Richard L. Dolsky

Argon Laser Skin Surgery

The argon laser is a useful instrument that, during the last 5 years, has become a widely accepted and available tool in cutaneous surgery. Its primary use is in the treatment of various cutaneous lesions, although it also produces very satisfactory results when applied to professional decorative tattoos. These procedures are described and illustrated.

Body sculpturing by lipo-suction extraction

Classical open surgical contouring and sculpturing of the body has required significant scarring with long incisions and wide depressed scars. During the last decade, a small number of European surgeons have pioneered techniques for suction lipectomy. Illouz introduced the concept of lipolysis and blunt cannula extraction. The method described herein, which is termed lipo-suction, is a dry technique. No lipolytic solutions or local anesthetic solutions are injected. The technique relies on mechanical disruption and suction extraction of adipose tissue. The instrument is a rigid blunt-ended extractor with dull apertures. Posteperative care is a significant factor in reducing the rate of seroma formation to less than 1%.

Surgical Removal of Lipoma by Lipo-Suction Surgery

This report describes a new method of removing medium-to large-sized lipomas through a 0.5-cm incision using the techniques of lipo-suction surgery which was introduced in the United States in 1982 by French surgeons. Our series of six cases in which large-sized lipomas had been extracted showed satisfactory results with minimal incisional scars or evidence of recurrence during the follow-up period ranging from 6 to 14 months.

Facial profileplasty by liposuction extraction.

Facial profileplasty can include the removal of abnormal fat deposits In the face and neck as an Individual begins to age and, In many cases, the correction of chin projection to achieve a better neck-chin contour line. In this report we retrospectively analyze the complications and results from 142 patients undergoing facial liposuction alone or In combination with chin augmentation or rhytldectomy during a follow-up period of 14 months, the liposuction technique offers very low morbidity and Is superior to conventional exclslonal methods.

Spoke Wheel Lipo-Suction Technique

Department of Cosmetic Surgery, The Graduate Hospital, Philadelphia, Pennsylvania. L iPo-suction surgery has become a recognized and reliable surgical procedure for the treatment of localized accumulations of adipose tissue. From May, 1982, to March, 1984, the author has performed more than two hundred and twenty-five cases of body sculpture by lipo-suction surgery. Because of the cost restraints of American medicine, a safe and reliable technique of local analgesia for lipo-suction has been developed. The spoke wheel lipo-suction technique is used for pure trochanteric lipodystrophy.

Cosmetic Surgery in the United States: Its Past and Present

I would like to thank Drs. Hopping, LaFarge, and Qadir for inviting me to participate in this World Congress in Dubai. The opening of the American Academy of Cosmetic Surgery hospital in Dubai is an appropriate time to review the history of Cosmetic Surgery, where we stand today and what our future is as cosmetic surgeons. Cosmetic, or aesthetic, surgery represents the universal human desire to maintain, restore, or enhance normal appearance beyond the average level towards an aesthetic ideal. The surgery may be performed to produce a younger more beautiful appearance or it may be used to return an abnormal or unsightly feature to normal. It is only during the last century that surgeons have been able to predictably and safely address this fundamental human characteristic which seeks the improvement of normal physical appearance. The American Academy of Cosmetic Surgery and the American Society of Liposuction Surgery are the largest multidisciplinary societies in the United States that represent physicians of all medical and surgical specialties who have an interest in the improvement of human appearance and have the desire to exchange ideas, concepts, and techniques with all their colleagues. Our specialty of cosmetic surgery is based upon the concept of inclusion as opposed to the practice of exclusion demonstrated by other surgical groups. We shall see that a history of inclusion and exclusion is an integral part of the development of cosmetic surgery throughout the world. We welcome all physicians who have the desire to learn and are open to the ideas of all those who desire to teach. International Congresses are a vital mechanism for the exchange of ideas and for the advancement of the science of cosmetic surgery.

Complications and Pitfalls of Facial Lipo-Suction Surgery

Department of Cosmetic Surgery The Graduate Hospital One Graduate Plaza Philadelphia. PA INTRODUCTION F acial lipo-suction surgery is a new technique in the surgical armamentarium for the treatment of aesthetic facial deformities. Lipo-suction surgery had been developed for body contouring surgery and the authors have applied it to the facial and neck regions. In a series of 642 cases, we have observed several complications and noted pitfalls that might lead to other complications. This paper discusses complications that we have observed and the techniques that have evolved to avoid repetition of such complications.

Current Practice Standards in Liposuction

Liposuction: Practitioner Profile This paper is the result of the organized efforts of the American Academy of Cosmetic Surgerys Liposuction Practices Task Force, the primary organization providing information, research and training in liposuction. The task force commissioned the worlds largest professional services firm, Arthur Andersen, to conduct an independent survey ofAACS membership during the summer of 1998. The surveys focus includes liposuction practitioners, their training, practice standards, and complications. Collaborative preparation, writing and review of this paper was conducted by task force chairs Richard L. Dolsky, MD and Robert F. Jackson, MD, and task force members Robert w: Alexander, MD, DMD, Guillermo D. Castillo, MD, Claude H. Crockett, Jr., MD, Richard G. Glogau, MD, C. William Hanke, MD, Jeffrey A . Klein, MD, Edward B. Lack, MD, Marc S. Leventhal, MD, Steven E. Nathanson, MD, and Howard A. Tobin, MD. responded. The industry standard for a survey of this type is normally about 10 percent. Twenty-five surveys were received after the agencys deadline and were not included in the totals. Of the remaining 272 responses, 84.9 percent (231) of respondents report they currently perform liposuction.

Gynecomastia: Treatment by Lipo-Suction

The standard surgical techniques for the treatment of gynecomastia are deficient due to a high rate of complications, unsightly scars, and inadequate or overzealous excision of breast tissue. With the advent of lipo-suction as a reliable and safe technique, gynecomastia can be treated leaving a superior contour with a lower incidence of complications. Lipo-suction for gynecomastia should become the standard therapy for this common disorder. In a series of 34 patients treated by this method with 2 to 42 months follow-up, there have been no complications.