Overview

Liposuction may take anywhere from 30 minutes to 2-3 hours to perform. If you are having additional procedures, this time may be increased. Oral sedative usually Tab Valium 10mg is given to relieve you of anxiety.You will be marked with a surgical marker before you are sedated, while standing up. This will help the surgeon see how the skin and fat hangs naturally and will determine the incision areas and the reference points. Photographs with digital camera are taken by surgeon for medical records This is usually done even before you get an IV inserted although it depends upon the preference of the surgeons

After you have been briefed by your surgeon you may have an IV inserted for a saline drip to keep you hydrated and have a vascular "doorway" for anesthesia, antibiotics, and other medications. If you are having tumescent liposuction, you more than likely will not have a saline drip.If you had been given an oral sedative or valium prior you will have less anxiety. Various medications may be given through a drip system with this saline. As said before, the saline will keep you hydrated (if applicable) both intra- (during) and post-operatively as well as will be a carrier for your medications.

You are then brought to the operation room. You will then have monitoring electrode "pads" attached to your chest so that the surgical team can properly monitor your vital statistics before, during and after your operation. The machine will be "plugged" to your electrodes which are connected to the monitoring equipment.

You may also have your legs either wrapped with or inserted into a leg or arm compression sleeve system. These sleeves will slightly contract and expand around your legs to keep your circulation going which prevents clotting and complications of such.

FAQ's

  • How is Tumescent Liposuction performed?

    The areas to be treated by liposuction are numbed first with a tiny injection of standard local anesthetic, just as would be the case for the removal of a mole or skin lesion. A very small incision is then made in this anesthetized area. A very narrow infusion instrument or infusion cannula is then inserted into the incision, and a very dilute local anesthetic solution is then delivered to the fatty tissues. This continues until the fat tissue is "plumped" up somewhat, or "tumesced." The same tinyincision that was used to infuse the tumescent anesthetic solution is used to remove the fat.

    About 10-20 minutes after an area is infused, it becomes numb, and the actual removal of fat by liposuction is performed. The fat is suctioned away via a very thin tube-like instrument, a liposuction cannula, which has small openings or slits about half an inch from its rounded tip. The other end of the cannula is attached to a hose which is connected to a collection vessel and to a vacuum source, an aspirator. The cannula is moved back and forth, that is advancing and withdrawing, throughout the fatty area which is to be reduced. Depending upon whether just one or several areas are treated, areas may all be numbed at once, and then liposuctioned, or each area may be numbed and liposuctioned individually. You will actually be able to see the fat exit through the tube if you wish (almost everybody does look, at least after a while, and, it's pretty gratifying to see). You certainly will occasionally feel some discomfort, and you should be prepared for that. But for the most part, you will be quite comfortable and talking and joking, (perhaps even reading or watching a video) etc., throughout the procedure. Because of the tumescent technique with local anesthetic only, there is very little bleeding, the safety level of the procedure is greatly enhanced, and you are not groggy or feeling "out of it" afterwards. Immediately after all areas are treated, you will stand up and walk under your own power, get into a compression garment, and receive post-operative instructions. After you are briefly monitored to see that both you, your doctor and the staff are all comfortable that you are feeling fine and doing well, you can be taken home by a friend or relative.

  • How long does Tumescent Liposuction take?

    How long it takes for your physicians to perform liposuction depends on many factors. The removal of fat by suction itself can take from as little as twenty minutes for a very small area (below the chin, for example), to two hours if larger or multiple areas are being done. Infrequently, it can take more than a couple of hours. In our office, the average suctioning time is about one to two hours. The infiltration of local anesthetic (tumescent) solution also takes time, approximately one-half as long as the liposuction itself. The amount of fat removed also affects the amount of time required to perform the liposuction procedure

    After everything is in place, your surgeon /anesthesiologist will tell you to relax and start counting or thinking of something calming. You will then be given your choice or your surgeon's preference in anesthesia as discussed prior to your surgery date. Alternatively you may receive an injection of something such as Versed to calm you and render you slightly unconscious. After you are sedated, you will be prepped for the surgery. This is usually done by scrubbing the treatment areas for up to 10 minutes with Betadine. The surgical markings will remain although not as dark. You may be injected with a solution of Lidocaine, epinephrine and saline - depending upon your technique. The Lidocaine is for pain relief and the epinephrine, a vasoconstrictor, the saline is a tumescing agent. A vasoconstrictor impedes your ability to bleed excessively by narrowing the bore of the blood vessels. Basically, it causes the capillaries and vessels to constrict The incisions are normally made in very inconspicuous places, although this is dependent upon your own needs and surgeon preference. Through these incisions,2-4 mm diameter straw like tubes-cannula- are passed 7 moved to & fro to remove fat & reshape the area.

    Your surgeon will allow your incisions to remain open to drain excess tumescent fluid and reduce swelling, apply tissue glue, surgical paper tape & bandages and dressings .Compression garment is placed around operative area. You are then gently woken up.

  • Recovery Room

    You will be taken to the recovery room, which is located right off of the operating room, and placed in a bed. You will be hooked up to the monitors so that your recovery can be properly tracked. If you do feel sick or are in pain, alert the recovery nurse. He or she will give you a pain reliever and possibly some sickness relief medication or a few sips of cool water to ease your stomach.

    If you were given Light Sleep Sedation (a lighter form of IV Sedation) you should be allowed to go home within 2-3 hours, depending. If you were given General the clinic will want to keep you around for a bit longer. You MUST have someone to drive you home and care for you for the first week. This person must be dependable as he or she will need to help you to the bathroom, dressing, walking, eating, etc

    Remember to keep your chin up, you may be very uncomfortable and regret having had your surgery initially but in a few weeks it will be at the top of your "Best Things I Have Done For Myself" list!