Cold versus Warm Tumescent Solution in Arm Liposculpture: A Double-Blind Randomized Clinical Study.
Plast Reconstr SurgAug 26, 2026 (epub)
Clinical ResearchPlastic Surgery
Laura C Cala Uribe, Mauricio E Perez Pachon, Andreina Zannin Ferrero
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In 30 seconds
This double-blind randomized clinical trial compared cold (4°C) and warm (37°C) tumescent solutions in arm liposculpture among 52 female participants. The study found no significant differences in postoperative pain, bruising, or fat emulsification quality between the two solutions, with pain scores at day 1 being 5 for cold and 6 for warm (P = 0.9).
Key findings
- Pain scores were similar between cold and warm solutions at all time points, with day 1 scores of 5 vs 6 (P = 0.9).
- Bruising areas were comparable, measuring 40,444 mm² for cold and 41,212 mm² for warm (P > 0.05).
- 78.7% of patients reported being 'very satisfied' with the procedure.
Why it matters
Understanding the efficacy of tumescent solutions in liposuction can guide surgical practices and patient expectations. This study suggests that cold solutions may not provide additional benefits over warm solutions, which is crucial for optimizing patient outcomes.