BACKGROUND. Tumescent liposuction is a new method of liposuction under
local anesthesia that has been developed by dermatologic surgeons. OB
JECTIVE. TO determine the safety of tumescent liposuction in a large g
roup of patients treated by dermatologic surgeons. METHODS. A survey q
uestionnaire was sent to 1,778 Fellows of the American Society for Der
matologic Surgery in February 1994. The comprehensive questionnaire re
quested information on numbers of patients treated with tumescent lipo
suction and complications that Occurred. RESULTS. Sixty-six dermatolog
ic surgeons provided data on 15,336 patients. The complications that w
ere reported were infrequent and minor. There were no serious complica
tions such as death, embolism (pulmonary or fat), hypovolemic shock, p
erforation of peritoneum Or thorax, Or thrombophlebitis. Blood transfu
sions were not required in any of the 15,336 patients and there were n
o admissions to the hospital for treatment of complications. CONCLUSIO
NS. Tumescent liposuction is an exceptionally safe method of liposucti
on under local anesthesia that eliminates the necessity of general ane
sthesia and blood transfusions. Tumescent liposuction is safer than li
posuction under general anesthesia and results in fewer complications.