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Tumescent Liposuction in Philadelphia, Pennsylvania

The goal of liposuction and body contouring is to create a smooth, even, and proportionate distribution of the fat that is left behind, so that treated areas are in balance with adjacent untreated areas.

Liposuction is used to selectively remove deposits around the neck, to slim hips and thighs, flatten the abdomen and eliminate “love handles”. Liposuction can also be used to contour upper arms, the inner knees, calves and ankles, the back, breast or chest area. Liposuction can sculpt disproportionate areas of body fat resistant to exercise or even weight reduction.

Liposuction is the most commonly performed plastic surgery procedure.

Tumescent Liposuction
Philadelphia liposuction specialist, Dr. Bottger, uses leading-edge tumescent liposuction techniques. Tumescent liposuction involves the use of a very dilute solution of local anesthesia and adrenaline to both numb the area and to decrease bleeding in the body site where liposuction is performed. The tumescent solution is injected into the tissues prior to liposuction. The fat tissue receives enough solution that it actually plumps up and temporarily enlarges the fat compartments prior to liposuction, or “tumesces” them. Small diameter cannulae are then used to gently aspirate the fat. The tumescent technique results in much less bleeding allowing safer and more accurate removal of larger fat volumes with a more rapid recovery.


Ultrasound Assisted Liposuction (UAL): This method of liposuction uses an ultrasound cannula, which emulsifies the fat with sound waves. This is then followed with suction assisted liposuction to remove the fat. Dr. Bottger believes that this technique offers no significant advantage over suction assisted liposuction and is potentially associated with increased complications such as the necessity of more and larger incision scars and the possibility of skin burns and fluid collections (seroma).

Power Assisted Liposuction: This method uses a power source to cause a reciprocating motion of the cannula to help break up fat. Although this technique may reduce the work of the surgeon, it does not appear to offer any significant advantages in terms of results.

Suction Assisted Liposuction: This method utilizes a small cannula or tube inserted under the skin through a small incision (less than 1/4 of an inch) and connected to a suction machine. The emulsification and removal of fat is produced by a back and forth motion with the cannula.

Laser Assisted Liposuction: A number of systems have been developed (smart lipo, slim lipo) which utilize laser energy to facilitate fat removal. The laser vaporizes the fat cells and the resulting liquefied fat is removed with standard suction. The theoretical advantage to this technique is that it could produce more of a skin tightening effect. Thus far there is no scientific evidence that this technique produces improved results over standard tumescent technique. Skin burn is a potential disadvantage.

Water Jet Assisted Liposuction: Body-jet liposuction utilizes a device which infiltrates pulses of saline solution to dislodge fat cells which are then removed by suction. A theoretical advantage of this technique is less post operative bruising. No scientific evidence exists that this technique results in better results than standard tumescent technique.

Dr. Bottger prefers using the tumescent technique with suction assisted liposuction for the most predictable results.

Liposuction can be used to treat a variety of areas, including:

  • Outer thighs
  • Inner thighs
  • Posterior and anterior thighs
  • Buttock area
  • Flanks and hips
  • Knees, calves & ankles
  • Abdomen
  • Chest Area
  • Back
  • Neck and Chin
  • Arms

View Dr. Bottger Before & Afters

If you live in the Philadelphia area and you’re interested in having Liposuction, find out how we can remove unwanted fat and help you look and feel slimmer with this body contouring procedure. Call Dr. Bottger at (610) 355-4276 for your personal consultation today.