History of Liposuction | Liposuction4You.com Contact Us The History of Liposuction Liposuction is one of the most popular cosmetic surgical procedures in the United States, but it is still a relatively new procedure. Although surgeons had attempted to remove fat using scalpels to manually take out the fat for a long time before suction-assisted procedures came along, that kind of surgery didn't work well. The history of liposuction is a bit vague, since several people claim to have invented it or been the first to do certain types. The first use of suction to help remove the fat is attributed to a French surgeon named Charles Dujarier in the 1920s. Unfortunately, he treated a famous Parisian model and gangrene set in, leading to her death. That put a stop to suction-assisted fat removal for several decades. Liposuction was again invented in 1974 by two Italian gynecologists, Dr. Giorgio Fischer, and his son Dr. Giorgio Fischer, Jr. They discovered a way to internally cut away at fat tissue within the body using an electric-powered rotating scalpel inserted through small incisions.

This rotating scalpel was similar to a gynecological instrument used for dilation and curettage procedures. This tool is essentially an oscillating blade contained within a thin metal tube called a cannula. The destroyed fat cells (along with other tissue, fluid, and blood, no doubt) were suctioned out through rubber tubing by a vacuum machine. The Fishers' technology was not as fine-tuned as that used today and is really just barely comparable, but they gave birth to modern liposuction. But early attempts at vacuum-assisted lipoplasty (or suction-assisted lipectomy, suction lipectomy) resulted in a great deal of blood loss, permanent numbness in the treated areas, asymmetry, and very unpredictable results. Surgeons began to change the procedure and create their own techniques. Liposuction was being fine tuned through the 1970s and 1980s. Unfortunately, when a new procedure is introduced the patient becomes the guinea pig. During this time, surgeons tried various kinds of oscillating blades that were encased in metal cannulas and sharp bladeless cannulas were also tried.

If there was a new theory on what would work better, there was a patient on the receiving end of the newer technique. Next Step in Liposuction: The Invention of the Tunneling Technique and Use of Blunt Cannulae In 1977, a French plastic surgeon named Dr. Yves-Gerard Illouz greatly improved suction-assisted lipoplasty through the use of a blunt-tipped cannula. The use of a blunt cannula produces less bleeding, less nerve and blood vessel damage, and was easier for the surgeon to manipulate through fatty tissue. Dr. Illouz also saw shorter recovery times and less postoperative discomfort when a blunt-tipped cannula was used. Less blood loss meant fewer complications, such as shock, the need for blood transfusions, or the occasional death from blood and fluid loss. Cosmetic surgeons started using a tunneling technique with the cannula around this time. This began the journey towards liposuction as we know it. Dr. Pierre-Francois Fournier further improved liposuction techniques in collaboration with Dr. Illouez. They became known as the pioneers of liposuction as we know it.

Plastic surgeons, dermatologists, and plastic surgery societies outside of France caught wind of this new and exciting procedure in the early 1980s. Many traveled to observe liposuction procedures performed by Drs. Illouz and Fournier. Soon surgeons brought liposuction to the United States and began practicing this procedure on their own. American surgeons found that liposuction was truly beneficial when performed by a surgeon who was skilled, responsible, and had a good aesthetic eye. But with new procedures comes new concerns. Not everyone was convinced of the safety and efficacy of the liposuction procedure, especially in the wrong hands. There were questions regarding proper technique, the effects of skin elasticity, asymmetry, pain management, and of course, which areas of the body could be safely treated. In spite of that plastic surgery is a very safe, there were also some well-publicized deaths. And just who was going to be allowed to perform liposuction: Plastic surgeons, general surgeons, dermatologists, primary care physicians, gynecologists? Cosmetic surgery (procedures done only for aesthetic reasons) was establishing itself as a distinct specialty from plastic surgery (both reconstructive and aesthetic procedures).

Dermatologists were one of the first specialties to help perfect liposuction and there was a bit of a turf war between them and the plastic surgeons. Everyone had a different opinion about which medical specialty should perform liposuction, and absolutely everyone wanted the money it would bring in. Things haven't changed too much on this front. However, liposuction still wasn't safe enough at that time to be widely performed. The results were not always good and the risks were higher then they are now. Different Liposuction Techniques: Super-Wet and Tumescent Liposuction Early liposuction procedures were considered dry techniques, although Dr. Illouz originally used an infusion of the treatment area with saline. Surgeons started infusing more saline fluid and mixing the fluid with epinephrine, a drug that constricts blood vessels, and lidocaine, a local anesthetic, in what became called wet techniques. Unfortunately, the amount of lidocaine solution used by some surgeons caused their patients to overdose, with some fatalities. These days, less lidocaine is used and patients are monitored more closely. Then came the super-wet technique.

