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California tumescent liposuction

Liposuction, less commonly known as lipoplasty or suction lipectomy, is the surgical procedure designed to sculpt or recontour one or more parts of the body through the removal of localized fat deposits. Areas of the body which are frequently treated with liposuction include the abdomen, back, buttocks, cheeks, chin, hips, knees, neck, thighs, and upper arms.

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This procedure may be performed in a hospital, surgical center, or office while using either local anesthesia, local anesthesia combined with sedation, regional anesthesia, or general anesthesia. The traditional form of liposuction begins with small incisions being made on the skin of the areas being treated. A narrow, blunt-tipped tube called a cannula is then inserted into the incisions. This instrument is then pushed back and forth beneath the skin in order to target and disrupt specific fat deposits which are then suctioned out.

There are a few more recent techniques which may be performed along with traditional liposuction, including Power-Assisted Liposuction, Tumescent Liposuction, and Ultrasound-Assisted Liposuction. Power-Assisted Liposuction, or PAL, involves the use of a reciprocating cannula, rather than having it manually manipulated by the surgeon. Tumescent Liposuction uses a large volume of fluid containing a local anesthetic and epinephrine which is injected into the fatty tissue, enabling it to become swollen and firm before being removed. For Ultrasound-Assisted Liposuction (UAL) the fat is liquefied using ultrasound energy before it is removed.

After undergoing the surgery, patients are typically able to return to their normal activities when they feel comfortable doing so, which can be anywhere from several days to several weeks, though more strenuous activities will need to be avoided for at least a month. The following is a list of known liposuction-associated risks and complications: allergic drug reactions, anesthesia reactions, aspiration pneumonia, brain damage, blood clots, cardiac arrest, excessive blood loss, excessive fluid loss, focal skin necrosis (skin death), hematomas, hypothermia, infection, perforation injury, permanent nerve damage, permanent pigment (color) changes, post-liposuction syncope (fainting), pulmonary edema, pulmonary embolism, scarring, seizure, seromas, uneven skin, and unfavorable drug reactions.

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