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Use of the tumescent technique for scalp surgery, dermabrasion, and soft tissue reconstruction
1Department of Dermatology, Tulane University School of Medicine, New Orleans, Louisiana.
Abstract:
Application of the tumescent anesthetic technique in scalp surgery, dermabrasion, and soft tissue reconstruction is discussed. Vasoconstriction achieved by using tumescent anesthesia reduces bleeding even with dilute (1:320,000) epinephrine. Tumescent anesthesia also offers the advantages of decreased absorption at the site of infiltration, increased anesthetic infiltration, delayed absorption and lower peak blood plasma levels, and a longer lasting anesthetic effect.