using a tumescent solution that has been widely used in the United States for many years and has established safety. In this method, a local anesthetic or a drug which becomes difficult to bleed is diluted highly, injected so as to inflate the tissue in the target area, and then suctioned. In this method, it is known that bleeding volume is 1% or less of the aspiration volume (very little). Also, depending on the skill of the doctor, it is said that there is little damage to the tissues due to the equipment used, and it is a safe way. In our clinic, using this microcannula method which further evolved this method, effective results with little unevenness are obtained.

Nowadays, in place of the above method, some devices have come up that generate ultrasonic waves and lasers at the tip of the liposuction device. Japanese people are sensitive to new technologies, so treatment using these devices seems to be commonly done in Japan. Then how about in the United States? In the United States, such devices temporarily attracted attention, but it is not being used more often now that it is not used frequently. Why? The biggest problem is the seriousness of complications. Many of these liposuction plus alpha devices emit high energy at the tip, resulting in burns (burns) in the subcutaneous tissue, damage to the nerve, edema due to a delay in the course of healing (water accumulation) etc.

As a result, in the United States and elsewhere, it is true that we have returned to liposuction using a conventional tumescent-based system that does not use lasers or ultrasound.

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Dr. Kure