In this technique, the surgeon injects larger amounts of saline, epinephrine, and lidocaine into the areas to be treated. The idea was to prevent major blood loss and reduce bruising and pain. The fluid would swell and engorge the fatty area and surrounding tissue. Another word for swelling is tumescence and this word started to be used. This way the fatty areas can be removed with out major detrimental tissue damage, significant blood loss and aid in ease of fat removal. In a super-wet procedure, the amount of fat and tissue sucked out is the same as the amount of fluid is infused. Originally, lidocaine was not included in this infusion, but later was added. In 1985, a California dermatologist named Dr. Jeffrey Klein further improved liposuction by introducing the tumescent technique. With the tumescent technique, twice as much, and even three time, as much of the solution is infused in comparison of the amount of fat targeted to be removed. Tumescent liposuction is the most common type of liposuction done in the United States today, with many thousand procedures done. It is considered by many to be safer than earlier techniques.

The rule of thumb for distinguishing the different techniques is this: If your surgeon injects less tumescent solution than the amount of fat removed, it is a wet technique. If your surgeon injects about the same amount of tumescent solution as the amount of fat removed, it is a super-wet technique. If your surgeon injects the fat and tissues with 2 to 3 times the amount of solution as the amount of fat removed, it is a tumescent technique. Ultrasonic-Assisted Liposuction In 1987, Italian surgeon Dr. Michele Zocchi pioneered the use of ultrasonic high frequency sound waves in liposuction. High-frequency ultrasound waves are emitted from a paddle or pads that are held near the skin. These waves penetrate the skin and heat up and destroy the membrane of a fat cell and literally liquefy the fat. This makes it easier for surgeons to aspirate the emulsified fat without much effort with the cannula. This procedure is called external ultrasonic liposuction (E-UAL). However, there is the risk of burns to the skin and contour irregularities. Today ultrasonic liposuction is usually carried out using a cannula that emits ultrasonic waves.

This is called internal ultrasonic liposuction (I-UAL). There are risks with this, too, such as burns, punctures and excessive undermining of tissue due to thermal wounds. Also, the incisions used for internal UAL must be larger to accommodate the cannula. Many liposuction surgeons do not like UAL and feel that tumescent liposuction is superior. Power-Assisted Liposuction Power-assisted liposuction (PAL) is a newer technique that uses a high-speed linear reciprocating suction cannula. This cannula eases through the fatty tissue including very dense, fibrous tissue with less trauma than traditional techniques and with no burn risks as with the UAL techniques. Surgeons are able to perform more effective high-volume liposuction in a shorter time, without as much trauma, especially in more fibrous areas. Fibrous fat tissue has always been a problem in the buttocks, saddlebags, back, and the male breast. The PAL cannula moves through these areas faster, with less work and strain for the surgeon and less pain and a faster recovery for patients. Aesthetic results are comparable to other standard liposuction techniques.

Laser-Assisted Liposuction Laser-assisted liposuction, also called laser liposuction or laser liposculpture, was pioneered by a Columbian surgeon, Dr. Rodrigo Neira. Dr. Neira reportedly had first attempted to relieve pain and lessen the recovery time with this device, which had been created for pain management. He noticed that fat was emulsified and released from fat cells, but that the fat cell membranes were unharmed. Laser-assisted liposuction is most commonly used in conjunction with tumescent liposuction, but has been used on smaller areas of fat without suction removal. The emulsified fat is left in place because the body can remove a small amount of fat on its own. This device does not create heat (it is considered a cool or cold laser) and therefore causes no thermal wound. The device is held over the treatment area for 12 minutes and then small incisions are used to drain the fluid and fat cells. Laser Lipolisis Laser lipolisis (sometimes written as laserlipolisis) is a newer procedure that was invented in Italy.

This procedure is not found in the United States as of yet, but is routinely performed in Italy, South America, and in other parts of Europe. The procedure is performed with injections similar to the tumescent liposuction technique and involves the insertion of a fiber optic device through very small incisions. The laser light that is beamed down the fiber optic apparently affects only the yellow material in the body, the fat, which it emulsifies. Up to 500 ml (a little over a pint) of fat can usually be absorbed by the body. Although laser lipolisis was not initially designed for high volume applications, larger volumes of fat can be liquefied and suction aspirated. Evolution of Incisions Incisions used in liposuction were once over an inch long! Now they are often barely an eighth of an inch long with the tumescent technique. Some procedures, such as laser-assisted liposuction, do not require aspiration and have no incisions. Along with the length of the incisions, the placement of them has also evolved. Surgeons have learned where the incisions can be placed so that they are as inconspicuous as possible after they heal.

