Hormones determine where fat is stored which is one reason many women can absolutely starve themselves to death and their hips don’t shrink. Great advances have been made in liposuction, particularly in the tumescent technique. A dermatologist from southern California discovered that if the fat is infiltrated with very dilute solutions of a local anesthetic (lidocaine) and a vasoconstrictor (epinephrine) that the procedure may be comfortably done with minimal sedation and virtually no blood loss. Surgeons have also discovered that by using smaller cannulas the previous problem of ridges in the skin can be avoided.
Liposuction has become one of the safest and best in the entire realm of cosmetic surgery.
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