European Stars And Stripes (Newspaper) - February 9, 1987, Darmstadt, Hesse                                Passion for perfection vacuuming away the fat by Janee. Broom new York times the laments Are All Loo familiar i can t seem to lose weigh in the right places " no matter what i do i have these Saddlebag  i exercise every Day 1ostrenglhen my Slomach Muscles but i can1 gel and of  while Lew people Are wholly satisfied with the shape of their bodies Lor some the complaints Stem from More than an idealized Conception of the human form. These people were born with a tendency to Deposit  amounts of Lal in various parts of their bodies. Typically around the hips thighs Bullocks Abdomen breasts Knees Ankles or Chin. Evan if the person is not otherwise overweight these unsightly fal deposits persist and no amount of dieting and exercise will dislodge them. For some their genetic zip dystrophy. As the problem is known medically is embarrassing and inhibiting making hem reluctant to Wear certain types of clothing not to mention bathing suits ten years ago. A French plastic surgeon or. Yves Gerard Litou. Developed a technique Lor removing unwanted lumps of fat without major surgery. The technique called suction Lipe Tomy or i Odysia. Essentially vacuums out Small amounts of fal through incisions less than an Inch Long. The procedure can often be done in a Well equipped doctor s office or with Only one to three Day s hospitalization and recovery time is Biel although american plastic surgeons initially greeted the development with scepticism and fear of catastrophic results the decade of experience since has changed their views dramatically. Suction Lipe Tomy has become the fourth most popular cosmetic operation in the plastic surgeon s repertory exceeded Only by nose jobs lace lifts and breast augmentation. Not Only is it a Safe method of body contouring but it has also become an important adjunct in other plastic surgery procedures including breast and Abdomen reductions it has even been used to treat children born with fatty deformities such As boys with enlarged breasts and girls Wilh excessively heavy thighs. This is a neat clean Way to remove fal said or. Richard  a plastic surgeon from Virginia Beac i. A. Who had gone to Paris in 1982 with Greal scepticism to see it tour s work and returned Home a convert ii the procedure is done by surgeons who Are properly trained it s extremely Safe Mladick said. In fact i d say it s the safest procedure introduced in plastic surgery in the last 20  nonetheless. Mladick and Many of his Well trained colleagues in plastic surgery Are very worried about suction Lipe Tomy s growing use by untrained and  physicians about 1,000 plastic surgeons certified by the american Board of plastic surgery have completed the raining and Are considered qualified. According to Mladick. There Are dermatologists doing Lipolysis in their offices and ear nose and Throat specialists doing Lipolysis on people s  predictably some of their patients Are getting into serious medical trouble he added. According to or. Bah mar Teimourian a plastic surgeon in Rockville met who has Analysed the results of 4,000 patients he has treated Lipolysis looks easy but it s very easy to get into trouble both medically and cosmetically. If you Don t know what you re  or. Simon Fredricks a plastic surgeon in Houston said these problems typically arise when suction Lipe Tomy is used As a Quick fix Lor obesity. This is not a weight reduction technique he emphasized. It is Only used to re Silhouette the body. After a person loses weigh through diet and exercise. It May be used to selectively suction out areas that retain disproportionate amounts of  the proper selection of patients is critical to the safety and Success of the procedure. Most patients Are of Normal weight or just moderately overweight. The operation removes Only from two to six pounds of Lal from an area Al any one time. In some cases patients return six months to one year later for a second Lipe Tomy. The Best results Are found in patients under 40 who still have Good skin elasticity which permits the skin to shrink Back smoothly Over the treated area. However people in their 50s, 60s and 70s Are also being treated. Sometimes in conjunction with other operations that tighten Loose skin. Haw Tipo Lytis is Dona an incision is made often in a natural crease of the body so that the resulting scar won t be obvious. A narrow tube or Cannula is inserted through the Incis on and a solution of sail water and local aesthetic is injected. In some cases when a More extensive procedure is to be done general anaesthesia is used. The Cannula is hooked up to a suction Punj when the pump is turned on tunnels of fal arc sucked out through the Cannula As it is repeatedly thrust into the fatty tissue. After the proper amount of fal has been removed removing too much can result in dangerous complications or esl helically poor result the surgeon pushes together the remaining fat to fill in the tunnels. The area is then held together with a snug elastic Bandage or garment for Aboul six to eight weeks afterwards a Girdle or other