Since the beginning of the 20th century, first attempts have been made to medically remove unwanted fat deposits. However, these were not crowned with success. Rather, excessively large incisions were made and larger parts of the skin were removed, the wounds have healed poorly and have left large scars on the patient. In addition, the bad hygienic conditions at the time - in addition to the wound healing disorder - were responsible for infections.
In the course of time, many medical professionals tried to find a technique for liposuction, but many failed:
The Frenchman Charles Dujarrier injured in the year 1921 a Parisian dancer trying to remove fat from her knees and calves. He used instruments that were too sharp, with which he injured the dancer with a thigh artery. As a result, the leg had to be amputated.
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A few decades later - a year 1964 - began the German plastic surgeon Josef Schrudde his instruments with a Suction function to combine. However, this technique was not so sophisticated and resulted in severe bruising, accumulation of wound fluid, high blood loss and serious infections in the patient.
From 1970 added the Swiss plastic surgeon Meyer and Boiler ring a stronger suction function to the sharp instruments. However, this did not bring any significant improvements - the side effects remained.
The French did pioneering work Yves-Gerard Illouz in the year 1977. He has that Concept of tunneling of the adipose tissue and for the first time not using sharp instruments, but a thin blunt cannula. In addition, a certain amount of liquid was injected before the procedure in order to be able to suction the tissue better later. This new procedure spared the tissue blood flow and prevented the fatty tissue from becoming detached from the base. This technique has been refined over time. At first it was only used for patients with large adipose tissue growths, but later also for the treatment of aesthetic problems. However, here too the blood losses were so high that the patients were put under anesthesia and the losses were compensated with blood transfusions.
In the 70s the Italian developed Arpad Fischer with his son Giorgio a motorized suction cannulathat shredded the fatty tissue and made it easy to remove. But this also resulted in serious complications.
The breakthrough came with the development of the Tumescence technique'The French are pioneers here Fournier and the American Geoffrey Klein done.
This was followed by the Italian Gasparotti performed a superficial liposuction developed.
The techniques have been improved more and more since then and there are also new developments up to now. However, these have not yet been adequately assessed.
The tumescent technique is still used most often by many plastic surgeons.
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