Chief anesthesiologist
Dr. Kim Kiusam
Leads anesthesia safety at the Seoul Liposuction Hospital.
Technique guide
Tumescent liposuction in Gangnam, Seoul: how the fluid technique works.
Almost all modern liposuction uses tumescent fluid, a diluted local anesthetic solution that firms the tissue and reduces bleeding before fat is removed. Here is how it works, and how 365mc applies it in liposuction, Royal Lipo and LAMS.
The basics
What “tumescent” means
Tumescent means swollen and firm, which is how the treated tissue feels after the fluid is infused.
In tumescent liposuction, a large volume of sterile fluid containing a dilute local anesthetic (typically lidocaine) and a vasoconstrictor (typically epinephrine) is infused into the fat layer before suction. The fluid numbs the area, narrows small blood vessels and separates fat, which makes extraction smoother and helps limit bruising and blood loss.
Tumescent infiltration is a technique rather than a brand. It is combined with different anesthesia levels and devices, including ultrasound-assisted ( Vaser) and laser-assisted ( SmartLipo) methods.
- Numbs the treatment area
- Constricts small blood vessels to limit bleeding
- Firms the tissue so the cannula moves more evenly
- Allows some procedures under local anesthesia
Real results
Before & after, side by side.
Two cases published by 365mc for this treatment. Drag the handle on each photo to compare.
See all before & after →Individual results vary. Photos are shown for information only and are not a guarantee of outcome. More cases: 365mc official gallery.
At 365mc
How 365mc uses tumescent technique
Surgery
Liposuction
Performed at hospital-grade facilities with a dedicated anesthesia team that monitors you before, during and after surgery.
Liposuction Seoul → Premium
Local only
Royal Lipo
Uses 365mc’s Royal Special Tumescent Solution, which 365mc lists as containing triamcinolone, Liporase, Botropase and tranexamic acid, aimed at reducing swelling and bruising. Performed under sedation.
LAMS
Fat is extracted under local anesthesia, with no incision and no sleep anesthesia. After extraction, a fat-dissolving solution is applied to surrounding fat.
Is LAMS right for me? → Anesthesia
Anesthesia options at a glance
| LAMS | Liposuction | Royal Lipo | |
|---|---|---|---|
| Anesthesia | Local only | Managed by the anesthesia team | Sedation anesthesia |
| Incision | None | Small incisions | Small incisions |
| Compression garment | Not required | As advised | As advised |
| Aftercare | Orange Care (LAMS plan) | Orange Care | Royal Recovery Program |
Your anesthesia plan is confirmed by the medical team after your health screening. Tell them about medicines, allergies and previous surgery.
Your doctors
Meet the full team →
Meet the doctors behind this treatment
Focus areas as listed by 365mc Seoul. Your coordinator can arrange a consultation with a doctor who specialises in your area.
CMO · Seoul Liposuction Hospital
Dr. Kim Hajin
Chief Medical Officer and chair of the 365mc council of representative directors.
Inside the operating floor
A surgical dream team behind every case
365mc’s Seoul hospital performs only liposuction and LAMS, so every team on the floor is organised around one kind of procedure. Each has a single job, and they work as one system from screening to recovery.
6
Specialist teams on the floor
CCTV
In liposuction ORs
1:1
Medical interpretation
0
Consults while operating
Surgical operations team
A dedicated team runs the operating schedule and supports area-specialized surgeons, who focus on specific body zones.
Anesthesia team
Staff experienced in liposuction anesthesia are on site. For high-risk patients, or when the medical team judges it necessary, an anesthesiologist administers anesthesia directly and monitors you throughout.
Safety management team
Before surgery a safety officer checks the surgeon’s blood pressure, pulse, temperature and overall condition.
Infection control team
Sterile operating-room protocols with a dedicated team for infection prevention.
Clinical pathology lab
Pre-operative tests are analysed in-house so results feed straight into your plan.
Recovery support team
Monitors you after surgery and runs the Orange Care program that follows.
Research
AI-assisted anesthesia safety
365mc and a research team at Ewha Womans University signed an agreement to develop an AI program that analyses breathing patterns during sedation and predicts the risk of apnea, so the depth of anesthesia can be adjusted before a problem occurs.
It builds on 365mc’s large base of liposuction anesthesia records and on the hospital’s principle that the anesthesia team monitors every patient until recovery.
- Breathing-pattern analysis during sedation
- Early prediction of apnea risk
- Joint research with Ewha Womans University
365mc original · LAMS
See the fat come out, while you are awake
LAMS (Local Anesthetic Minimal-invasive Liposuction) was developed by 365mc for people who want liposuction’s direct removal of fat cells without an incision or sleep anesthesia.
Fat is drawn directly into a syringe. According to 365mc, extracting one bottle takes about ten minutes, and because you are awake you can see the fat that was removed and talk with your doctor during the procedure.
- No incision, so no stitches to remove
- No sleep anesthesia — local anesthesia only
- No compression garment
- Customised Orange Care after LAMS
Watch
See 365mc from the inside
A short look at the hospital, the people and the process behind liposuction and LAMS at 365mc. More videos for international patients are on the 365mc English YouTube channel.
- Hospital-grade facilities in Seoul
- Dedicated surgical and anesthesia teams
- More on YouTube →
Orange Care
Recovery
Recovery
Medical
Comfort
Aftercare designed by people who only treat fat
At 365mc, care after liposuction is treated as part of the procedure, not an optional extra. Orange Care combines recovery therapy with medical follow-up and nutrition support.
Hyperbaric oxygen
Oxygen-chamber sessions in the weeks after surgery to support circulation and help swelling settle.
Light & frequency therapy
Low/medium-frequency therapy and Bio Light Laser sessions, plus Enderplus, scheduled by your doctor.
Dedicated aftercare doctor
Check-ups and prescriptions from an Orange Care physician, with progress reviews of your contour.
Supervised recovery room
1:1 care on the day of surgery in a recovery room monitored by medical staff.
Orange Care also includes 1:1 nutrition counselling with a clinical dietitian
, with an eating plan based on your body, medical history, work and lifestyle, and a 365mc food diary
(also available as an app) to track habits after you return home. Schedules vary by patient; international patients can receive adjusted schedules and remote follow-up.
FAQ
Common questions
Still unsure? Our English-speaking coordinators reply on WhatsApp, usually within 24 hours (excluding weekends and Korean holidays).
Is tumescent liposuction done awake? +
The fluid itself contains local anesthetic. Whether you are awake depends on the procedure: 365mc’s LAMS uses local anesthesia only, while surgical liposuction and Royal Lipo involve the anesthesia team or sedation.
Is tumescent liposuction safer? +
Tumescent infiltration is the standard of care because it reduces bleeding and allows lower anesthesia levels. Safety still depends on the facility, the surgeon and monitoring; 365mc performs liposuction only at hospital-grade facilities.
Does tumescent fluid cause swelling? +
Yes, some of the fluid drains or is absorbed over the following days, and swelling is expected. Orange Care sessions are designed to support recovery.
Is tumescent the same as Vaser or SmartLipo? +
No. Tumescent describes the fluid. Vaser adds ultrasound energy and SmartLipo adds laser energy, both used together with tumescent fluid.
Get a personal plan before you fly.
Send photos of the area and your travel dates. A 365mc coordinator replies in English with the suitable method and next steps.