elastic garment must be worn until the underlying tissue has healed. The results Ana risk surgeons who have performed suction Lipec Lomy for nearly 10 years say thai the abnormal fat deposits do not return even if the patient subsequently gains a significant amount Al weight. In other words it seems that once genetically determined fat Ceils have been removed they do not grow Back. But Ipoh Sis i not a cure for what is popularly called cellulite. Ii the patient started out with surface dimpling resembling the skin of an Orange Over the layer of fat this bumpy texture will remain even after Lipolysis. Immediately alter Tho procedure patients commonly experience muscle aching for 7 to 10 Days and bruising swelling or surface irregularities May persist for up to 2 months Ankles May remain swollen for 6 months. Occasionally there is a tearing or burning sensation that eventually subsides. If the procedure is properly done the risk of infection is very Low according to Teimourian. If the patient has poor skin tone the skin Over the treated area May remain permanently baggy and in some areas abnormal skin pigmentation May also persist Tom Mot urious Hazard involves excessive blood or fluid loss More Likely to occur if the surgeon is poorly trained or if too much tissue is removed a one time. Experts say that if unusually Large amounts of fat must a removed the procedure is Best done in two or More stages and always in a Hospital. If More than three and a Hall pounds of fat Era to be removed a blood transfusion is recommended ideally using the patient 9 own blood which has been banked ahead of time. There is also a slight risk of permanent nerve damage which is far less Likely to occur if the surgeon is properly trained and experienced. Few Ricki cautions patients to select a surgeon certified by the american Board of plastic surgery. A Board certified plastic surgeon will Call himself a plastic surgeon not a cosmetic surgeon he said. A also advises patients who Are simply obese and want to be made thin by Lipolysis not to go doctor shopping if a qualified surgeon turns them Down. A Tianis Wilh what he Calls psychological anorexia who just think that they have too much fat in certain areas should not undergo Lipolysis he said. The Bottom line is to remember that auction Lipe Tomy is a surgical procedure and All surgery has complications and should not be sought for frivolous or inappropriate reasons Erma Bombick recently the world took a backward glance at the women s movement. In poking through 20 years of rubble changes never thought possible were unearthed family structures a new timetable for procreation manners morals assignment of roles All had undergone drastic surgery. Only three traditional customs remained intact in the War of the sexes thai both sides refused to give up men would continue to open doors for women. Men would continue to help women with their Coats. Men would continue to help women in and out of cars. It s an Enigma when you think about it. Women who insisted doors to belter jobs swing both ways still stand still in from a their troll door until it is pushed open. Women who Host big business luncheons and lash a full deck of plastic cards wait until a waiter helps them Mlo their Coats. Women who build cars in the daytime still want someone to open the doors on them Al night. It makes one reflect on How and Why these three Little courtesies survived the Long March to Equality. What is so important about them that 90 percent of the persons asked whether they were male female married. Single Young or old fought against their being casualties of Independence maybe it s because they were just that. Courtesies. When simple bits of thought Elneas and respect for one another go we Don t have much left. Ail three of these act transcend duty expectations and rules. They Are Tusl something a Man does. It s like a woman who puts the car seat Back when her husband has longer legs than hers or who gives him the egg without the broken Yolk. She wants to do it. As a woman who believes in Equality under the Law i see nothing sexist about being assisted with a door or a coat. I have never Felt so insecure Aboul myself that i perceived someone was smothering me being overprotective or was asserting dominance Over me by holding my coat. Sometimes people overreact like an elevator Lull of psychiatrists who when another one stepped on the elevator and said Good morning the others said what did he mean by that heaven knows this country could use a resurgence of manners and courtesies. I be heard children Wilh Mouths like sewers seen table manners that could make you give up eating viewed conduct behind the wheel of a car that is reprehensible and behaviour in movie houses that defies comment. Maybe that s Why we Clung to those three Little vignettes of Courtesy. They serve As a reminder that no matter what our potential and much of a hurry we Are in to get there. Without Courtesy toward one another we Don t really have a lot. Our children have to see it and they have to hear it. Thank you. Now you say you re Welcome Page 16 the stars and stripes monday february 9,1967