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Pt. I Foundations and Issues
1 History of Tumescent Liposuction 3
2 Two Standards of Care for Liposuction 9
3 Ethical Considerations 12
4 Educational and Clinical Qualifications 16
5 Problems in Reporting Liposuction Deaths 20
Pt. II Pathophysiology and Complications
6 Clinical Biostatistics of Safety 27
7 Risks of Systemic Anesthesia 32
8 Miscellaneous Complications 43
9 Superwet Liposuction and Pulmonary Edema 61
10 Thrombosis and Embolism 67
11 Postliposuction Edema 79
12 Infections 88
13 Hypothermia and Cryoanesthesia 102
14 Perioperative Bleeding Disorders 106
15 Maximum Safe Dose of Liposuction 114
Pt. III Clinical Pharmacology
16 Pharmacology of Tumescent Technique 121
17 Pharmacology of Lidocaine 124
18 Cytochrome P450 3A4 and Lidocaine Metabolism 131
19 Pharmacokinetics of Tumescent Lidocaine 141
20 Lidocaine Toxicity and Drug Interactions 162
21 Maximum Recommended Dosage of Tumescent Lidocaine 170
22 Bupivacaine, Prilocaine, and Ropivacaine 179
23 Tumescent Formulations 187
24 Ancillary Pharmacology 196
Pt. IV Fundamental Aspects of Tumescent Liposuction
25 Subcutaneous Fat: Anatomy and Histology 213
26 Tumescent Infiltration Technique 222
27 Microcannulas 235
28 Surgical Technique: Microcannular Tumescent Liposuction 248
29 Critique of Ultrasonic Liposuction 271
30 Postliposuction Care: Open Drainage and Bimodal Compression 281
Pt. V Tumescent Liposuction by Area
31 Abdomen 297
32 Lateral Thighs 325
33 Female Hips and Back and Male Flanks 342
34 Medial Thighs, Knees, and Anterior Thighs 357
35 Chin, Cheeks and Jowls 372
36 Buttocks 392
37 Male Breasts 404
38 Female Breasts 413
39 Arms 427
40 Female Legs and Ankles 440
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