John Bradford Fisher
Encyclopedia
John Bradford Fisher is an American plastic surgeon who pioneered suction fat removal, or liposuction
.
. Published in 1981 with Dr. Bahman Teimouran, this article first introduced fat removal exclusively with suction through a tube called a cannula
—a modified fascia lata
harvesting instrument that did not disrupt the overlying skin attachments ("tissue arcade preservation"). The concept of selective fat removal was previously introduced and presented by a number of independent European surgeons: Schruder, Georgio Fischer, Meyer and Kesselring, Fournier, and Illouz. Prior to the 1981 publication, the procedure—later termed liposuction—was not commonly performed. The safety of the procedure was enhanced by the use of fluid infusion, termed tumescence
, a concept formulated by Dr. Andrew Klein.
; in 1983, he became one of the youngest Chiefs of Department of Plastic Surgery at the National Naval Medical Center
, and was appointed Assistant Professor
of Surgery at the Uniformed Services University of the Health Sciences
. Fisher also served as consultant in plastic and reconstructive surgery
at the National Institutes of Health
, and was head of the Cleft Lip
and Palate Clinic and Melanoma Skin Cancer
Clinic. He was also a consultant in hand surgery
for the Department of Orthopedics, and in Microscopic-Assisted Peripheral Nerve
Surgery for the Department of Neurosurgery.
As a Clinical Fellow in Surgery at the Columbia University College of Physicians and Surgeons
and St. Luke's-Roosevelt Hospital Center
in New York City
, Fisher co-authored one of the first textbook presentations on body image
. Psychological considerations in plastic surgery, and the resultant overt changes in self-esteem
, were not clearly identified and continue to be an unpredictable aspect of physical changes brought about by cosmetic surgery.
Fisher was a contributing and consulting editor to Plastic Surgery Products Magazine between 1995 and 2006, authoring contributions on such diverse subjects as "A Layman's Guide to Lasers" (1995), "The Perioperative Guide to Cosmetic Surgery" (1996), "The Phenol Peel: The Secret of Youth in Croton Oil
", and "Liposuction: Do's and Don'ts".
Liposuction
Liposuction, also known as lipoplasty , liposculpture suction lipectomy or simply lipo is a cosmetic surgery operation that removes fat from many different sites on the human body...
.
Liposuction
Fisher was one of the first American authors to present the concept of selective fat removal without traditional skin resectionResection
Resection may refer to:*Segmental resection , the partial removal of an organ or other body structure*Resection , a means of establishing a location...
. Published in 1981 with Dr. Bahman Teimouran, this article first introduced fat removal exclusively with suction through a tube called a cannula
Cannula
A cannula or canula is a tube that can be inserted into the body, often for the delivery or removal of fluid or for the gathering of data...
—a modified fascia lata
Fascia lata
-Thickness:It is an investment for the whole of the thigh, but varies in thickness in different parts.Thus, it is thicker in the upper and lateral part of the thigh, where it receives a fibrous expansion from the Glutæus maximus, and where the Tensor fasciæ latæ is inserted between its layers; it...
harvesting instrument that did not disrupt the overlying skin attachments ("tissue arcade preservation"). The concept of selective fat removal was previously introduced and presented by a number of independent European surgeons: Schruder, Georgio Fischer, Meyer and Kesselring, Fournier, and Illouz. Prior to the 1981 publication, the procedure—later termed liposuction—was not commonly performed. The safety of the procedure was enhanced by the use of fluid infusion, termed tumescence
Tumescence
Tumescence is the quality or state of being tumescent or swollen. Tumescence usually refers to the normal engorgement with blood of the erectile tissues, marking sexual excitation and possible readiness for sexual activity...
, a concept formulated by Dr. Andrew Klein.
Career
In 1982, Fisher enlisted in for the United States NavyUnited States Navy
The United States Navy is the naval warfare service branch of the United States Armed Forces and one of the seven uniformed services of the United States. The U.S. Navy is the largest in the world; its battle fleet tonnage is greater than that of the next 13 largest navies combined. The U.S...
; in 1983, he became one of the youngest Chiefs of Department of Plastic Surgery at the National Naval Medical Center
National Naval Medical Center
The National Naval Medical Center in Bethesda, Maryland, USA — commonly known as the Bethesda Naval Hospital — was for decades the flagship of the United States Navy's system of medical centers. A federal institution, it conducted medical and dental research as well as providing health care for...
