A Suction Curette for Removal of Excessive Local Deposits of Subcutaneous Fat

Kesselring, Ulrich K.; Meyer, Rodolphe

doi:10.1097/00006534-197808000-00040

Cited by 118 publications

(28 citation statements)

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“…The curettage maneuver with a curette was introduced by Schrudde [9], but fat aspiration with a cannula was first reported by Kesselring and Meyer [7] in 1978. Since then many authors described different forms of negative pressure and suction techniques.…”

Section: Discussionmentioning

confidence: 99%

Liposuction: More curettage than aspiration

Mottura¹

1991

Aesth. Plast. Surg.

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After infiltration with epinephrine solution in each adipose area, an 8- or 10-mm cannula, without the suction tube connected, was introduced. With a curettage maneuver and by directing the cannula upward, the fat began to come out spontaneously. After obtaining a considerable amount of fat, the suction tube was connected and the remaining fat tissue aspirated at low suction power (250 mm Hg). With this curettage maneuver adiposity of the abdomen, knees, and trochanteric areas can be reduced. However, in the back, buttocks, or thighs, where adiposity is more fibrous, aspiration is needed from the start in almost every case, but always at low-power suction. This procedure is indicated in particular for the face and neck and for secondary liposuction. The fact that fat comes out easily through the cannula (without suction) demonstrates that the curettage maneuver is more important than the aspiration. Only with curettage can a considerable amount of fat be removed. No fat is removed when aspiration of 1 atm without a curettage maneuver is used. Suction only helps to remove fat already mobilized and free in the cannula. Our experience includes 34 patients.

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Section: Discussionmentioning

confidence: 99%

Liposuction: More curettage than aspiration

Mottura¹

1991

Aesth. Plast. Surg.

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“…In the 1960s SCHRUDDE removed subcutaneous fat deposits through stab incisions by sharp curettage (3). In 1978 KESSELRING added strong suction to this sharp curettage method (4). Shortly after, ILLOUZ replaced the curette by a blunt cannula inserted subcutaneously and connected to a vacuum pump to aspirate the fatty tissue (5).…”

Section: Introductionmentioning

confidence: 99%

Liposuction: Review of the Techniques, Innovations and Applications

Heymans¹,

Castus²,

Grandjean³

et al. 2006

Acta Chirurgica Belgica

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Liposuction is currently the most frequently performed aesthetic operation in the world. Despite its wide-spread popularity, it should nevertheless be stated that it is not trivial surgery, not always benign and not as safe as intimated in the glossy office brochures. Since the initial description of liposuction, numerous changes have taken place. Today, surgical indications are well defined and the liposuction procedure is well codified. However, several surgeons and manufacturers have developed new equipment and techniques. We propose to survey all the techniques showing the real place of each of them. Their advantages and disadvantages will be discussed. The various techniques dealt with are: the wetting solution techniques, standard liposuction or Suction-Assisted Lipoplasty (SAL), internal Ultrasound-Assisted Liposuction (iUAL), VASSER assisted liposuction, external Ultrasound-Assisted Liposuction (eUAL), Laser-Assisted Liposuction (LAL), Power-Assisted Liposuction (PAL) and Vibroliposuction (VL). On the basis of this review of the literature and of our clinical experience, we conclude that VL is the safest, most effective and precise surgery that can be used in any of the modern indications for liposuction. We concluded that VL seems to have all the advantages and none of the disadvantages associated with iUAL.

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“…Similar techniques with minor modifications were later described by Kesselring [18] and Teimourian [13]. All these techniques utilized skin undermining and sharp curettes that produced cavities and destroyed the connecting septae containing blood and lymph vessels bridging skin and fascia.…”

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confidence: 99%

Functional applications of suction-assisted lipectomy: A new treatment for old disorders

Apesos

Chami

1991

Aesth. Plast. Surg.

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Ever since the introduction of suction-assisted lipectomy in the United States in 1981, the technique has been applied to an increasing number of disorders of the subcutaneous tissues. Indeed, suction-assisted lipectomy has evolved into the method of choice in the treatment of certain pathological entities. While the extraction of lipomas is the most common functional application, suction-assisted lipectomy has also been used successfully to treat such conditions as gynecomastia, axillary hyperhidrosis, benign symmetric lipomatosis (Madelung's disease), congenital body asymmetry, congenital or acquired lymphedema, flap defatting, traumatic or postoperative hematomas, and fat necrosis. We have successfully treated patients presenting with the above disorders. No morbidities or mortalities were encountered in our series of 18 patients. The final results were considered favorable by the majority of patients. Acceptance by the patients of this treatment modality was extremely high because of the smaller incisions required, the exactness in contouring, the simple and minimal postoperative care needed, and the ease with which the procedure can be repeated to refine the results. A comprehensive review of the literature is presented along with our own patient management and long-term results.

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A Suction Curette for Removal of Excessive Local Deposits of Subcutaneous Fat

Cited by 118 publications

References 0 publications

Liposuction: More curettage than aspiration

Liposuction: More curettage than aspiration

Liposuction: Review of the Techniques, Innovations and Applications

Functional applications of suction-assisted lipectomy: A new treatment for old disorders

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