Tumescent Liposuction

Conveniently located to serve the areas of Newport Beach and Orange County, CA

tumescent liposuction procedure

Tumescent liposuction is a popular cosmetic surgical procedure that removes fat from specific areas of the body through suction with the aid of tumescent fluid; an anesthetic designed to limit blood loss, ease fat removal, and reduce postoperative discomfort. During a tumescent liposuction procedure, the patient remains awake, but there is no pain. The surgeon introduces large volumes of tumescent fluid, sometimes known as Klein’s solution, before and during suctioning the fat. This aqueous solution contains low concentrations of lidocaine and epinephrine, which are responsible for numbing the area of treatment. 

Liposuction, or liposculpture, is one of the most popular cosmetic surgical procedures worldwide. (1)  Many people turn to cosmetic procedures such as these when they have exhausted other non-surgical options. This method of liposuction, the tumescent technique, allows for safer removal of larger amounts of fat with a reduction in postoperative pain and bruising.

To learn more about the results a tumescent liposuction procedure can achieve for you, contact Esthetica Center for Cosmetic Surgery in Newport Beach. Under the diligent guidance and surgical skills of board-certified Dr. Kouli, you can restore a healthier-looking physique and regain your body confidence. Speak to us directly by calling (949) 721-1113 or by filling out an online contact form with your request.

About Tumescent Liposuction

Even with the best intentions of keeping our bodies in shape, there are some troublesome areas of fat that won’t budge, no matter how healthy our lifestyle is. This can lead to frustration and a negative body image. If you’ve struggled to shed fat through diet and exercise, a tumescent liposuction procedure may help you reach your aesthetic goals. It can safely remove fat in many different parts of the body, including the:

  • Face
  • Neck
  • Chin
  • Breast
  • Stomach
  • Hips
  • Flanks
  • Back
  • Inner thigh 
  • Outer thigh
  • Buttocks
  • Knees
  • Calves
  • Ankles (2)

How is Tumescent Fluid Used in Liposuction Surgery?

Tumescent fluid prepares the targeted fat for easy suction and removal. The word “tumescent” comes from the Latin tumēscere which means swollen and firm. (3) Before a surgeon suctions fat during a tumescent liposuction procedure, they must first infuse the treatment area with tumescent fluid until it swells and becomes firm; which is why tumescent fluid has this name. It is a liquid composed of three key substances:

Saline Solution – Saline is a mixture of salt (sodium chloride) and water and is the most common substance found in an IV solution. Saline, rather than pure water, matches the electrolyte levels that are already present in the bloodstream and prevents the dilution of essential components in blood cells.

Lidocaine – Lidocaine is the numbing agent in tumescent fluid. It falls into a group of medicines that are used as local anesthetics. It eliminates discomfort during surgery by preventing the pain receptor impulses from the treatment area from reaching the brain. Unlike general anesthesia, lidocaine does not cause patient unconsciousness.

Epinephrine – Epinephrine, sometimes known as adrenaline, is a hormone present in the human body. It is a vasoconstrictor, which means it clamps down blood vessels. Most importantly epinephrine produces dramatic hemostasis (halt of blood flow) and slows the body’s absorption of lidocaine for a prolonged numbing effect. (4)

Discover more about liposuction procedures and the other services available at Esthetica. 

Benefits of a Tumescent Liposuction Procedure

Both men and women alike can benefit from tumescent liposuction. By nature, liposuction is a procedure that removes fat, however, it should not be considered a weight loss surgery. It serves many purposes, which include:

  • Stubborn Fat Removal – Tumescent liposuction removes stubborn pockets of fat that are resistant to both diet and exercise. Patients who are a healthy weight who want to work on one or two areas of hard-to-lose fat are great candidates.
  • Fat Cell Reduction – As a result of weight gain, fat cells increase in size. A tumescent liposuction procedure removes these fat cells permanently, providing a long-lasting change in contour. With continuation of healthy habits, patients can maintain this aesthetic.
  • Increased Self-Esteem – Addressing cosmetic issues through surgery is a big step, but it is one that patients are ready for when they receive liposuction. The ability to reach our aesthetic goals through surgery can lead to increased overall body satisfaction and a welcome boost in confidence.
  • Incentive to Maintain a Healthy Lifestyle – Although liposuction has many benefits, a patient must maintain a regular exercise routine and healthy diet to prolong their results. The surgery itself can motivate patients to create a plan and stick to it, long after their liposuction procedure takes place!

One of the best reasons to get liposuction is the science behind it. Once we hit puberty, the amount of fat cells in our body stays the same for the rest of our lives. When we gain weight, these existing fat cells don’t multiply, they just expand. So, after tumescent liposuction, new fat cells can’t regenerate in the treated area. However, the surrounding, untreated fat cells can still expand which can make the appearance of the area look unbalanced and disproportionate. That’s why it’s so important to keep exercising regularly and eating well, and why liposuction is a really great motivator to permanently change your lifestyle!

