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The tumescent liposuction method uses a mixture of saline solution and diluted local anesthesia at the site of suction. Howard Bellin, a New York plastic surgeon, has pioneered a stand up liposuction technique called Accusuction.
Bellin favors using only local anesthesia with tranquilizers and no extra fluid like saline. Bellin feels that this type of liposuction "distorts the tissue with large amounts of fluid, adding to the difficulty" of accurately suctioning the area, especially while someone is lying down. Accusuction involves not only standing up during part of the liposuction procedure, but the use of undiluted local anesthesia.
Traditional liposuction is usually done via ultrasound-assisted technique or tumescent method, often with the patient asleep. Bellin's liposuction method than from liposuction previously done by another plastic surgeon. If you come into his office for this procedure, you will be given tranquilizers to calm you.

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