Sumrall A J
J Natl Med Assoc. 1987 Dec;79(12):1275-9.
Liposuction (suction-assisted lipectomy) is today an accepted, closed surgical technique utilized by physicians practicing in a number of different specialties. It is a procedure that can be learned and used as an adjunct to a number of open procedures, including rhytidectomy and abdominoplasty.THE TWO PRINCIPAL KEYS TO SUCCESSFUL LIPOSUCTION PROCEDURES ARE: (1) good patient selection, and (2) realistic expectations. Good selection should be based on physiological skin age of the patient rather than chronological age. Many liposuction procedures can be performed under local anesthesia in an office surgical suite. A conservative approach is always appropriate, as overcorrection is difficult to treat.Areas that can be suctioned effectively include the face, chin, neck, anterior and posterior axilary areas, arms, breasts, abdomen, waist, hips, buttocks, thighs, knees, and ankles. Using the blunt cannula technique pioneered by Fischer and modified and popularized by Illouz and Fournier yields a high percentage of good results. A low percentage of possible complications and undesired sequelae have been documented.
抽脂术（吸脂辅助脂肪切除术）如今是一种被广泛认可的封闭式外科手术技术，许多不同专业领域的医生都在使用。它是一种可以学习并用作多种开放式手术辅助手段的手术，包括除皱术和腹部整形术。成功进行抽脂手术的两个主要关键因素是：（1）良好的患者选择，以及（2）切合实际的期望。良好的选择应基于患者的生理皮肤年龄而非实际年龄。许多抽脂手术可以在门诊手术套房中在局部麻醉下进行。始终采用保守方法是合适的，因为过度矫正很难处理。
可以有效进行吸脂的部位包括面部、下巴、颈部、腋窝前后区域、手臂、乳房、腹部、腰部、臀部、大腿、膝盖和脚踝。采用由菲舍尔首创、经伊卢兹和富尼耶改良并推广的钝头套管技术，能取得很高比例的良好效果。已记录的可能并发症和不良后遗症的比例较低。
