Gasperoni C, Salgarello M
Centro di Chirurgia Estetica, Roma, Italy.
Aesthetic Plast Surg. 1994 Summer;18(3):253-7. doi: 10.1007/BF00449790.
Subdermal superficial liposuction, first presented by the authors at the ISAPS Congress at Zurich in 1989, is performed with thin three-hole Mercedes cannulas (diameter ranges from 1.8 to 2 mm) to treat small and secondary adiposities and to allow better skin retraction. Suction of the subdermal layer of fat reduces the thickness and consistency of the superficial fat and enhances the possibility of skin retraction. In cases where there is a large adiposity of the abdomen, arms, or inner thighs, there is a conspicuous volume of fat whose weight tends to overstretch and to carry the overlying skin downward. In these cases we need to reduce the large fat volume to permit effective skin retraction. Therefore, we apply the principles of traditional liposuction with those of subdermal superficial liposuction to aspirate large amounts of fat from all the adipose layers. We call this technique Massive All Layer Liposuction (MALL). The amount of skin shrinkage after this "defatting" procedure is remarkable and the clinical results are very good. The MALL technique can be applied to other areas as well. In our experience this new liposuction technique has dramatically reduced the indications of abdominoplasties and dermolipectomies of inner thighs and arms.
皮下浅层吸脂术由作者于1989年在苏黎世举行的国际美容整形外科学会（ISAPS）大会上首次提出，使用细的三孔梅赛德斯套管（直径范围为1.8至2毫米）进行，以治疗小面积和继发性脂肪堆积，并使皮肤更好地回缩。抽吸皮下脂肪层可减少浅层脂肪的厚度和稠度，并增加皮肤回缩的可能性。在腹部、手臂或大腿内侧存在大量脂肪堆积的情况下，有大量脂肪，其重量往往会过度拉伸并使上方的皮肤向下垂。在这些情况下，我们需要减少大量脂肪体积以实现有效的皮肤回缩。因此，我们将传统吸脂术的原理与皮下浅层吸脂术的原理相结合，从所有脂肪层中抽吸大量脂肪。我们将这种技术称为全层大量吸脂术（MALL）。这种“去脂”手术后的皮肤收缩量非常显著，临床效果非常好。MALL技术也可应用于其他部位。根据我们的经验，这种新的吸脂技术已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。
