Why is tumescent liposuction totally by local anesthesia typically less painful than liposuction under general anesthesia?
Pain associated with liposuction can occur at three different stages: during the infiltration of the tumescent solution, during liposuction, and postoperatively. If the surgeon or nurse who does the tumescent infiltration has had special training in the techniques, then the patient typically has very little pain during the process of injecting the local anesthetic. The technique for infiltrating the solution of tumescent anesthesia requires special skill and training. Without this special training, surgeons must rely on general anesthesia. After the tumescent local anesthesia has been thoroughly infiltrated into the fat, the subsequent liposuction should be painless. The postoperative pain after liposuction is much worse for liposuction under general anesthesia compared to liposuction totally by local anesthesia. After tumescent liposuction, the local anesthesia persists for many hours after surgery and patients need only take Tylenol for discomfort. In contrast, with general anesthesi
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