Liposuction, the use of suction to remove fat from the body, was invented in 1974 by an Italian doctor, Giorgio Fischer. It was further developed by French physicians Illouz and Fournier in 1978, and by 1980 it was a very popular procedure in the United States.

However, the procedure received some bad publicity because there were a number of instances where patients experienced problems with bleeding, unacceptable ripples in the skin and infections following the surgery, and prolonged recovery time. There are also issue that come with being put under anesthesia.

The original instrument used to remove the fat, called a cannula, had a blunt tip and was rather large in diameter. There were a number of attempts to create a better tool to make the procedure safer and eliminate the negative side effects.

But, in 1985 a breakthrough procedure was created by Dr. Jeffery Klein, a dermatologist in California. It was during a liposuction course he attended where he came up with the idea to try a local anesthetic, which was thought to be impossible. Once Dr. Klein perfected the correct dosage of local anesthesia, he found that patients didn’t have pain or bleeding.  He also used a smaller cannula, which helped to eliminate bruising and skin irregularities.

The following article gives a definition of tumescent liposuction:

Liposuction Types, Safety, Risks, Benefits

Tumescent liposuction
A local anesthetic is used to numb the area of your body where the tube will be inserted. Next, a large amount of an anesthetic solution containing lidocaine and epinephrine is injected into the fatty tissue before traditional liposuction is done. Tumescent liposuction may not require general anesthesia (which makes you sleep through the procedure).

Read the full post here:  Liposuction Types, Safety, Risks, Benefits


The next video highlights Dr. James Schlotter who was trained by the inventor of the tumescent liposuction, Dr. Jeffery Klein. He feels the technique allows him to have a much higher success rate with his clients because of the shortened recovery time and fewer complications. He uses a vibrating energy, called Tickle Lipo, to assist in the removal of the fat:

Liposuction is still one of the most popular cosmetic procedures performed, according to the American Society for Aesthetic Plastic Surgery (ASAPS). In 2016, there were 414,335 liposuction surgeries, with fat being taken from areas such as the stomach, legs, arms, and neck. The safety of the tumescent procedure is impressive and the advantages far outweigh the traditional technique, as seen in the following post:

Tumescent Liposuction: Overview, Indications, Contraindications

The several advantages of the tumescent approach include the following:


Image via Wikimedia Commons

*Less blood is lost.
*Intravenous fluid replacement is not necessary.
*Bacteriostatic lidocaine may decrease the risk of infections.
*Tumescence magnifies defects; therefore, the likelihood of needing a secondary procedure may be less.
*Lipid-soluble lidocaine is somewhat suctioned out with the aspirated fat.
*Vasoconstriction minimizes absorption.
*The epinephrine may increase the cardiac output, which, in turn, hastens the hepatic metabolism of the lidocaine.
*The duration of anesthetic effect may last as long as 24 hours.
*The lidocaine may be given safely up to 45 mg/kg and even higher in certain conditions.

Read more here: Tumescent Liposuction: Overview, Indications, Contraindications

Be sure and do your research before deciding on a cosmetic surgeon. There are so many ways to check online reviews to be sure they are properly certified. You can also ask others for referrals so that you connect with a doctor who makes you feel totally comfortable.