Liposuction with local tumescent anesthesia and microcannula technique

Abstract

Pure tumescent liposuction is performed entirely under local anesthesia and excludes the use of general anesthesia or intravenous sedation. Klein described a technique for aspirating adipose tissue entirely under local anesthesia with a dilute solution of lidocaine and epinephrine. The technique provided excellent hemostasis, maintained fluid balance, and eliminated the need for general anesthesia and associated complications. The advantages, pharmacology and technique of local tumescent anesthesia are described.