TUMESCENT ANESTHESIA FLUID PART #1: GOALS AND SAFETY DOSE

Happy October! In the past few weeks, we have talked about pre-operative photographs and measurements….today is all about TAF. Local Tumescent Anesthesia Fluid is composed of a dilute mixture of lidocaine and epinephrine in IV fluid.  It can be prepared in different ways according to the cosmetic specialist’s preference but always maintaining patient safety and comfort level as the main goal.

The maximum safe dose of tumescent lidocaine is in the range of 50 to 55 milligrams per kilograms of body weight.  It is critical to obtain the patient’s pre-operative weight and calculate the amount of TAF to be used during surgery.

The goal of the tumescent technique is to achieve complete anesthesia and vasoconstriction of the targeted tissues with minimal risks of complications and minimal discomfort and surgery time.

The vasoconstriction associated with epinephrine in TAF prolongs the local anesthetic effect and slows the rate of absorption of lidocaine.

The infiltration of the mixture of lidocaine and epinephrine produces swelling and firmness of targeted fatty areas, allowing liposuction totally by local anesthesia with excellent hemostasis and minimal blood loss.  

Local tumescent anesthesia can also be used as the local anesthetic for the areas of fat transfer, utilizing less amount of fluid as not to distort the tissue.

The tumescent technique increases accuracy in liposuction, reducing post-operative bruising and discomfort and achieving excellent aesthetic results.

Local tumescent liposuction is a safe, efficient and reproducible technique with excellent outcomes. 

Local tumescent anesthesia provides:

    • Minimal blood loss
    • Prolonged post-operative anesthesia (24+ hrs)
    • Rapid post-operative recovery
    • Improved aesthetic results

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