However, not all surgeons place incisions inconspicuously, so be sure to go over this with your surgeon at your consultation. Some surgeons are able to get to numerous areas using just a few planned-out incisions and some seem to require more incisions to get good results. Skill is a major issue in any cosmetic procedure, and this is especially true with liposuction. <LAYER name=hiddenframe WIDTH=0 HEIGHT=0 visibility="hidden"> </LAYER> David Pratt, MD, FACS Aesthetic Facial Plastic Surgery, PLLC 1810 116th Ave History of Liposuction History of Liposuction You are here: Home / Liposuction Information / History of Liposuction Although the first known use of suction to remove fat from the body was performed by French surgeon Charles Dujarier in the 1920s, the development of modern liposuction is credited to father and son Italian gynecologists Arpad and Giorgio Fischer who in 1974 invented a blunt, hollow surgical instrument called a cannula that allowed them to create tunnels between major blood vessels of the body while sucking out fat.

Prior to this time, many physicians had attempted to sculpt fat build-up using a curette, a surgical tool designed for scraping, which often caused blood clots, abscesses, skin unevenness, and other health complications. Other doctors of the era tried to reshape the body by surgically removing both fat and skin, resulting in unsightly scarring, and with time, re-accumulation of fat around the incision sites leading to physical deformity. By 1978, Paris physicians Yves-Gerard Illouz and Pierre Fournier became interested in the Fishers’ groundbreaking work, subsequently making improvements to the equipment used for liposuction. Recognizing the potential impact of this new procedure, Illouz popularized it throughout France, gradually developing the so-called “wet technique” in which a solution of saline (salt water) was injected into the fat before suctioning to decrease bleeding and make suctioning easier. A short time later, Fournier introduced the use of the local anesthetic lidocaine, laying the groundwork for the tumescent technique used today.

Additionally, Fournier refined the Fischers’ entry technique using a criss-cross method utilizing several incision sites rather than just one or two in order to give more even contouring. He also introduced the concept of applying compression to the affected area(s) post-operatively to help support and shape the suctioned tissue. By 1980, “lipo” had become quite popular in the US but met with a great deal of negative publicity due to many patients experiencing excessive bleeding and tell-tale rippling of the skin after surgery. Among the first to offer liposuction in the US was New York dermatologist Rhoda Narins, with plastic surgeons Julius Newman and Richard Dolsky directing a liposuction course in Philadelphia by late 1982. Finally, in 1985, California dermatologist Dr. Jeffrey A. Klein revolutionized liposuction by perfecting the tumescent technique, a method by which both lidocaine and epinephrine (a drug that shrinks capillaries), are injected into the fat. With his more refined method, patients could have liposuction performed completely under local anesthesia using a much smaller cannula without fear of excessive bleeding or undesirable skin depressions.

It quickly became the most popular means of shaping the body, especially for women’s buttocks and thighs. The next significant development in liposuction occurred in 1992 when Professor Michele Zocchi of Italy introduced Ultrasonic Assisted Lipoplasty (AUL) as an alternative to conventional cannula suction. A method involving the application of ultrasonic energy to fat cells prior to suctioning, Zocchi hoped that this new technique would allow liposuction to be performed without damaging nerves and veins that were often destroyed using blunt cannula liposuction. While initially embraced in South American and Europe, ultrasonic liposuction was largely rejected after many patients experienced skin peeling, burns, and fluid build-ups in the affected area(s). In 1997, however, the American Society of Plastic and Reconstructive Surgeons lent unprecedented support to ultrasonic liposuction, developing a series of educational courses to instruct their members in the proper way to apply this new technology. While this served to popularize the method among countless plastic surgeons, dermatologists largely rejected it, saying that the increased complications over-shadowed the minor benefit of less work it provided.

