Liposuction Principles and Practice
Liposuction began as a contouring procedure but has evolved into the treatment of obese patients, gynecomastia, ptosis, macromastia, and even patients who have complications from heart disease or diabetes. Other disorders such as axillary sweat hypersecre
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Melvin A. Shiffman · Alberto Di Giuseppe
Liposuction Principles and Practice With 352 Figures in 622 Separate Illustrations and 84 Tables
Melvin A. Shiffman, MD, JD 1101 Bryan Avenue, Suite G Tustin, CA 92780, USA Alberto Di Giuseppe Institute of Plastic and Reconstructive Surgery School of Medicine University of Ancona Ancona, Italy
ISBN-10 3-540-28042-1 Springer Berlin Heidelberg New York ISBN-13 978-3-540-28042-2 Springer Berlin Heidelberg New York Library of Congress Control Number: 2006920795 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. Springer is a part of Springer Science+Business Media springer.com © Springer-Verlag Berlin Heidelberg 2006 Printed in Germany The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Editor: Gabriele Schröder Desk Editor: Ellen Blasig Production: LE-TEX Jelonek, Schmidt & Vöckler GbR, Leipzig, Germany Cover desing: eStudio Calamar, Spain Typesetting: Satz-Druck-Service, Leimen, Germany
Printed on acid-free paper
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543210
This book is dedicated to the memory of Francesco Di Giuseppe MD (father of Alberto Di Guiseppe), who was a pioneer of cardiology in Italy from 1950 to 1970. Alberto Di Giuseppe
Introduction
This work was undertaken because there is no true “text” on liposuction that covers the gamut of techniques, indications, uses, complications, and medical legal problems. Even the term liposuction has been converted to such things as lipoplasty, liposculpture, lipostructure, lipexeresis, suction lipectomy, and suction-assisted lipectomy. This variety of terms is to attract patients to the individuals who have coined these terms or to describe a more artistic form of doing liposuction. The procedures and their variations are all (perhaps taking the glamour out of the surgery) simply liposuction. Since 1974, when the procedure was first conceived by Arpad and Giorgio Fischer, [1,2] to its production of a variety of cannulas, suction machines, and attempts to make the surgery easier on the surgeon with power cannulas, laser assisted liposuction, external and internal ultrasound, and massage, there have been attempts to modify, improve, and extend the indications for liposuction by surgeons in a variety of specialties. The addition of tumescent local anesthesia,3 an old concept, [4-9] has improved the safety
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