ABSTRACT
The progression of wound healing and, thus, the long-term postoperative results are fundamentally dependent upon the method of anesthesia and the operating technique. In the early days of liposuction surgery, severe complications such as massive bleeding and hematoma, with a potential risk of superinfection, or extensive seromas due to lymph blockage, were the result of massive tissue trauma caused by the suction techniques used at the time. The unprepared adipose tissue could only be detached from the connective tissue framework by the use of extreme mechanical force and large-caliber suction cannulas, so the framework and the vascular structures contained within it were severely traumatized. This also had a significant impact on the aesthetic result: the cannulas left dents and ripples in the tissue since even suction was virtually impossible to achieve, and destruction of the connective tissue framework often led to hanging of the skin (see Chapter 18).
