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Tumescent Tummy Tuck Abdominoplasty
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Question: I want to get a tumescent lipo. So yesterday,I checked this.
And i found out that the tumescent lipo
where they use smaller cannulas and local anesthetic. It's seems I'm
a very good candidate because almost all of my fat is on my abdomen
and flanks (love handles). But, the price is around $3500 (even $4000).
And I don't have much money. So what can i do?
Does this seem like a normal price? Do anyone of you know where to do
with the price about $2000?
Answer: Dr. G. Illouz introduced liposuction using 5 - 8 mm diameter single hole
metal cannulas to suction fat in 1977. He infiltrated the fat with
slightly hypotonic saline to lyse fat cells. Access sites to introduce
the cannulas were placed in skin folds and other less noticeable sites
such as the navel. Sometimes these sites were left open to drain and
heal on their own rather than be stitched. Dr. Kesselring later modified
the technique using cannulas with recessed blades to cut the base of the
fat as it is sucked into the moving cannula. Access sites were closed
with sutures. Combining suction assisted lipectomy with other body
contouring procedures such as tummy tucks began in the early 1980s. The
tumescent technique which involves the infiltration of large volumes of
dilute anesthetic solution to produce firmness of the areas to be
liposuctioned and thereby obviate the need for general anesthesia or
intravenous sedation was introduced in the late 1980s. Infiltration was
performed with 20 and 18G needles and suction with 12G to 4.7mm diameter
cannulas. The technique was proven to be safe without local anesthetic
toxicity. Later the access sites were left open after surgery to
maximize drainage and possibly minimize postoperative bruising.
I am not against the use of small cannulas for liposuction or tumescent
technique per se. I do strongly oppose the use of multiple access sites
especially if left open to heal on their own in those who are prone to
scarring or hyperpigmentation. Although, there have been reports of
adjunctive procedures to minimize access site scarring by preventing
cannula motion trauma to the skin edges the fact remains that any
laceration or incision has the potential for unsightly scarring
especially in susceptible individuals. These scars may be partially
amenable to multiple laser treatments given over a long period of time.
This is so great a cost to the patient due to the number of scars present
that many forego the treatments.
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