Tell me a bit about liposuction


Liposuction has been around longer than you think.


First developed by the Italian Dr Giorgio Fischer in 1974, it was at first a dramatic process performed under general anaesthetic. Then in 1987 the American dermatologist Dr Jeffrey Klein reported on performing liposuction using lots of dilute local anaesthetic. He found that by filling the excess fatty tissue with dilute local anaesthetic and dilute adrenaline he could perform liposuction on awake patients in perfect comfort, and that the adrenaline vastly reduced bruising.


This is now known as “tumescent anaesthesia” and the development of liposuction under tumescent local anaesthesia has made it the accessible and safe process it is today.


But there have been other important developments in liposuction technique over the years.


As compared to the early days, careful doctors today use thinner cannulas (a cannula is a rigid tube through which the fat is drawn out) than previously. Using cannulas no more than 4mm in diameter measn that the suction process is slower, but more precise. That’s how we like it.


It was also learnt that, for best even results, it was important to “CRISS-CROSS” (now there’s happily self-evident medical term) the suction process, treating any one site from a number of different angles and thus criss-crossing the suction strokes. Again, this is more time consuming, but taking the extra care gives better results


Read more at the Medline website and the emedicine website.