Dr Giorgio Fischer invented a device called a planotome and his technique was called 'Fischer's method for re-section of excessive cellulites fat (riding breeches deformity)'. His procedure was in no way remotely similar to liposuction as we know it today.

Dr Fischer neither called his procedure liposuction nor did he claim to be its inventor. In the same year, 1977, I invented a device that created little trauma because there was no cutting involved.

I also introduced the concept of infiltrating the tissues with a solution beforehand to create a fluid disruption of the fat cells and called my technique 'liposuction''. This technique has gained widespread acceptance and is now a plastic surgeon's essential tool.

In France, we used to have no regulations as to which doctor could practise aesthetic surgery. This led to disaster. We reported more than 65 deaths from liposuction by non-plastic surgeons. Legislation was enacted last year to restrict liposuction to plastic surgeons as it is a technique unique to our training.

Dr Ho adds that 60 per cent of general practitioners and some anaesthetists, gynaecologists and kidney specialists perform some form of aesthetic medicine, as if there were nothing wrong with this. None of these doctors has aesthetic surgery and medicine as part of his core training and I would suggest that this should raise concerns for patient safety.

Yves Gerard Illouz
Associate Professor,
Department of Plastic Surgery, Saint Louis Hospital, Paris

Forum note: Prof Illouz also lists his credentials as an expert in the Paris Court of Appeal and as visiting professor of the International Society of Aesthetic Plastic Surgeons