RT Journal Article SR Electronic T1 How I Do It: Variable Tumescence JF International Society of Hair Restoration Surgery FD Publication of the International Society of Hair Restoration Surgery SP 133 OP 133 DO 10.33589/24.4.0133 VO 24 IS 4 A1 Carman, Timothy A1 Wong, Jerry YR 2014 UL http://www.ISHRS-HTForum.org/content/24/4/133.abstract AB The use of tumescence during the creation of recipient sites is a common technique among ISHRS surgeons practicing state-of-the-art hair transplant surgery. It is interesting to consider the different ingredients and concentrations added to tumescent solution that vary from surgeon to surgeon as well. Below, Dr. Jerry Wong describes his approach to the use of tumescence in his practice. In his description, notice how simple and subtle variations in technique can enhance the operating field by improving visualization and protecting the vascular bed.