Liposuction Surgery
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Liposuction evolved from work in the late 1960s from surgeons using
primitive curettage techniques which were largely ignored, as they produced
inconsistent results with significant morbidity and bleeding. Modern liposuction
came onto the scene in a presentation by French surgeon, Dr. Yves-Gerard
Illouz, in 1982. The Illouz method used a technique of suction-assisted
lipolysis, using blunt cannulas and high vacuum suction. His method yielded
both reproducible good results and low morbidity.
Throughout the 1980s the cosmetic surgeons in the United States experimented
with liposuction. Some developed variations and improvements to existing
procedures, achieving mixed results.
The tumescent technique was developed in 1985 by two American dermatologists,
enhancing the safety of office-based procedures, partly by avoiding the
use of general anesthesia.
Ultrasound was introduced to this area of cosmetic surgery during the
late 1990s. It was used to facilitate the removal of fat by first liquifying
it by using ultrasonic energy. After an initial flurry of interest in
this technique, increased reports of complications curtailed the enthusiasm
of many practitioners.
The advantages of 30 years of improvements have been that more fat cells
can be removed with more ease than in the past, with less blood loss,
and less risk of complications.
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