[Aspiration lipectomy, a status determination].

The method of suction lipectomy, which was introduced by us in 1976, has proved to be successful as an alternative and supplementary form of therapy in cases of therapy-resistant localised fat deposits. Critical selection of suitable patients and a meticulous surgical technique are essential for this procedure, whilst the shape of the suction tube is of secondary importance. Opinions vary as to whether it is better to perform a continuous or layered fat resection or to use a "tunnelling" procedure. For the reasons already mentioned we prefer to use the procedure of layered fat resection; developments in the future will establish whether different indications exist for both these techniques. We will also be in a position to judge the efficacity of the fibrinogen adhesives which we have been using in certain selected cases for the past two years.