Flank reshaping

Patients with localized fat accumulations often desire removal for aesthetic reasons, whereas patients with large accumulations desire removal for both aesthetic and functional reasons [1]. Since the beginning of the twentieth century, many surgeons have tried to model the body contour so that it adheres to the generalized notion of beauty. Historically, various approaches have been used to remove fatty deposits during lipoplasty. In 1921, Dujarrier attempted to remove the subcutaneous fat from a dancer's calves and knees using a uterine curette. However, a complication led to the amputation of one of the dancer's legs [1]. The next major advance in body contouring was not for over 40 years. Procedures like those performed by Pitanguy resulted in long and poorly placed scars [3]. In the 1970s, Schrudde used a delicate curette to remove fat from the lower leg through a small incision.