This new procedure employs an internal laser at the conclusion of the liposuction procedure to heat up the underside of the skin and cause immediate skin contraction.  

This is useful in patients who have loose and hanging skin when the underlying fatty layer has been partially removed by the liposuction procedure.   While the skin naturally contracts over time, the additional immediate skin retraction allows for faster healing and tighter skin.

Tumescent Liposuction is the method developed by dermatologists which dramatically changed the nature of liposuction treatment.

The tumescent technique is based upon filling the fatty layer of skin with a dilute solution of local anesthesia and other medications prior to removing excess fat.

The tumescent method allows the surgeon to safely and efficiently remove both deep and superficial excess layers of fat with no discomfort, no significant blood loss, very rapid healing, and improved cosmetic results.

Before starting, markings are made with a pen to define the areas to be suctioned. The tumescent procedure is then initiated by injecting large volumes of a dilute anesthetic solution directly into the areas of the fatty deposits which shrinks blood vessels and minimizes blood loss.


After a small incision is made in the skin, a narrow tube, called a cannula, which is connected to a vacuum machine, is inserted under the skin in the area to be treated.

Using back and forth movements, the fat is suctioned into the tubing in a sterile collection system. When the liposuction procedure is complete, an elastic compression garment is worn to help the skin contract and heal. The result is a sculpting of bulging areas laden with fat into more attractive contours.

Tumescent liposuction using local anesthesia offers the benefits of fewer skin irregularities, less bleeding, reduced bruising, and a faster recovery.


Tumescent liposuction is performed in an office so the expense of hospitalization and the risks of general anesthesia are avoided. The procedure is much safer when only local anesthesia is employed. Because the patient is awake, he or she is able to sit or stand during the conclusion of the procedure, allowing the surgeon to check the status of the patient and the progress in achieving the desired contouring.

The surgeon may complete the procedure with the patient standing up, or remark the patient for additional suctioning on the procedure table.

Before surgery, a complete medical history, physical examination and lab tests are performed. During the consultation, the physician will describe the procedure and what results can be expected.

The doctor will also review alternative treatment options and the possible risks and complications of the surgery. Photographs will be taken during the preoperative consultation and consent for the surgery will be obtained.

At the end of the case, the patient is wrapped up with absorbent garments because a lot of drainage is expected in the first two days. The local anesthesia injected into the tissues provides excellent pain relief for the first 24 hours.

After tumescent liposuction, most patients are alert and awake and able to eat a regular diet. Patients are encouraged to walk around and to shower on the evening after surgery. Most patients may return to work in 2-3 days and physical exercise may be resumed within one week.