Liposuction And How It Began

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During the 1920s, a French surgeon was the first physician to perform body contouring and removal of unwanted fat. A tragic case involving gangrene in the leg of a popular French model set back advances in this field of cosmetic surgery. However, interest was renewed within a few decades and liposuction surgery was re-invented in Rome, Italy in 1974 by Dr. Giorgio Fischer and Dr. Arpad Fischer.

Modern liposuction techniques as we are familiar with today, date back to a French surgeon named Dr. Illouz in 1982. He developed a procedure that used suction-assisted devices in order to remove unwanted fat after infusing the tissue with fluid. Tools used at that time included blunt cannulas and high-vacuum suction devices. Following Dr. Illouz's success, many American plastic surgeons attempted to recreate and reproduce his techniques, but were met with mixed success.

As the popularity of liposuction increased, more doctors worked on further advances in procedures. Tumescent techniques with the addition of high volumes of fluid were developed in the mid 1980s. This allowed the surgery to be done in an out-patient clinic setting with only local anesthesia instead of requiring a full surgical operating theatre and staff. Results were mostly positive, but some physicians were concerned about the toxicity of large amounts of lidocaine and the possibility of using too much volume.

Liposuction continued to evolve through the 1990s and advances in technology, such as ultrasound were added to the surgical procedures. Ultrasound uses energy to break up fat cells and facilitate their removal. However, complications with this style of fat liquefaction have made its use more rare.

Other advanced technologies such as laser probes continue to help liposuction procedures evolve over the years. The ideal cosmetic surgery removes as much fat as possible while reducing morbidity effects such as discomfort, blood loss, and other side effects. Similar to any other invasive surgery, liposuction carries the risk of adverse anesthetic reaction, excessive bleeding, hematoma formation, seroma formation, blood clot, infection, asymmetry, irregularities, or delayed healing.

Post-operative recovery time from this type of cosmetic surgery is usually minimal, but may involve some pain, redness, swelling or bruising. These side effects should reduce and resolve over a period of a week or two. Contact your doctor immediately if redness or swelling increases as this may be a sign of infection and should be treated with antibiotics as soon as possible.

Men and women that make good candidates for this type of surgery are in good overall health and do not have bleeding or clotting disorders. Your surgeon may also advise you to quit smoking for two weeks before and after surgery as it can constrict blood vessel flow and extend the healing period or cause excessive scar formation.

Some areas of the body where liposuction is commonly performed include the abdomen, hips, saddlebag area on the outer thighs, love handle flanks, back, inner thighs, inner knees, upper arms, chin, or male breast tissue.

As with any surgery, it is important to thoroughly research the physicians in your area that offer this procedure. Choosing a physician that is board certified and highly experienced in this type of procedure will ensure you are happy with the post-operative results for years to come.
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