[Selective lipectomy and lipolysis after Illouz]

A technique of lipectomy for moderate degree of fatty deposition was described in 1976 by Fischer. Modifications of the technique have been popularized by Kesselring and Meyer (1978), and by Illouz in 1978. The technique can be either dry--direct suction--or wet--suction after local injection of hypotonic solution. The aspiration is carried out by preserving 1 or 2 cm of subcutaneous fat. Tunnels are created at different levels and the incision is placed at a distance from the mass to be removed. The technique can be used to treat unsightly fat deposits in many sites of the body, including the thighs, buttocks, abdomen, hips, arms, ankles, breasts, and submental regions. The results are based on a series of 2000 patients operated on, mostly in Paris since 1977. The results are good, longlasting, and the complications rare if the operation is performed by well trained plastic surgeons.