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.
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... Read More
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
This 30-year-old woman wanted to have a more ideal figure by trimming down her thighs and hips. She looked for a Los Angeles or Santa Monica plastic surgeon who could help her with these troublesome areas. She made an appointment with one of the surgeons at Dr. Stoker's Practice to find out more about liposuction.After consulting with... Read More
This 38-year-old woman was bothered by the fatty bulges on her stomach and hips that were worsened by the abdominal scar from previous surgery. She wanted to find a doctor who could perform liposuction surgery in Los Angeles, to help smooth her body so she could feel more confident in the way she looked. She decided to make an appointment with one... Read More
We have a great example of this 53-year-old male patient who worked out very hard, as you can tell from his muscular build. And he was also trying to eat healthily, but as he is now 53 years old, in the last 20 years, he's slowly gained a little bit of weight with each decade. And that's pretty typical. He was bothered by his appearance. He felt... Read More
This 23-year-old woman was uncomfortable with her shape and the fatty rolls that appeared beneath support straps. She wanted to find a talented surgeon in Los Angeles for liposuction, in order to create a more hourglass and feminine figure. She came to Dr. Stoker's Practice looking for help to fix her trouble spots.During her consultation,... Read More
This slender woman was already at her ideal weight, but the shape of her thighs made it hard to fit into jeans. Tired of having trouble with her clothing, she decided to find a Los Angeles plastic surgery specialist who could sculpt her ideal figure.During her consultation, this patient explained to her surgeon how she was bothered by her... Read More
Even though this young woman was very fit, she still wanted an improved figure. She came to Dr. Stoker's Practice to find plastic surgery in Los Angeles that was right for her.During her consultation with one of our board-certified plastic surgeons, she told her surgeon that she was unhappy with the shape of her inner and outer thighs... Read More
As a runway model, this young woman was concerned about the fatty deposits on her inner and outer thighs which disrupted the smoothness of her body's curves. Wanting to find a Los Angeles plastic surgeon who had lots of experience performing liposuction, she scheduled a consultation with one of the surgeons at Dr. Stoker's Practice.When... Read More
This 29-year-old male was bothered by the increased amount of fat around his midsection. Dr. Stoker performed power-assisted liposuction and removed a large amount of fat from those areas. He is shown before and six weeks following his surgery. Read More
This 42-year-old woman was very athletic and wanted to have a more youthful appearance that was consistent with her active life. Dr. Stoker performed power-assisted liposuction to accomplish her goal. She is shown before and four months following her surgery. Read More
This 47-year-old woman desired an improved figure with minimal scars and swift recovery. Dr. Stoker performed power-assisted liposuction to accomplish her goals. She is shown before and six months following her surgery.
This 23-year old woman desired an hourglass figure. Dr. Stoker performed power-assisted liposuction to achieve her goals, removing the most diet-resistant fat. She is shown before and six weeks following her surgery.
This 25-year-old woman wanted to have a slimmer, fitter body. She had been unhappy with the look of her abdomen and had recently begun considering liposuction in Los Angeles. She decided to schedule a consultation with Dr. David Stoker.When she met with her surgeon, she expressed her concerns and asked what her surgeon recommended. Her surgeon... Read More
This 47-year-old man didn't like the look of his abdomen, where stubborn fatty deposits had accumulated over time. Wanting to have a fitter and more streamlined figure, he decided to research surgeons who performed liposuction in Los Angeles, finally making an appointment at Dr. Stoker's Practice.During his consultation, his surgeon... Read More
This 24-year-old woman was unhappy with the look of her thighs, hips, flanks and back. Wanting them to have a slimmer, smoother appearance, she decided to find a Los Angeles liposuction specialist to help her achieve the figure she wanted. After some consideration, she made an appointment with one of the board-certified plastic surgeons at Dr. Stoker's... Read More
This 33-year-old woman had liposuction done by another surgeon and was left with uneven thighs afterwards. The surgeon had taken out too much fat from her lateral thighs, giving her an unnatural and asymmetrical appearance. Disappointed with the results of her previous surgery, this patient decided to look for a Los Angeles or Santa Monica plastic... Read More
This 39-year-old woman hoped to find a surgeon to help her diminish the fatty bulges on her hips and stomach and to diminish her abdominal appendectomy scar. After looking for a Los Angeles or Santa Monica plastic surgeon, she made an appointment with one of the surgeons at Dr. Stoker's Practice.During her consultation, she and her surgeon... Read More
This 36-year-old woman was unhappy with her body shape and wanted to look fitter and younger. Wanting to find a surgeon in Los Angeles who does liposuction, this patient came to Dr. Stoker's Practice to meet with a talented surgeon in order to discuss her options.During her consultation, she and her surgeon decided that power-assisted... Read More
This 57-year-old woman was frustrated with the look of her body when trying to fit into certain clothes. She decided that she wanted to feel better about herself and began looking for a Los Angeles plastic surgeon who could advise her about the different procedures that would help her to feel more confident in the clothes she wanted to wear. Finally,... Read More
This 36-year-old woman was unsatisfied with the shape of her body and wanted to have a more feminine, hourglass figure. Liposuction seemed like a good option and so she wanted to find a talented doctor to perform her plastic surgery in Los Angeles. She made an appointment with one of the surgeons at Dr. Stoker's Practice in order to find out... Read More
This 27-year-old woman and her roommate both wanted to improve their figures in order to feel more confident in general and when wearing their swimsuits. They both came to Dr. Stoker's Practice to have liposuction. In Los Angeles, the surgeons at Dr. Stoker's Practice see many patients who want to feel more comfortable in their swimsuits.... Read More
This 41-year-old nurse wanted to improve her figure by undergoing liposuction in Los Angeles on both her torso and arms. She scheduled a consultation with a Los Angeles plastic surgeon at Dr. Stoker's Practice to see what options were available. With the help of her surgeon, she decided to have power-assisted liposuction, where an electric motor... Read More
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.
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.
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.
Learn about professional credentials and see almost 1,000 patient pictures and descriptions by Dr. Stoker.
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
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.
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As a body contouring specialist, I’ve performed many skin reduction procedures such as arm lift surgery at my Los Angeles practice for patients who have lost significant weight. Upper arm skin often sags after weight loss, and it can be quite frustrating for men and women who have dedicated themselves to losing weight. Not all… Read On
Since the use of tumescent solution revolutionized modern liposuction in the 1980s, technology has been steadily advancing and producing new ways to make the body contouring procedure less invasive and more effective. Patients considering liposuction at my Los Angeles practice may be surprised to learn how many varied approaches to the procedure exist today. Each… Read On
Sometimes, selecting a provider for your plastic surgery procedure can be as challenging as planning the procedure itself. This is especially true of liposuction here in Los Angeles, where it seems like there’s a specialist on every corner. While liposuction may seem like a relatively simple option in the world of plastic surgery, it’s still… Read On