Introduction and Controversy
Introduction to Liposuction and Tumescent Fluid
Howard Solbel, in an editor’s response to Yoho’s article (see below), state the following – “Let us first understand the difference between the tumescent technique and the tumescent solution. The tumescent technique involves using the tumescent solution (lidocaine 0.05%, epinephrine 1:1,000,000) anywhere from 1:1 up to 2:1 tumescent solution to aspirate, with less than 55 mg/kg of lidocaine injected. Most important, the procedure as described by Dr. Jeffrey Klein is performed strictly under local anesthesia, without general anesthesia or I.V. sedation.”
References
- M D Gilliland, N Coates Tumescent liposuction complicated by pulmonary edema. Plast. Reconstr. Surg.: 1997, 99(1);215-9 PubMed Link
- G H Pitman Tumescent liposuction complicated by pulmonary edema. Plast. Reconstr. Surg.: 1997, 100(5);1363-4 PubMed Link
- R B Rao, S F Ely, R S Hoffman Deaths related to liposuction. N. Engl. J. Med.: 1999, 340(19);1471-5 PubMed Link
- F M Grazer, R H de Jong Fatal outcomes from liposuction: census survey of cosmetic surgeons. Plast. Reconstr. Surg.: 2000, 105(1);436-46; discussion 447-8 PubMed Link
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