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What is Twilight Liposuction?

Twilight liposuction is a name commonly used to refer to tumescent liposuction when done under twilight anesthesia. Twilight anesthesia is a form of pain prevention that allows patients to be sedated without losing full consciousness as occurs with general anesthesia. You will feel relaxed and won’t experience much pain, while still having your full sensation of feeling in areas of your body that aren’t undergoing liposuction.

Liposuction is one of the most commonly performed cosmetic procedures, but general anesthesia is its most hazardous aspect. Liposuction under twilight anesthesia removes that risk while still allowing you to experience the full benefits of liposuction.

Because tumescent liposuction uses large amounts of a diluted local anesthetic in the treatment area, the two forms of anesthesia in combination make the procedure a lot more comfortable while allowing for a quicker recovery time.

The tumescent solution is placed subcutaneously in the fatty tissue to be treated and the fat is then vacuumed out through a very small cannula that is inserted in tiny incisions in the surface of the skin.

Benefits of Twilight Liposuction

  • Replaces general anesthesia, one of the more risky aspects of traditional liposuction.
  • Patients are in a drowsy state of relaxation but can still feel in areas not being treated.
  • Initial recovery usually takes a few hours for grogginess to wear off.
  • Allows for the removal of larger amounts of fat from some areas of the body.
  • Reduces blood loss.

What areas of the body can twilight liposuction be done in

  • Abdomen
  • Waist
  • Love handles
  • Hips and buttocks
  • Knees
  • Thighs
  • Face (cheeks, chin, neck)
  • Arms
  • Ankles and calves

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Am I a candidate for Twilight liposuction?

Your surgeon will choose from many safe and effective forms of liposuction, selecting the one that best aligns with your concerns and your goals for the procedure. Twilight liposuction is usually best for patients who want to remove smaller amounts of fat from 1 to 3 areas per treatment session.

When will I see the results of twilight liposuction?

As the swelling in the treated area subsides, your results from the procedure will become more and more visible. Depending on how large the treated area is and how much fat was removed, it may take a few weeks for the swelling to disappear fully.

How does twilight liposuction work?

Twilight / tumescent liposuction is the safest, most effective type of liposuction. In this procedure, large amounts of a saline-diluted anesthetic are injected in order to inflate or expand the fatty tissue layer. This makes removing the fat gentler on the body, easier and more effective. The anesthetic and the removal of the fatty tissue are both done through very fine cannulas, that are inserted through incisions so small that they do not require sutures.

As the patient isn’t unconscious as occurs in general anesthesia, the surgeon and patient can interact and communicate with one another on the levels of pain being experienced, as well as the patient’s intended outcome for the procedure—which of course is thoroughly discussed in a personal consultation before the lipo ever begins, however by experience that ongoing ability to communicate is helpful to both patient and surgeon. Thus the procedure is also often referred to as “awake liposuction.”

What is recovery like after Twilight Liposuction?

Recovery after twilight liposuction tends to be faster than other methods. Patients will feel groggy for a few hours but will otherwise be fine. Pain medication can be prescribed as required, but OTC pain killers are usually sufficient.

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