Cross Section of the Skin Following Tumescence

Tumescent local anesthesia (TLA) refers to the infiltration of the skin and subcutis with a large quantity of very diluted local anesthetic (below 0.1%) with adrenalin (less than 1 mg/l) and NaHCO3 until the tissue swells sufficiently.

TLA results in good anesthesia and hemostasis and means that the patient is responsive and mobile. Using TLA the procedure can be carried out without additional anesthesia.

Removing the tissue that is full of tumescence solution during liposuction does not cause any blood loss and, in particular, preserves the surrounding tissue.


1. Epidermis

2. Infrastructural supporting tissue

3. Normal fat cells

4. Muscles


1. Epidermis

2. Tumefied fat cells

3. Muscles

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