A doctor in a white coat marks guidelines on a woman's bare abdomen with a purple marker, likely preparing for a cosmetic or medical procedure.

Tumescent Liposuction

Liposuction is a widely popular and effective way to surgically remove stubborn fat from areas that resist diet and targeted exercise. Among the most refined methods is tumescent liposuction, which is performed using only local anesthesia. The technique is named for the tumescent fluid injected around the treatment area, which causes the fat to swell and firm — making it easier and more precise to remove, while keeping the patient comfortable and awake. Avance Plastic Surgery Institute in Reno/Tahoe is a recognized center of excellence for liposuction.

Tumescent liposuction is performed by Dr. Erez Dayan, a board-certified plastic and reconstructive surgeon and Medical Director of Avance Plastic Surgery Institute who was trained by the pioneers of awake, in-office liposuction during the Harvard Plastic Surgery Program — where he served as Chief Resident in Plastic and Reconstructive Surgery at Massachusetts General Hospital. Fellowship-trained in aesthetic surgery at the Dallas Plastic Surgery Institute, he has performed hundreds of procedures under local anesthesia and has published and lectured on these techniques nationally and internationally. That experience makes tumescent liposuction one of the most comfortable and refined liposuction options at the Institute.

What Is Tumescent Liposuction?

Tumescent liposuction is often chosen because virtually any part of the body can be targeted with a quick recovery, all while the patient remains awake under local anesthesia. Commonly treated areas include:

Face
Chin
Neck
Breast
Abdomen and tummy
Flanks and hips
Back
Thighs, buttocks, and legs

Your specific areas of concern, along with the details of your recommended body-contouring treatment, can be discussed during a consultation with Dr. Dayan at his Reno/Tahoe, NV office.

“Many patients are surprised how comfortable awake liposuction is. The tumescent technique numbs the area completely, reduces bleeding, and gives me precise control — all without the costs and recovery of general anesthesia.” — Dr. Erez Dayan

Lake Tahoe Lipo Under Local Anesthesia

Patients receiving lipo under local anesthesia are positioned comfortably to give Dr. Dayan access to the targeted area. An anesthetic is injected into the region along with the tumescent fluid, and time is allowed for the fluid to fill the fatty layer, causing it to swell and firm. This provides greater stability and control as Dr. Dayan removes the unwanted fat. As an added benefit, the solution temporarily shrinks the blood vessels in the area, reducing blood loss and bruising. He then makes small incisions through which a cannula targets and removes the fat.

What to Expect From Tumescent Liposuction Recovery

Patients typically wear a compression garment for a while to keep swelling to a minimum, and postoperative discomfort is usually managed with over-the-counter pain relievers. Walking soon after the procedure is encouraged to support healing, and most patients resume normal activities and exercise about seven to ten days later, depending on the size of the area treated. Results can be seen immediately, with final results appearing in about two to three months. Dr. Dayan provides specific aftercare instructions for your recovery.

Frequently Asked Questions About Tumescent Liposuction

Am I awake during tumescent liposuction?
Yes. Tumescent liposuction is performed under local anesthesia, so you remain awake and comfortable. Many patients prefer this approach because it avoids the costs, time, and recovery associated with general anesthesia.

How does the tumescent fluid help?
The fluid causes the fat to swell and firm, giving Dr. Dayan greater precision and control. It also temporarily shrinks nearby blood vessels, which reduces bleeding and bruising during and after the procedure.

Which areas can be treated?
Virtually any part of the body can be treated, including the face, chin, neck, breast, abdomen, flanks, hips, back, thighs, buttocks, and legs. Your specific concerns are reviewed during your consultation.

How long is recovery after tumescent liposuction?
Most patients return to normal activities and exercise within about seven to ten days, depending on the size of the area treated. A compression garment and walking soon after the procedure help support healing.

When will I see results?
Some results are visible immediately, with final results appearing over about two to three months as swelling fully resolves. Dr. Dayan will explain what to expect for your specific treatment.

Is tumescent liposuction safe?
Performing liposuction under local anesthesia avoids the risks of general anesthesia and is well established when done by an experienced surgeon. Dr. Dayan’s extensive training in awake, in-office techniques is central to both safety and comfort.

Why Choose Avance Plastic Surgery Institute for Tumescent Liposuction

Awake Liposuction Expertise: trained by pioneers of in-office liposuction under local anesthesia, with hundreds of procedures performed
Harvard Surgical Training: board-certified with Chief Resident experience at Massachusetts General Hospital
Center of Excellence: a recognized destination for advanced liposuction in Reno/Tahoe
Published, International Authority: a surgeon who has published and lectured on awake liposuction techniques worldwide
Accredited Surgical Facility: procedures performed in an AAAASF-accredited setting built for safety and precision

Schedule Your Tumescent Liposuction Consultation in Reno/Tahoe

If you’d like to remove stubborn fat comfortably, while awake, and without the downtime of general anesthesia, tumescent liposuction with Dr. Erez Dayan may be ideal. Contact Avance Plastic Surgery Institute in Reno/Tahoe, NV at (775) 800-4444 to schedule your consultation. Virtual consultations are also available for patients traveling from out of town.

Maintenance Program

The maintenance program at Avance Plastic Surgery Institute is designed to offer patients a convenient way to continue seeing the benefits of our treatments for as long as possible.

