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Liposuction and Fat injection Liposuction Lipoplasty Lipolysis ...

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16<br />

Curette technique - Suction curette<br />

Arpard & George Fischer - Italy 1977<br />

• First to combine<br />

suction to curettage<br />

• Cellusuctiotome - their<br />

portable device<br />

• Plannotome - pocket<br />

creation<br />

• Crushing -> Suction<br />

• Manual (Pinching) &<br />

visual (vacuum jar)<br />

monitoring<br />

• Suction drainage - 15d<br />

• Bed rest 5-6 days<br />

Complications:<br />

• Continuous oozing<br />

• Seromas with fibrous<br />

encapsulation<br />

• Skin undulations<br />

• High complication rate<br />

Curette - Kesselring technique<br />

Ulrich Kesselring - Switzerl<strong>and</strong> (1978)<br />

• Large scissors<br />

undermining<br />

• Sharp curette attached<br />

to vacuum machine<br />

• Tissue first cut then<br />

easily sucked out<br />

• Only trochanteric<br />

lipodystrophy<br />

• Young, good skin tone<br />

Good results

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