FIRST SURGICAL TREATMENT
FOR MODELING BODY'S CELLULITE
WITH THREE 5mm. INCISIONS.
ARPAD AND GEORGE MAURICE FISCHER, M. D., FIACS
Rome-Italy
*Published in the Bulletin of the International Academy of Cosmetic Surgery, September, 1976

The problem of cellulite is well known to every cosmetic surgeon or dietician and until now, no successful attempt has been made to treat this problem surgically due to the long scars that would be left by a surgical treatment, even if performed by the most skilled of surgeons. After several years of research and experimentation this revolutionary surgical technique has been extremely refined and is actually capable of the best results.

The region of the mass of cellulite is of no importance because the operative technique remains the same for every part of the body.

The quantity of the mass of cellulite to be reduced is of no importance because the operative technique remains the same for every part of the body.

Technique:
The region to be treated is sterilized and then injected with 2% carbocaine with epinefrine.

After 20 minutes a sterile plastic towel is attached over the delineated region and several sutures passed through the plastic towel so as to facilitate the elevation of the skin.

On the region affected by cellulite-three minute incisions measuring 5 mm. each are performed at a distance of one to the other of 10 cm. which creates an imaginary circle or a " Z ".

The rotating, alternating instrument electrically and air powered is inserted through the first of the incisions and in clockwise manner through the second and the third incisions the second and third instruments follow the same pattern being inserted in the second and third incisions. The primarily important instrument is the first which has the task of melting the fat lobes and the same time vacuums the fat.

Through the second incision, following the clockwise rotation basis is inserted and optical fiber illuminated speculum to facilitate the surgeon's control of the electrically and air powered rotating alternating instrument and the cautery.

Through the third incision is inserted a big pressure sprayer skin which interferes with proper judgment as to the amount of tissue to be removed in rhytidectomy or blepharoplasty procedures, and (7) decrease in bleeding.

Disavantages include: (1) cannot be used on any patients suffering from cardiac arrhythmias or cardiac conduction problems; (2) twenty to thirty minute delay over local anesthetic procedures while testing for puncture sites and duration of electrical stimulation required before onset, (3) less effective rate of success than local anesthesia probably due to poor stimulation or wrong choice of loci, and (4) not practical to use in multiple or combination of operations different sites in the same patient due to time involved in attempting to re-establish additional areas of anesthesia.