Modified tumescent liposuction

BACKGROUND. Tumescent liposuction has been found to be safe and effective. However, there are still many refinements that may be possible, such as var ying the size and tips of the cannulas, varying the types of infiltrate and associated anesthesia, and the method of compression. OBJECTIVE. To examine possible variables in tumescent liposuction technique s such as the most efficient liposuction cannulas, to determine an effectiv e tumescent fluid, and to examine the extent of compression provided by dif ferent garments. METHODS. Patient markings, tumescent fluid formulas, methods of infiltratio n, types of cannulas, skin incisions, and compression garments were compare d between the pure tumescent technique and modified tumescent liposuction. RESULTS. The most efficient cannulas were those with three staggered ports, such as the Mercedes, Cobra-keel, Giorgio Fischer, and Accelerator II tips . When these are combined with modified tumescent fluids and sedation, it i s possible to perform total body liposuction in a safe and efficient manner . Multiple ports and compression garments are beneficial to reduce bruising and focal areas of inflammation. CONCLUSION. The tumescent liposuction technique will continue to be improve d. So far, with more efficient cannulas and more efficient tumescent fluids , combined with sedation, it has been possible to increase the yield and de crease the required time for the technique. We call this modified tumescent liposuction.