Though considered by some to be a technology apart from traditional liposuction, Power-Assisted Lipoplasty (PAL), approved for general use in 1998, uses a special cannula that pulses as it suctions. While not yet widely used, many modern plastic surgeons believe that it, like Ultrasound-Assisted Lipoplasty (UAL), may offer as yet unknown possibilities in the near future. Lipo Newsletter The History of Liposuction | Costhetics news The History of Liposuction “There are a wide variety of liposuction techniques in use at present, with new ones constantly entering the market. All the liposuction methods in use today can be divided into two groups: surgical and non-surgical.” recent news Pollution & Skin Damage The History of Liposuction Liposuction, also known as liposculpture, is one of the most popular cosmetic surgical procedures on the planet. According to the American Society of Plastic Surgeons , it was the third most popular cosmetic surgical procedure in the US in 2011 with over 205,000 liposuction procedures performed. That adds up to about one in every eight cosmetic surgeries performed in the US in 2011.

Posted: 16 August 12 The honour of inventing liposuction in 1974 is attributed to Dr. Giorgio Fischer, a gynaecologist from Rome, Italy. He later went on to found the International Academy of Cosmetic Surgery . In 1978 two French doctors, Dr. Illouz and Dr. Fournier, began using and further developing liposuction techniques. They were the first to employ liposuction for purely cosmetic purposes. By 1980, liposuction had become very popular, but the techniques used were far from perfect. At first liposuction was performed under general anaesthetic, using relatively large hollow tubes, known as cannulas. There was often excessive bleeding after the procedure, and patients were often left with rippled skin. Because liposuction techniques were imperfect, there were many horror stories amongst patients and much uncertainty about the outcome. In 1985 American dermatologist Jeffrey Klein improved the existing liposuction process by inventing the tumescent technique. The tumescent technique enabled doctors to perform liposuction using local anaesthesia and much smaller cannulas.

The tumescent solution, which is injected into the area to be subjected to liposuction, contains lidocaine, saline and epinephrine. Lidocaine is a local anaesthetic similar to novocaine. It produces a numbing effect in the area injected. Epinephrine, a drug that constricts blood vessels in the injected area, reduces the risk of bleeding during surgery. By using smaller cannulas, the tumescent technique also reduces the risk of undesirable skin depressions caused by larger tubes. Since 1985, liposuction techniques have evolved even further. The mix of injected solutions has been fine-tuned to produce positive results and lower risks to patients. Dr. Klein has published many scientific papers and invented many patented liposuction and skin-treatment-related products. When reading about the history of liposuction, you will come across the terms ‘dry’ or ‘wet’ liposuction. At present, surgeons do not use ‘dry’ liposuction, performed without any solution injected into the treatment area.

The term ‘wet’ liposuction refers to a technique where only a small amount of fluid—between 170 to 230 grams—is injected into the treatment area. In contrast, the tumescent technique requires injection of up to five times as much fluid as the volume of fat to be removed during the process, practically flooding the treatment area. There are a wide variety of liposuction techniques in use at present, with new ones constantly entering the market. All the liposuction methods in use today can be divided into two groups: surgical and non-surgical. Surgical liposuction techniques include tumescent liposuction, Vaser method, Power Assisted Liposuction (PAL), water-jet-assisted liposuction and laser-assisted liposuction. There are a wide choice of laser-assisted liposuction methods, including SmartLipo and CoolLipo. Some non-surgical liposuction techniques include CoolSculpting, Cellulaze, i-lipo, LipoSonix, VelaShape and Ultrashape. Some of these methods are more widely used than others, but wide usage does not always indicate to what extent the methodology and expected results are backed by science.

Wide usage can be an indicator of a large marketing budget and savvy marketing methods. To be safe, whichever method of liposuction you opt for, make sure you know exactly what is involved and can reasonably be expected from it. You can do this by doing your own research and discussing the procedure with your surgeon. It is also vital to make sure that your surgeon is qualified to perform liposuction and has significant experience. You may want to read the Costhetics article on Do Your Homework before undergoing any cosmetic liposuction procedure. Join the Conversation The History of Liposuction | All About Liposuction and Liposuction History Contact The History of Liposuction Liposuction is an amazing procedure that can be used to help you attain the body that you desire. However, it has a long history in which that wasn’t always the case! If you’re interested in learning all about liposuction and liposuction history, read on for more information: Two Italian-American gynecologic surgeons — Drs. Arpad and Giorgio Fischer — are considered to have conceived and developed the liposuction procedure in 1974; however, the roots actually harken back to the 1920s when Dr.

