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The
Wet Methods
The "Wet"
methods of liposuction are procedures which utilizes fluids
and very dilute lidocaine to fill and expand the fat compartment.
The
injected fluid contains an adequate amount of anesthetic, additional
anesthesia may not be necessary in procedures where only a small
amount of fat will be removed. This injected solution also contains
epinephrine which forces the small blood vessels to constrict
so that there is almost no bleeding during the procedure. Because
of the decreased bleeding, the surgeon can remove more fat from
each area, using small cannulas and getting nicer results with
smaller incisions. The long-lasting anesthesia, lasting 12 to
24 hours) results in very little postoperative pain. A mild
sedative can be used if you desire, when removing relative small
amount of fatty tissue and you can have a friend or relative
drive you home. The risk of serious complications is exceedingly
small under these circunstances. However, expect minor side
effects such as bruising, swelling, and temporary numbness.
There can be irregularities in the skin. It can take three to
four months for the swelling to be resolved completely, but
you will see dramatic results immediately. The cannnula is inserted
through multiple tiny nicks in the skin. These usually do not
require suturing. They heal by themselves, and become practically
unnoticeble in time. These tiny openings allow drainage for
a few days after surgery. The drainage minimizes bruising and
swelling. Most bruising, if any, is completely gone in one week.
There is no limitation on activity after surgery, however use
of common sense is expected. No boxing, marathons, etc.! You
can return to casual exercise within a day or two. You will
need to wear an elastic garment with pads under it for a few
days to absorb any drainage.
Super-Wet
Technique
The super-wet
technique is similar to the tumescent technique, except that
lesser amounts of fluid are used and the fluid is not used as
the primary form of anesthesia. Usually the amount of fluid
injected is equal to the amount of fat to be removed. This technique
often requires IV sedation or general anesthesia and typically
takes one to two hours of surgery time.
To read
more about the distinction between the different techniqes,
Click
Here to Read "Defining Wetting Solutions in Lipoplasty"
by Peter Fodor, M.D.
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