To maintain the outcomes of body contouring procedures, we recommend non-invasive and minimally invasive treatments with the following devices:

Forma Body (InMode)
Morpheus 8 Body (InMode)
Evolve

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Reviews

5.0 / 5.0

5.0 stars from 587 reviews

Hands down the most qualified, honest and knowledgeable plastic surgeon in Northern Nevada. Dr. Dayan and his staff are truly committed to offering leading edge technology, quality and professionalism to each and every treatment ranging from to simple non invasive injections to complicated procedures. What he and his team have to offer always seems too good to be true, but they always over exceed expectations and are incredibly budget conscientious. The Reno-Tahoe area is incredibly fortunate to welcome such a skilled and qualified aesthetic professional into the area!

Shelby M.

Dr. Dayan is the surgeon clients should interview with and choose for their procedures. I am always very cautious when deciding important life decisions and I can say without a doubt that I would go through my surgeries again with Dr. Dayan. Every appointment has been professional, courteous, informative, and truthful. I never felt rushed. I also appreciate knowing my privacy is maintained. My fear of pain is very respected, and his demeanor eases it quite a bit. I made my decision to trust Dr. Dayan because of his extensive education, vast experience, and my first-hand witness of his character. These factors have allowed me to look forward to all of my appointments.

Aubrey S.

I had three consultations and didn't make any decisions lightly, but Dr. Dayan blew the competition out of the water. From the moment I met him during my consultation, he was honest and open while also personable. He also insisted on putting me in touch with previous patients before I made my decision so that I could have a better understanding of the process and recovery as a whole. I ultimately picked him because I knew he would do a good job but also because I felt at ease with him. The day of surgery, I was very nervous and he was comforting while efficient with his time. He was also completely honest with me during my recovery and called either myself or my husband often to make sure I was doing well, but also to make sure my husband understood the process completely. He also makes himself so available for any little questions or concerns I've had, making me feel secure in knowing he's only a phone call or a text away. Although I am not yet completely healed (only 3 weeks post-op) I already feel so confident in the work that has been done. He has helped me to transform something that had me so insecure for such a long time into a body I feel comfortable in. I cannot wait for the final results! I won't hesitate to return to Dr. Dayan for anything else I need done. Between him and his office staff (Alli) I feel like more of a member of the Avance family rather than a patient!

Jacelyn O.

I highly encourage anyone who is considering plastic/reconstruction surgery to schedule a consultation with Dr. Dayan. I couldn't have asked for a better experience and outcome from my breast augmentation. At my consultations, not only did I get my questions thoroughly answered, but I was treated with such genuine kindness and patience. Dr. Dayan is professional, highly knowledgeable, honest and has a certain way of connecting with others. For these reasons, I trusted him and felt supported throughout my whole breast augmentation experience from pre- to post-surgery care. All around, I felt safe and informed about this big decision/investment which is all I could ever ask for. I recovered so much easier than I expected, and my breasts are looking perfect and natural! Dr. Dayan definitely listened to what I wanted and followed through. Lastly, I want to mention how sweet and supportive his team is over at Avance! I am very appreciative of their service.

Sidney C.

My results after a "noninvasive" procedure are amazing. The cutting-edge techniques and noninvasive technology that Dr. Dayan incorporates into his procedures, as well as being a gifted and talented surgeon and individual, all contribute to his many accomplishments. However, I personally am impressed with his abilities to listen, communicate, and create beautiful results. I highly recommend a consultation with Dr. Dayan before making a final decision on any kind of procedure. Just another satisfied patient!

Mary J.

I had a perfect experience at Avance. Dr. Dayan was quick, professional, and checked in with me regularly to make sure I was comfortable during the short procedure I needed done. His demeanor was calming and I was able to put full trust in his abilities from start to finish. Erez really knows his stuff, and it's amazing he's here in Reno when he could clearly be somewhere much bigger if he wanted. I definitely won't hesitate to book again if needed.

Chris S.

Absolutely an amazing experience! Where to start? When I first thought of getting a mommy makeover my expectations were not that high because I didn’t ever think I could look the way I wanted to. I always just hoped it would be an improvement and I would be happy with that. Then I met Dr. Dayan. From the first consultation he made me realize that he could give me beautiful results that I didn’t know were possible. He was so kind and confident and I knew from that moment that he was going to be my surgeon. I booked my surgery (a breast augmentation with implants and a tummy tuck with lipo) that day and it was the best choice I have ever made. Before my procedure he was very thorough and explained step by step what he was going to do which made me feel so comfortable. I actually wasn’t nervous at all. I was so excited! I am now 1 month post op and my results are above and beyond what I could have ever dreamed my body could look like after a mommy makeover. Dr. Dayan did an exceptional job. I am not completely healed and I already am so pleased. There are no words that can do justice to how amazing it is to put trust in someone with my body and wake up with results that are better than I could have ever imagined. He truly is skilled in his profession and has the eye for what is best for your body to give you the best results. He followed up with me several times post op to see how I was feeling. If I had any concerns or questions he responded to them quickly and personally which made me feel confident that everything was going well! His care is exceptional from beginning to end. He has an amazing staff as well. His Patient coordinator Ali is so sweet and helpful. She is amazing with communication as well as helping you with financial options and scheduling. You won’t be disappointed working with Dr. Dayan and Ali!

Valerie F.

Dr. Dayan and his team are the best of the best! The level of care, professionalism is top of the class. I strongly recommend Dr. Dayan and his entire team. I cannot say enough about his work - he is incredibly talented and I am confident under his care. Of course the results are amazing! I love my LIPS!

Nasya M.