Charles Dujarier, a French gynecologic surgeon performed the first liposuction procedure to remove fat from the leg of a French model. The procedure caused gangrene and the concept of body sculpting to remove fat was lost for five decades. A procedure was developed in the 1960s, called suction curettage. This procedure unfortunately resulted in irregular results and caused complications such as severe bleeding and in some cases, death. The procedures developed by Drs. Arpad and Fischer were the first to use a cannula, also invented by these doctors. While the procedure was considered an advancement, the technique still came with many complications. New Liposuction Advancements with Tumescent Liposuction Procedure A new liposuction method was invented and introduced in 1985 by Dr. Jeffrey Klein, an American dermatologist. The procedure was called tumescent anesthesia, and basically changed the face of liposuction surgery. The new procedure eliminated the need for general anesthesia by only needing a local anesthetic — a mixture of epinephrine and lidocaine in a saline solution. Another major difference of this new liposuction procedure is that it is done on an outpatient basis and comes with few side effects.

Essentially the tumescent liposuction procedure entails the tumescent anesthetic solution being injected into the treatment area. The unwanted fat deposits are then removed via gentle suction using tiny cannulas. In the 1990s, another liposuction procedure — liposculpture — was developed. This procedure uses gentle suction using a cross-tunneling technique. Again, this type of liposuction is done using local anesthesia. In 2006, we saw the first use of lasers for tumescent liposculpture. Called SmartLipo, it was developed by Cynosure. By 2009, SmartLipo had received FDA approval for procedures for the “surgical incisions, excision vaporization, ablation, and coagulation of soft tissue.” In essence, laser liposuction uses laser energy to melt or liquefy fat deposits. When the fat is dissolved, small cannulas and gentle suction remove the fat. This technique also has the added benefit of skin tightening so it is especially effective in treating areas such as muffin tops, saddle bags, and the neck and jowl areas.

As you can see, the huge advances in the area of liposuction have give surgeons tools and techniques that can remove fat more easily and provide better comfort to the patient. For more information about liposuction and how it can help you, contact us today! We can’t wait to hear from you soon. Got a Question? Sign Up for Our Newsletter! 1] filling out the form does NOT create a doctor-patient relationship. 2] This contact form is not to be used for emergent or urgent medical condition rather they should be seen in ER or call 911. 3] The website contact form should not be used for ongoing patient communication with the practice. Our Most Popular Procedures Cosmetic Surgery Myths Busted - ACCS Media Release | Norwood Day Surgery Cosmetic Surgery Myths Busted – ACCS Media Release October 10, 2015 Australasian College of Cosmetic Surgery (ACCS) Censor-in Chief Dr John Flynn set the record straight about the training Cosmetic Surgeons and plastic surgeons receive. Dr Flynn said the College was particularly concerned that misstatements by the Australian Society of Plastic Surgeons are likely to confuse members of the Australian community who may be considering having Cosmetic Surgery.

“It’s important to understand that there’s no recognised specialty of Cosmetic Surgery. Claims that a plastic surgeon has a recognised specialist qualification in Cosmetic Surgery due to their Plastic Surgery qualification are simply untrue,” Dr Flynn said. Dr Flynn noted that although plastic surgeons learn the necessary competencies to undertake Cosmetic Surgery training and may be introduced to some cosmetic procedures, like any other practitioner they must undertake Cosmetic Surgery training after their Plastic Surgery training to be properly qualified. Dr Flynn also noted that Cosmetic Surgery is a multidisciplinary practice drawing on a diverse range of doctors. Many of the most significant procedural advances in Cosmetic Surgery have come not from plastic surgeons but from other disciplines. Italian Gynaecologist Giorgio Fischer invented Liposuction, American Dermatologist Jeffrey Klein pioneered Tumescent anaesthetic technique widely used in liposuction today, and the cosmetic properties of Botulinum toxin were discovered by Canadian Dermatologists Alastair and Jean Caruthers. Cosmetic Surgeons derive from Maxillofacial Surgery, ENT surgery, Plastic Surgery, General Surgery, General Practice, Obstetrics and Gynaecology, Ophthalmology and elsewhere.

“What is common to all of these doctors is that in order to be a Cosmetic Surgeon, they must undertake additional relevant specific training in Cosmetic Surgery,” Dr Flynn said. The ACCS is the only medical college which provides education and training leading to fellowship specifically in cosmetic medicine and surgery. Dr Flynn also took aim took aim at misleading statements made by the president of the Australian Society of Plastic Surgeons Hugh Bartholomeusz. “Professor Bartholomeusz has a history of making misleading statements about the nature and duration of training of both Cosmetic Surgeons and plastic surgeons. He seems even not to know how long plastic surgeons train for,” Dr Flynn said.

