Mottura A A
Centro de Cirugía Estética, Córdoba, República Argentina.
Aesthetic Plast Surg. 1991 Summer;15(3):209-14. doi: 10.1007/BF02273859.
After infiltration with epinephrine solution in each adipose area, an 8- or 10-mm cannula, without the suction tube connected, was introduced. With a curettage maneuver and by directing the cannula upward, the fat began to come out spontaneously. After obtaining a considerable amount of fat, the suction tube was connected and the remaining fat tissue aspirated at low suction power (250 mm Hg). With this curettage maneuver adiposity of the abdomen, knees, and trochanteric areas can be reduced. However, in the back, buttocks, or thighs, where adiposity is more fibrous, aspiration is needed from the start in almost every case, but always at low-power suction. This procedure is indicated in particular for the face and neck and for secondary liposuction. The fact that fat comes out easily through the cannula (without suction) demonstrates that the curettage maneuver is more important than the aspiration. Only with curettage can a considerable amount of fat be removed. No fat is removed when aspiration of 1 atm without a curettage maneuver is used. Suction only helps to remove fat already mobilized and free in the cannula. Our experience includes 34 patients.
在每个脂肪区域用肾上腺素溶液浸润后，插入一根8毫米或10毫米的套管，不连接吸管。通过刮除操作并将套管向上引导，脂肪开始自行排出。在获取了相当数量的脂肪后，连接吸管并以低吸力（250毫米汞柱）抽吸剩余的脂肪组织。通过这种刮除操作，可以减少腹部、膝盖和转子区域的脂肪堆积。然而，在背部、臀部或大腿，脂肪更呈纤维状，几乎在每种情况下都需要从一开始就进行抽吸，但始终采用低功率抽吸。该手术特别适用于面部和颈部以及二次抽脂。脂肪很容易通过套管（不抽吸）排出这一事实表明，刮除操作比抽吸更重要。只有通过刮除才能去除大量脂肪。当在没有刮除操作的情况下以1个大气压进行抽吸时，不会去除任何脂肪。抽吸仅有助于去除已经在套管中松动和游离的脂肪。我们的经验包括34名患者。