, and was appointed Assistant Professor
Professor
A professor is a scholarly teacher; the precise meaning of the term varies by country. Literally, professor derives from Latin as a "person who professes" being usually an expert in arts or sciences; a teacher of high rank...
of Surgery at the Uniformed Services University of the Health Sciences
Uniformed Services University of the Health Sciences
The Uniformed Services University of the Health Sciences is a health science university run by the U.S. federal government. The primary mission of the school is to prepare graduates for service to the U.S. at home and abroad in the medical corps....
. Fisher also served as consultant in plastic and reconstructive surgery
Reconstructive surgery
Reconstructive surgery is, in its broadest sense, the use of surgery to restore the form and function of the body, although Maxillo-Facial Surgeons, Plastic Surgeons and Otolaryngologists do reconstructive surgery on faces after trauma and to reconstruct the head and neck after cancer.Other...
at the National Institutes of Health
National Institutes of Health
The National Institutes of Health are an agency of the United States Department of Health and Human Services and are the primary agency of the United States government responsible for biomedical and health-related research. Its science and engineering counterpart is the National Science Foundation...
, and was head of the Cleft Lip
Cleft
Cleft lip and cleft palate , which can also occur together as cleft lip and palate, are variations of a type of clefting congenital deformity caused by abnormal facial development during gestation. A cleft is a fissure or opening—a gap. It is the non-fusion of the body's natural structures that...
and Palate Clinic and Melanoma Skin Cancer
Skin cancer
Skin neoplasms are skin growths with differing causes and varying degrees of malignancy. The three most common malignant skin cancers are basal cell cancer, squamous cell cancer, and melanoma, each of which is named after the type of skin cell from which it arises...
Clinic. He was also a consultant in hand surgery
Hand surgery
The field of hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand or upper extremity including injury and infection. Hand surgery may be practiced by graduates of general surgery, orthopedic surgery and plastic surgery...
for the Department of Orthopedics, and in Microscopic-Assisted Peripheral Nerve
Peripheral nervous system
The peripheral nervous system consists of the nerves and ganglia outside of the brain and spinal cord. The main function of the PNS is to connect the central nervous system to the limbs and organs. Unlike the CNS, the PNS is not protected by the bone of spine and skull, or by the blood–brain...
Surgery for the Department of Neurosurgery.
As a Clinical Fellow in Surgery at the Columbia University College of Physicians and Surgeons
Columbia University College of Physicians and Surgeons
Columbia University College of Physicians and Surgeons, often known as P&S, is a graduate school of Columbia University that is located on the health sciences campus in the Washington Heights neighborhood of Manhattan...
and St. Luke's-Roosevelt Hospital Center
St. Luke's-Roosevelt Hospital Center
St. Luke's-Roosevelt Hospital Center, an academic affiliate of Columbia University College of Physicians and Surgeons, is a 1,076-bed, full-service community and tertiary care hospital serving New York City’s Midtown West, Upper West Side and parts of Harlem....
in New York City
New York City
New York is the most populous city in the United States and the center of the New York Metropolitan Area, one of the most populous metropolitan areas in the world. New York exerts a significant impact upon global commerce, finance, media, art, fashion, research, technology, education, and...
, Fisher co-authored one of the first textbook presentations on body image
Body image
Body image refers to a person's perception of the aesthetics and sexual attractiveness of their own body. The phrase body image was first coined by the Austrian neurologist and psychoanalyst Paul Schilder in his masterpiece The Image and Appearance of the Human Body...
. Psychological considerations in plastic surgery, and the resultant overt changes in self-esteem
Self-esteem
Self-esteem is a term in psychology to reflect a person's overall evaluation or appraisal of his or her own worth. Self-esteem encompasses beliefs and emotions such as triumph, despair, pride and shame: some would distinguish how 'the self-concept is what we think about the self; self-esteem, the...
, were not clearly identified and continue to be an unpredictable aspect of physical changes brought about by cosmetic surgery.
Fisher was a contributing and consulting editor to Plastic Surgery Products Magazine between 1995 and 2006, authoring contributions on such diverse subjects as "A Layman's Guide to Lasers" (1995), "The Perioperative Guide to Cosmetic Surgery" (1996), "The Phenol Peel: The Secret of Youth in Croton Oil
Croton oil
Croton oil is an oil prepared from the seeds of Croton tiglium, a tree belonging to the natural order Euphorbiales and family Euphorbiaceae, and native or cultivated in India and the Malay Archipelago. Small doses taken internally cause diarrhea. Externally, the oil can cause irritation and swelling...
", and "Liposuction: Do's and Don'ts".