TREATMENT GUIDE | treatment guide
Lipoplasty and body contouring
Steven Hopping discusses the development of lipoplasty and body contouring
procedures, as well as issues of safety, patient selection and potential complications that the aesthetic physician should consider
L 72 ❚
IPOPLASTY (OR FAT remodelling) burst, or more accurately re-emerged, onto the modern medicine radar 30 years ago. After a disasterous start resulting
in severe infections and amputations in the early 1900s, attempts to remove localised fat were largely abandoned until reintroduced by French surgeon, Dr
Yves-Gerard
Illouz, in 1982. Dr IllouzÕs techniques of
suctioning Ultrasonic and laser-assisted lipoplasty The tumescent
localised fat with a blunt, non-cutting cannula after first infusing the tissues with saline, proved revolutionary. Lipoplasty, or liposuction, quickly
are the most recent advances in the procedure, but these innovations have also added to the overall costs and potential risks. Whether these advanced techniques offer advantages over traditional lipoplasty is currently being argued and evaluated. In 1985, Kline and Lillis introduced the use of high volume tumescent fluid of a ÔdiluteÕ
local
technique allows for safer, less painful fat removal with significantly less blood loss.
became one of the most frequently performed cosmetic procedures as a result of its effectiveness and relatively low morbidity rates. By 2006, according to the American Society of Plastic Surgeons lipoplasty was the most common plastic surgery procedure performed and its popularity worldwide remains strong.
July/August 2012 |
prime-journal.com
anaesthetic solution, allowing liposuction under pure local or sedation anaesthesia, rather than general anaesthesia. The
tumescent technique allows for safer, less painful fat removal with significantly less blood-loss. Indeed, autologous
blood
transfusions, which were common prior to the use of the tumescent technique, are no longer a consideration with modern day lipoplasty. Tumescent anaesthesia has allowed cosmetic surgeons to perform liposuction in their offices with just local or local/sedation anaesthesia, further advancing the popularity and safety of the operation.
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