9910-755 Fulton
Fulton JE, Rahimi AD, Helton P.
Modified tumescent liposuction. Dermatol Surg. 1999 Oct;25(10):755-66. PMID: 10594576
Fulton Skin Institute, Newport Beach, California, USA.
BACKGROUND: Tumescent liposuction has been found to be safe and effective.
However, there are still many refinements that may be possible, such as varying
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 techniques such as the most
efficient liposuction cannulas, to determine an effective tumescent fluid, and
to examine the extent of compression provided by different garments. METHODS:
Patient markings, tumescent fluid formulas, methods of infiltration, types of
cannulas, skin incisions, and compression garments were compared 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 is 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 improved. So
far, with more efficient cannulas and more efficient tumescent fluids, combined
with sedation, it has been possible to increase the yield and decrease the
required time for the technique. We call this modified tumescent liposuction.
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