Dr Flynn noted that Professor Bartholomeusz has variously asserted post-medical school training by members of the Plastic Surgery society to be: “at least a further eight years” (ASPS media release, 14 July 2015) “at least 10 years” (Dr Bartholomeuz clinical website) “more than 10 years” (Network Seven interview, 3 September 2015) “up to 10 years” (Network Seven interview, 5 September 2015) “the almost ten years” (The New Daily interview, 30 September 2015) The actual duration of post-medical school training required to become a plastic surgeon is seven years, (ASPS website), which is the same number of additional years required of Cosmetic Surgeons who train in the ACCS surgical fellowship. Dr Flynn expressed the view that it is concerning that the head of the Plastic Surgery society appears to be confused over how long the plastics training program is. “Australians considering Cosmetic Surgery are entitled to accurate information in order to make informed decisions about their health care. It’s time to set the record straight,” Dr Flynn said.

“Anyone with a medical degree can perform Plastic Surgery, and doctors from a variety of different disciples perform Plastic Surgery procedures. They just can’t call themselves a Plastic Surgeon unless they have a Plastic Surgery fellowship. “Theoretically any doctor can perform any procedure. But doctors are expected to work within their level of training and competency. Unfortunately some plastic surgeons without necessary training perform Cosmetic Surgery. Plastic surgeons or anyone for that matter should not be able to claim that they are a Cosmetic Surgeon unless they have trained and been examined in that discipline,” Dr Flynn said. The ACCS believes national standards of education and training be established so that any medical college or university can have its training program assessed against that standard. Patients will be better protected and better equipped to make informed decisions, because they will able to choose doctors who have undergone appropriate, relevant training, assessment and accreditation specifically in Cosmetic Surgery. “In the meantime,” Dr Flynn warned, “it is important that consumers do their homework to ensure that their surgeon is properly trained in Cosmetic Surgery.

Ask your surgeon to show you their CV and explain their level of training and how often they perform the procedure that you are considering.” ￼￼ ￼￼￼￼￼￼￼Myth: Cosmetic Surgery is a “subspecialty” of Plastic Surgery. Busted: Neither the Australian Medical Council, which assesses medical specialties and training, nor the Medical Board of Australia which licenses doctors, recognise subspecialties. Cosmetic Surgery is performed by doctors from several different disciplines as are Plastic Surgery procedures. ￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼Myth: Cosmetic Surgery is a recognised part of Plastic Surgery. Busted: The AMC has never recognised Cosmetic Surgery as uniquely part of Plastic Surgery.

The only mention of Cosmetic Surgery in any AMC assessment of the Royal Australasian College of Surgeons (RACS) education and training program was in 2002, when the RACS Board of Plastic and Reconstructive Surgeons was quoted conceding that it was merely trying to expose some of its trainees to Cosmetic Surgery as well as the separate non-RACS surgical specialty of maxillofacial surgery. (“Accreditation Report: Review of the education and training programs of the Royal Australasian College of Surgeons”, AMC, 2002 , p 21). The AMC report made clear that ASPS did not provide Cosmetic Surgery training comprehensively or universally to its Plastic Surgery trainees, and Cosmetic Surgery has not been mentioned in subsequent AMC assessments. ￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼Myth: Plastic surgeons are qualified to perform Cosmetic Surgery and non-plastic surgeons are not qualified. Busted: There is no government recognised qualification in Cosmetic Surgery.

Plastic surgeons, like other medical practitioners, must obtain cosmetic surgical training in the private sector after they complete their Plastic Surgery training. By comparison, to become a Cosmetic Surgeon and ACCS Fellow, doctors must typically complete a minimum of 12 years of medical and surgical education and training, including at least five years of post-medical school experience and training including three years as a surgical registrar BEFORE they begin their Cosmetic Surgery-specific fellowship training. They also may have another specialist qualification. ￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼Myth: Anyone with a medical degree can call themselves a Cosmetic Surgeon and perform Cosmetic Surgery procedures. Busted: Any Plastic Surgeon can call themselves a Cosmetic Surgeon without having undergone sufficient specific Cosmetic Surgery training. As the UK health authorities have also noted, registration as a specialist including in Plastic Surgery “does not give any assurance that a surgeon has received adequate training in Cosmetic Surgery”.

￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼￼Myth: The Royal Australasian College of Surgeons (RACS) is the only government recognised specialist surgical training program. Busted: RACS is not the only government recognised specialist surgical training program. Other medical colleges provide recognised specialist surgical training. Specialists such as Maxillofacial Surgeons, Ophthalmologists, Gynaecologists, receive recognised training in and perform surgical procedures. Some of them also train in and perform Cosmetic Surgery. Total annual expenditure on cosmetic surgical and medical and related procedures and treatments in Australia is estimated to be $1 billion. Australians annually consume more than $350 million worth of wrinkle reduction procedures with botulinum toxin. There are approximately 8,000 breast augmentation surgeries performed each year in Australia and about 30,000 liposuction procedures.

Top five cosmetic procedures in Australia: Anti-wrinkle injections Difference between Liposuction and Lipolysis | Liposuction vs Lipolysis Difference between Liposuction and Lipolysis Tweet Key difference: The terms liposuction and lipolysis are obesity related terms. Liposuction is a surgery carried out to remove the extra fat whereas; lipolysis is a method of hydrolysis of lipids. Liposuction is a medical surgery; it evolves the work from the late 1960s from Europe. The invention of modern liposuction procedure is linked to the name of two Italian gynecologists, Arpad and Giorgio Fischer, who created the blunt tunneling method in 1974. Liposuction is a surgery, wherein; the extra and bulky fat from body is removed by surgery treatment. The extra fat in the body is believed to create a imperfection in a person’s appearance, and it is also not good from health point of view. Hence, this fat is removed through surgery by consulting a doctor. Liposuction is used commonly to bring body into proper shape.

Those parts of body which become too bulky and heavy, because, of the fats formation are removed by extracting the fats by a proper and systematic surgery. To abstract the right amount of fat. To cause the least disturbance of neighboring tissue, such as blood vessels and connective tissue. To leave the person’s fluid balance undisturbed. To cause the least discomfort to the patient. The fat is removed by a hollow tube (cannula) which sucks the fat from the part. After the liposuction, the person is able to recover within two weeks. There are some side-effects observed after the liposuction. Liposuctions are of following types: Suction-assisted liposuction (SAL). Twin-cannula (assisted) liposuction (TCAL or TCL). External ultrasound-assisted liposuction (XUAL or EUAL). Water-assisted liposuction (WAL). Tumescent technique. In organic chemistry, lipolysis means ‘the hydrolysis of lipids’. In lipolysis, there is a break-down of lipids, which are a form of proteins. It involves the hydrolysis of triglycerides, which gets converted into glycerol and fatty acids.

The glycerol and fatty acids obtained are then soluble in the blood. The hormones which carry out lipolysis are epinephrine, norepinephrine, ghrelin, growth hormone, testosterone, and cortisol. These hormones activate the adenylate cyclase, which results in the increase of production of cyclic adenosine monophosphate (cAmp). This also activates the protein kinase A, which further activates the lipases found in adipose tissue. In lipolysis, the triglycerides are first carried to the appropriate tissue by blood. The triglycerides are present in low density lipoproteins, which undergo lypolysis by a cellular lipase, resulting into the glycerol and free fatty acids. These acids are then supplied to the other tissues along with the albumin. The serum albumin acts as a major carrier of free fatty acids in the blood. The glycerol thus obtained enters the blood-stream, and is absorbed by the liver and kidney. The liver and kidney then converts the glycerol into glyceraldehydes 3-phosphate (GA3P). This rejoins the glycolysis and gluconeogenesis.

Comparison between Liposuction and Lipolysis: Liposuction Procedures | Dr. Serrao, Aesthetic Clinque, Orlando Florida The History of Liposuction Liposuction has become one of the most commonly performed cosmetic surgeries in the United States. In 1974, Dr. Giorgio Fischer, a gynecologist from Italy invented the original form of liposuction. French physicians Illouz, a gynecologist, and Fournier further developed liposuction around 1978. By 1980, liposuction was extremely popular in the United States but was confronting negative publicity due to patients experiencing excessive bleeding and undesirable rippling of the skin after surgery. In 1985, Dr. Klein invented the tumescent technique for liposuction, revolutionizing liposuction surgery. His "Tumescent Technique" allowed patients to have liposuction performed totally by local anesthesia using much smaller cannulas. Patients could now have liposuction surgery without the fear of excessive bleeding and undesirable skin depressions.

