In the October 1997 issue of the ARCHIVES, Shiffman1 cites an article by us2 and states that "Attempts by Goodstein and Hoefflin to use a cannula with a sharp trailing edge acting as a curette in the subdermal tissues resulted in lymphorrhea (severe edema and fluid) as well as occasional skin necrosis." Our article is related to liposuction of the trunk and extremities, and the complications of lymphorrhea and skin necrosis occurred in several patients from whom large volumes (>4000 mL) of fat were removed.
Goodstein WA. Liposhaver in Facial Plastic Surgery. Arch Otolaryngol Head Neck Surg. 1998;124(11):1271-1272. doi:10.1001/archotol.124.11.1271