Gasperoni C, Salgarello M
Centro di Chirurgia Estetica, Roma, Italy.
Aesthetic Plast Surg. 1995 Jan-Feb;19(1):13-20. doi: 10.1007/BF00209305.
The liposuction technique has changed greatly over the years. In 1989, the authors presented subdermal superficial liposuction which treats the superficial fat layer and yields better skin retraction. With this technique the surgeon can treat thin adipose layers to obtain better results in more cases than the traditional liposuction technique. The technique can be used in cases with difficult skin adjustment and in secondary cases when "deep only" liposuction has been performed and there were residual adiposities. Subdermal superficial liposuction evolved so that one could obtain good skin retraction by performing massive liposuction of all the fat layers. The authors named this technique MALL (Massive All Layer Liposuction). The technique is applied in body areas where the fat layer is very thick and stretches the skin because of its volume and weight such as in the abdomen, posterior arms, and internal surface of the upper third of the thighs. MALL liposuction drastically reduces the indications for abdominoplasty and inner thigh and arm dermolipectomies. Knowledge of the anatomy of the subcutaneous fat and the superficial fascial system allows one to explain the subdermal superficial liposuction from an anatomical point of view, to perform a more rational and effective procedure, and to differentiate the technique depending on the area of the body.
多年来，抽脂技术发生了很大变化。1989年，作者提出了皮下浅层抽脂术，该技术可治疗浅层脂肪层并产生更好的皮肤回缩效果。采用这种技术，与传统抽脂技术相比，外科医生可以处理较薄的脂肪层，从而在更多病例中获得更好的效果。该技术可用于皮肤调整困难的病例，以及在仅进行“深层”抽脂后仍有残留脂肪的二次抽脂病例。皮下浅层抽脂术不断发展，以至于通过对所有脂肪层进行大量抽脂可以获得良好的皮肤回缩效果。作者将此技术命名为MALL（全层大量抽脂术）。该技术适用于脂肪层非常厚且因其体积和重量而拉伸皮肤的身体部位，如腹部、上臂后部和大腿上三分之一的内表面。MALL抽脂术大大减少了腹部整形术以及大腿内侧和手臂皮肤切除术的适应症。了解皮下脂肪和浅筋膜系统的解剖结构，有助于从解剖学角度解释皮下浅层抽脂术，进行更合理有效的手术，并根据身体部位区分该技术。