Other techniques developed, such as the dry and wet techniques, the ultrasonic technique, and laser lipolysis to make the procedure as simple, fast and risk-free as possible for patients. LipoMassage We believe LipoMassage by Endermologie is most beneficial after your liposuction procedure to promote healing, increase blood flow to the tissue and stimulate lymphatic drainage. Treatments will be performed starting one to two weeks post-procedure and will be continued for six weeks. This is an excellent treatment and allows for further body contouring and smoothing of the skin as it heals. You will enjoy the benefits of Lipomassage and find them relaxing. Body Tightening (Liposuction) Contact Body Tightening (Liposuction) Diet and exercise may not always give the desired results, and no matter how many boring sit-ups and squats you do, the fat still collects on your hips, thighs and stomach… Contact Alfa Medic General hospital to schedule your free consultation, to discuss liposuction, its benefits, the procedure and your desired results. Liposuction, also called lipoplasty and liposculpture is one of the most common cosmetic surgeries for men and women all over the world.

First introduced in the 80’s, and invented by Italian gynecologist, Dr. Giorgio Fischer and his son, liposuction was not originally applied for cosmetic purposes. This happened just a few years later, when Dr. John Gerard Illouz and Dr. Pierre Fournier improved the method of liposuction and presented it as a proven effective method of body sculpting. Today, plastic surgeons and physicians all over the world use liposuction. Liposuction removes excess fat around the waist, back, thighs, knees (but not behind), ankles, abdomen, chest, upper arms, face and neck, and dramatically reduces visibility of cellulite. For many, these areas generally do not respond well to exercise and a healthy diet, so liposuction is the only way that they can eliminate the excess fat in order to improve the overall contour of the treated area. Liposuction at Alfa Medic General Hospital If you choose to undergo liposuction, your first step is to talk with an experienced and qualified doctor who will evaluate your health, determine where exactly on your body there are large amounts of fat, and assess the condition of your skin. This is all done to make sure that you are ready for the procedure.

During the conversation, the doctor will also consider other methods of shaping the body, and the best method to achieve satisfactory results. Since your health and your safety is our primary concern, your doctor will present you with specific instructions on what is the best way to prepare for the liposuction. This includes basics related to your eating habits, smoking, and taking or avoiding iron supplements, vitamins and certain medications. You will also be informed about how to maintain the results of the treatment while recovering from the intervention. Before liposuction As with most cosmetic surgical procedures, the ideal candidate for liposuction should be in relatively good mental and physical health. Mentally, the client needs to be a stable person with realistic expectations for the procedure. Physically, the candidates should not be obese and they should have a well-balanced diet. If a person gained or lost weight dramatically before surgery, fat removal may not be adequate, and may also give disproportionate results. Good skin elasticity helps after removing fat in the target area, since the skin is better adapted and the line is more even. If the patient has poor elasticity of the skin, excess skin can be removed as an additional surgical procedure upon the patient’s request.

Liposuction is not a solution for those with certain health problems such as diabetes, poor blood circulation (which will slow down the healing process), or heart or lung disease. Your safety is of vital importance, because of that your doctor at Alfa Medic General Hospital may delay the surgery until you are healthy enough for surgery. Your doctor will also inform you that in one day, he can optimally remove up to 4-5 liters of fat (aspirate). Additional liposuction procedures should be scheduled in intervals of at least 2-4 weeks, if the patient is in relatively good health. This period may be increased if the patient is not in good health. Liposuction surgery Liposuction is performed under general anesthesia. The procedure usually takes about an hour or more, depending on the number of areas that need to be treated. The most common form of liposuction involves discrete incisions in the targeted areas that are less than half a centimeter, through which a plastic surgeon inserts a cannula, which is connected to a suction machine, permanently removing unwanted subcutaneous fat from the desired area.

Anesthetic lidocaine treats the area during the procedure and for some time after, while other components of the liquid make it easier to remove fat and reduce the amount of blood loss, as well as decrease bruising. Liposuction post-op Results will be seen almost immediately following your liposuction at Alfa Medic General Hospital. Patients will be able to walk the day after the surgery, and will be able to return to daily activities within five to seven days. Swelling and bruising will calm down within 2 weeks, and in order to accelerate healing and reduce swelling, you will be wearing specially designed undergarments. It is recommended that you avoid strenuous physical exercise for at least 3 weeks after surgery. Ask us any question, and we will answer you as soon as possible! Body » Arthroscopy of the knee, shoulder, wrist and ankle, hip, elbow and spinal cord... »»» » Application of regenerative therapy in orthopedics, sports and aesthetic medicine, plastic and maxillofacial surgery... »»» Fat transfer procedures are performed every Tuesday and Thursday at SPECIAL PRICES! »»» Renowned experts in the field of cosmetic and plastic surgery work in the Alfa Medic General Hospital...

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Question: Italian gynaecologist Doctor Giorgio Fischer invented which surgical procedure in 1974?
Answer: Liposuction