• A Namias and B Kaplan.
• Department of Dermatology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
• Dermatol Surg. 1998 Jul 1; 24 (7): 755-8.

BackgroundTumescent anesthesia was originally described by Klein and Lillis for liposuction surgery. Its extension to many other interventions in dermatologic surgery (cosmetic and noncosmetic) has provided a significant contribution in the performance of safe, ambulatory, and simplified procedures.ObjectiveTo demonstrate the validity of the technique in various procedures.MethodsOver the course of 1 year all large reconstruction or cosmetic surgery was performed using tumescent anesthesia. In a total of 242 cases performed, the advantages and disadvantages of the procedure were analyzed.ResultsTumescent anesthesia was found to be very effective in achieving adequate anesthesia for performance of the reconstructive or cosmetic procedures. Good patient compliance was achieved with no serious sequelae.ConclusionTumescent anesthesia is one the most substantial progressions in the field of cosmetic and reconstructive surgery, with advantages that by far outnumber the few disadvantages.

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