The Esthetica now offers virtual consultations! Simply fill out your details, follow the on-screen directions carefully, attach the images required, and send. We will process your request within 24 hours of receiving your completed consultation form.

Candidates for Tumescent Liposuction

Generally speaking, tumescent liposuction is suitable for people who are in good health, with no underlying conditions that could limit the success of their treatment. If you suffer from lipodystrophy (a problem with the way the body stores fat) or an imbalance of fat distribution, liposuction could be very beneficial. Liposuction may not be a good fit if you:

  • Are pregnant
  • Are clinically obese
  • Have blood clotting issues
  • Have circulatory problems (e.g. coronary artery disease)
  • Have a weakened immune system

The best way to find out if tumescent liposuction would benefit you is to get in touch with us. Inquire online or call (949) 721-1113 for further information.

Personal Consultation

At your personal consultation, you will be able to tell our patient consultants about your difficulties shedding excess fat in the specific areas you want to treat with liposuction. You will discuss your medical history, if you have any underlying conditions that could affect the success of your treatment,  and if you have had any previous surgeries. At this time we will provide an outline of your individual treatment plan, which will include the importance of diet and exercise after your surgery. Liposuction is not a weight-loss procedure, so we will ensure you are fully aware of the expected results in this area. We will provide digital imaging during your consultation so that you can preview your new look.

Preparation for a Liposuction Procedure

Our patient consultants will guide you through the process of preparing for your liposuction surgery. They will provide you with a packet of useful information such as preoperative instructions, consent forms, and commonly asked questions related to liposuction recovery. In the weeks before your liposuction, please refrain from taking any aspirin or any aspirin-containing medications, and any supplements that cause blood thinning. If you smoke, you will need to stop prior to, and after, your liposuction procedure. This is because nicotine increases the risk of bleeding and postoperative complications.

Tumescent Liposuction Procedure

Proper tumescence of the area is proven to ensure painless and smooth aspiration of fat from the body. (3) Once we have ensured you are comfortable, the surgeon will begin by slowly infusing the tumescent fluid into the area of treatment via a small tube called a microcannula. The fluid will fill the area until it becomes firm (or “tumesced”). When the appropriate level of firmness is achieved, the doctor will slowly begin to move a suction cannula to-and-fro to remove deeper fat uniformly, and with care. After the deeper fat has been aspirated, the superficial fat can be addressed. Some tumescent fluid remains in the area to continue to alleviate discomfort in the treated area after the surgery. When every area of fat has been removed as necessary, we will fit you with a tight pressure garment to ensure the proper drainage of the remaining fluid. We will give you some time to relax in our recovery room until you are ready to leave.

Recovery & Results After Tumescent Liposuction

After their procedure, each patient will receive a personalized recovery plan after their liposuction procedure. You will continue to take analgesic medication after your liposuction to relieve discomfort. Two days after your procedure, we will ask you to return to check on your initial progress. In this period, it is important to rest while ensuring you continue to move around your recovery space regularly, with care. You should expect some bruising, swelling, and soreness after your liposuction surgery. Your compression garment will help reduce your discomfort. You can resume your regular exercise routine in three to six weeks. 

Cost of Tumescent Liposuction in Newport Beach 

Each liposuction procedure performed at Esthetica is tailored to the individual needs of each patient. The cost of your surgery will therefore depend on the specific areas of fat you are addressing. For more details about booking a personal consultation to find out more, please contact us on (949) 721-1113.

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What’s the difference between tumescent lipo and regular lipo?

There are a handful of liposuction techniques which include ultrasound, laser-assisted, power-assisted, and tumescent liposuction. The main thing that separates the tumescent method from the rest is the use of tumescent fluid containing local anesthetics and blood vessel constricting medications.

Are you awake during a tumescent liposuction procedure?

Unlike some other fat removal methods, the patient is awake during tumescent liposuction. However, they do not feel pain because of key anesthetizing agents and vasoconstrictors in the tumescent fluid.

Is fat removal permanent in liposuction?

Once the fat is removed from an area during liposuction, it’s gone for good. However, patients must maintain healthy lifestyles such as a balanced diet and regular exercise to maintain their postoperative results.


  1. Bartow, M. J., & Raggio, B. S. (2022). Liposuction. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK563135/ 
  2. Tumescent Liposuction. (n.d.). Ucsfhealth.org. https://www.ucsfhealth.org/treatments/tumescent-liposuction 
  3. Venkataram, J. (2008). Tumescent liposuction: A review. Journal of Cutaneous and Aesthetic Surgery, 1(2), 49. https://doi.org/10.4103/0974-2077.44159 
  4. Klein, J. A. (n.d.). Chapter 23: Tumescent Formulations – Liposuction 101 Liposuction Training. Retrieved January 19, 2022, from https://liposuction101.com/liposuction-textbook/chapter-23-tumescent-formulations/