A journey through liposuction and liposculture: Review

Abstract

IntroductionNowadays, liposuction is the most frequently performed aesthetic surgery procedure in Western Countries. This technique has had rapid development since the 1970s, when it was experimented for the first time by A. and G. Fischer. It is currently widely used in clinical practice for many different situations in aesthetic, reconstructive and functional fields.Materials and methodsThis review aims to describe the historical evolution of liposuction by analyzing the transformation of the method in function of the introduction of innovative ideas or instruments. We have also focused on reporting the major clinical applications of this surgical technique, applicable to almost the entire body surface. We finally analyzed the complications, both major and minor, associated with this surgical technique.ResultsLiposuction is mainly used to correct deep and superficial fat accumulations and remodel the body contour. It has become an essential complementary technique to enhance the aesthetic result of many other aesthetic procedures such as reduction mammoplasty, abdominoplasty, brachioplasty, thigh lift and post bariatric body contouring. However, it can be largely used for the treatment of innumerable pathologies in reconstructive surgery such as lipomas, lipedema, lipodystrophies, pneudogynecomastia and gynecomastia, macromastia e gigantomastia, lymphedema and many others. The complication rate is very low, especially when compared with conventional excisional surgery and the major, complications are generally associated with improper performance of the technique and poor patient management before and after surgery.ConclusionLiposuction is a safe, simple and effective method of body contouring. It has enormous potential for its application in ablative and reconstructive surgery, far from the most common aesthetic processes with a very low complication rate.

Abdominal Fat Reduction through Cryolipolysis

“…Conventional fat removal is achieved by surgical approaches such as liposuc-Journal of Biosciences and Medicines tion or lipectomy, however, which are invasive methods with risks of infection, hemorrhage, scarring [2]. Additionally it has some limitation such as expensiveness, and longer postop care, postop mortalities, even without metabolic improvement [3].…”

Helium Plasma-Driven Radiofrequency in Body Contouring

“…Patient and physician interest in limiting incisions and complications led to the development of liposuction in the late 1970s [1]. While Illouz [2] has commonly been given credit for coming up with liposuction as a new procedure, other surgeons before him used a combination of sharp cannulas without tumescent fluid to remove fat.…”

Anesthesia Management for Large-Volume Liposuction

“…In 1970s, the technique evolved with various doctors such as Shrudde, Kesserling and Meyer, the Fischers, and many more. The technique was again modified in 1977 by the French surgeon, Yves Gerard Illouz, who added hyaluronidase and saline solution to try to emulsify the fat and facilitate its aspiration, later called the wet technique [1][2][3]. It was not until the mid-1980s that the American dermatologist, Klein, described the tumescent technique, in which considerable amounts of sodium chloride solution, local anesthetic, epinephrine, and bicarbonate were infiltrated in the fatty tissue to expand and increase its turgor in order to create a level to facilitate the suction and reduce blood losses [4].…”