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The surgical technique varies depending in the anatomical area to work, in relation to fluid, instruments and postoperative elastic garment used.
Generally, in the beginning of the surgery fluid injection is used in all the areas to be liposuctioned, a mixture of saline fluid, lidocaine (an anesthetic) and adrenaline (a drug that contracts blood vessels) is prepared and applied and help to perform the procedure easier and with minimal bleeding. Fluid injection also helps to reduce the amount of bruising after surgery and provides anesthesia during and after the procedure.

The amount of fluid that is injected varies depending on the individual needs of each patient the specific area being liposuctioned.

Large volumes of fluid - sometimes as much as three times the amount of fat to be removed - are injected in the tumescent technique. Tumescent liposuction, typically performed on patients who need only a local anesthetic, usually takes significantly longer than traditional liposuction.   However, because the injected fluid contains an adequate amount of anesthetic, additional anesthesia may not be necessary. The name of this technique refers to the swollen and firm or "tumesced" state of the fatty tissues when they are filled with solution.

The super-wet technique is similar to the tumescent technique, except that lesser amounts of fluid are used. 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.

Power Assisted Liposuction (PAL). This is the newest technique of liposuction. In this technique a power source is used to rapidly oscillate the liposuction cannula 3 or 4 millimeters at a frequency of several hundred cycles per second. This allows the fat to be removed with less force thus decreasing trauma to the patient. The fat is removed more quickly, more evenly and with less bleeding. This means that patients have less bruising and can recover more quickly following surgery.

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