Tumescent Liposuction

Liposuction technology has evolved substantially over the past 2 decades. Throughout this time, the tumescent technique has always been a critical first step for liposuction procedures. Surgeons now employ a variety of methods that may be considered tumescent liposuction. At my Los Angeles practice, I perform many of these methods. Here, I’ll discuss these options in some detail.

In considering techniques, it’s important to note that the surgeon performing the procedure is the most important determinant of results. Patients should choose a board-certified plastic surgeon with significant experience in body contouring to optimize their results.

I’d be happy to discuss your liposuction options in person. Simply request a consultation online or call our office at  (310) 300-1779.

Why choose Dr. Stoker?

The Dr. Stoker Difference

For Your Liposuction:
He’s written 2 textbook chapters on liposuction, sharing his knowledge with future plastic surgeons.
He regularly teaches liposuction courses at meetings of The American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons® (ASPS).
He was named as a top surgeon in liposuction by The New York Times.
He’s pioneered some of today’s most popular liposuction techniques, such as power-assisted liposuction (PAL).

 Before & After Photos


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 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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Case: 1 of 9
Before & After Liposuction Case 161 View #1 View in Los Angeles, CA
Before & After
Case: 1 of 8

Case #161

This 27-year-old woman already had a nice figure, but she was bothered by small fatty bulges that were obvious in certain clothing. Losing weight didn't make sense for this patient because she was comfortable at her current weight and felt that if she lost more weight through diet that her face and neck would look too lean. Instead, she began looking... Read More
Before & After Liposuction Case 163 View #1 View in Los Angeles, CA
Before & After
Case: 2 of 8

Case #163

This 23-year-old woman from Europe wanted to refine her figure, but since she is a model, she was worried that her face and neck would appear undesirably too thin if she were to lose more weight through diet and exercise. She came to Dr. Stoker's practice to find a Los Angeles plastic surgeon who could help her achieve the look she wanted without... Read More
Before & After Liposuction Case 982 View #1 View in Los Angeles, CA
Before & After
Case: 3 of 8

Case #982

Before & After Liposuction Case 983 View #1 View in Los Angeles, CA
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Case: 4 of 8

Case #983

Before & After Liposuction - Abdominal Etching & Sculpting Case 986 View #1 View in Los Angeles, CA
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Case: 5 of 8

Case #986

Before & After Liposuction Case 991 View #1 View in Los Angeles, CA
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Case #991

Before & After Liposuction Case 990 View #1 View in Los Angeles, CA
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Case: 7 of 8

Case #990

Before & After Liposuction Case 1069 View #1 View in Los Angeles, CA
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Case: 8 of 8

Case #1069

Keep in mind that each patient is unique and your results may vary.

Tumescent Solution

Tumescent solution is a dilute local anesthesia solution, containing lidocaine and adrenaline, which is used to treat the fatty tissues under the skin before liposuction is performed. This tumescent solution was a major advance in the 1980’s because it allowed surgeons to remove larger volumes of fat with much less blood loss and improved patient comfort. All modern liposuction techniques utilize tumescent solution pre-treatment as a way to improve safety and control during the procedure.

The amount of tumescent solution that is injected varies widely depending on the surgeon. I find that the best option is to use moderate volumes of tumescent fluid along with intravenous sedation (“twilight sedation”) or “light” general anesthesia. This provides optimal safety and comfort during the procedure for most patients.

Dr. David Stoker

Educated at some of the most elite institutions in the country, Dr. David Stoker uses his highly advanced knowledge to ensure that each patient achieves beautiful, harmonious results — whether it's through a simple non-surgical procedure or a more advanced surgical transformation. Learn more about his unique credentials and his approach to plastic surgery.

Why Choose Dr. Stoker
Professional Resume

Tumescent liposuction is advantageous because it:

  • Minimizes blood loss
  • Expands the safe zone for removal of fat
  • Allows removal of greater volumes of fat
  • Keeps patients comfortable with local anesthetic
  • Reduces the medication requirements for general anesthesia, permitting a “light” general anesthetic

The 3 key ingredients in tumescent solution include lidocaine, epinephrine and saline. Lidocaine is the anesthetic that causes numbness and blocks the sensation of discomfort. Epinephrine, otherwise known as adrenaline, is also produced by our bodies. When injected, it causes blood vessels to shrink in diameter temporarily. It’s important to help minimize bleeding and bruising. Saline is the last component. It’s the same solution that I use for intravenous fluid and is already a part of every cell in our bodies.

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The primary risks from tumescent technique include fluid imbalances and lidocaine toxicity. Fluid imbalance risk may be minimized by using moderate fluid volumes and careful assessment of intravenous fluids. Board-certified plastic surgeons are the best qualified physicians to optimize fluid balances. Lidocaine toxicity is easily avoided by staying within the established safe dose parameters. When many areas are treated at once, it’s better to use supplemental intravenous anesthesia to avoid larger and potentially problematic doses of lidocaine.

In my detailed consultations with patients, I guide them through these options to set safe and achievable goals for body sculpting. To learn more about tumescent liposuction, request a consultation online or call our office at  (310) 300-1779.

Nonsurgical Procedure Treatment Planner

Non-Surgical Enhancement

Our expertise extends beyond plastic surgery. We offer an extensive range of non-surgical treatments administered by our talented, experienced team of aesthetic providers under the guidance of board-certified plastic surgeon Dr. David Stoker.

If you have a treatment in mind, review our complete offering of non-surgical services. If you need a little help deciding, narrow down your options with our interactive treatment planner.