Combination Laser-Assisted Liposuction and Minimally Invasive Skin Tightening with Temperature Feedback for Treatment of the Submentum and Neck

Alexiades-Armenakas, Macrene

doi:10.1111/j.1524-4725.2012.02348.x

Cited by 15 publications

(7 citation statements)

References 21 publications

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“…In addition, the embedded thermal sensor within the external electrode achieves a more targeted and uniform temperature distribution without any red spots and a reduced risk of thermal injuries or untreated areas such as those found in laser-assisted liposuction. 12–14 …”

Section: Discussionmentioning

confidence: 99%

Radiofrequency-assisted Liposuction for Neck and Lower Face Adipodermal Remodeling and Contouring

Keramidas

Rodopoulou

2016

Plastic and Reconstructive Surgery - Global Open

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Background:The purpose of this study is to report our experience using radiofrequency-assisted liposuction (RFAL) for neck and face contouring. This article details the operative technique, selection, complications, third-party surgeon appraisal, and patient satisfaction survey.Methods:From November 2009 to November 2013, 55 patients who underwent RFAL treatment were enrolled in the study. Postoperative patient satisfaction surveys were conducted, and 2 independent plastic surgeons evaluated contour and skin quality with randomized preoperative and postoperative photographs at 6 months postoperatively. The different parameters recorded involved age, sex, weight, body mass index, operative time, amount of fat aspirated and energy delivered, complications, and aesthetic outcome in 1 and 4 weeks and 3 and 6 months. Our longest follow-up was 4 years. Patients were asked 6 months postoperatively to grade their satisfaction as poor, no change, moderate, good, and excellent.Results:The mean age was 51 years (range, 35–61 years), and the mean amount of fat aspirated was 30 mL (range, 10–200 mL). Five out of 55 patients (9.1%) developed tissue hardness that resolved with massage. All patients were followed up for a minimum of 6 months. Eighty-five percent of patients were satisfied with their contouring result and degree of skin tightening (48/55 patients). Two independent plastic surgeons considered the improvement in contouring and degree of skin tightening good to excellent in 52 of 55 cases.Conclusions:In appropriately selected patients, RFAL neck and face contouring represent a safe procedure to achieve significant improvement of the skin laxity and fat deposits of the cervicomental zone and jowls.

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Section: Discussionmentioning

confidence: 99%

Radiofrequency-assisted Liposuction for Neck and Lower Face Adipodermal Remodeling and Contouring

Keramidas

Rodopoulou

2016

Plastic and Reconstructive Surgery - Global Open

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“…Early adoption has taken place primarily in the arena of body contouring, although some reports have detailed its use in the face and neck. 66,67,68 Laser-assisted liposuction functions on the principle of selective photothermolysis and its incorporation into traditional liposuction techniques aims to facilitate aspiration, reduce operative blood loss due to selective coagulation of vessels, and provide tightening of the overlying skin envelope via effects on collagen. These effects are achieved by using lasers in the near infrared spectrum to selectively target water molecules within adipose and dermal tissue, and intravascular hemoglobin molecules to achieve coagulation.…”

Section: Methodology and Physiologymentioning

confidence: 99%

18 Liposuction of the Face and Neck: The Art of Facial Sculpture

Papel¹,

Frodel²,

Holt³

et al. 2016

Facial Plastic and Reconstructive Surgery

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“…10 Dermatologists have also pioneered significant advances in combined laser-assisted liposuction and minimally invasive skin-tightening treatments, improving skin laxity of the face and neck (rhytidectomy) with excellent safety and efficacy. 11 Referencing the Accreditation Council of Graduate Medical Education guidelines, 12 dermatology resident training includes techniques for botulinum toxin injections, soft-tissue augmentation, repairs of cutaneous surgical defects using flaps and grafts, and the use of light, laser, and other energy-based modalities, as well as elective cosmetic dermatology procedures, including chemical peels, dermabrasion, hair transplants, invasive vein therapies, liposuction, scar revision, and sclerotherapy. In addition, most dermatology residency programs teach plastic surgery residents how to use lasers.…”

Section: Board Certification In Cosmetic Surgery: An Evaluation Of Tr...mentioning

confidence: 99%

Photoaged Skin Therapy with Adipose-Derived Stem Cells

Zhao

Dai

Xiao

2021

Plastic &Amp; Reconstructive Surgery

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Photoaged Skin Therapy with Adipose-Derived Stem CellsW ith great interest, we read about the article entitled "Photoaged Skin Therapy with Adipose-Derived Stem Cells," published in the June of 2020 issue of Plastic and Reconstructive Surgery by Charles-de-Sá et al. 1 In this study, 20 Brazilian candidates for face lifting were injected with in vitro-expanded, autologous, adipose-derived mesenchymal stem cells to evaluate the regeneration of dermal elastic matrix component after 3 to 4 months. The results showed a full regeneration of solar elastosis, which provided the clinical evidence and positive suggestions for prospective cellmediated therapies for skin photoaging. However, we would like to raise questions with regard to the study in some respects.First, although in the Discussion section the authors declared that no adverse effects were observed, it has been reported that cell dysfunction and risk of neoplastic transformation should be taken seriously in aging stem cells. [2][3][4] Mesenchymal stem cells derived from old donors exhibit elevated levels of reactive oxygen species, nitric oxide, lower superoxide dismutase activity, and upregulated p53 protein, so a strategy of flawless cell sorting for aged autologous therapy would be a significant issue. 5 Therefore, it is necessary to assess and reconsider the safety of adipose-derived stem cells, especially for elderly donors over 60 years old.Second, the clinical data are also important to demonstrate the therapeutic efficacy of adiposederived stem cells. Indeed, before skin biopsies were performed, application of some noninvasive detection technologies, such as dermoscopy, Raman spectroscopy, optical coherence tomography, or Visia imaging (Canfield Scientific, Inc., Parsippany, N.J.), would have been useful to analyze the changes in photoaged skin.Third, the nontreated skin specimens were considered to be the preinjection control group, while the adipose-derived, stem cell-treated skin specimens were obtained after a 3-to 4-month interval during facelifting surgery, as described in the article. However, we hold the view that biopsy specimens are far more comparable at the same time point, since the influence of the time variable should not be omitted. Furthermore, the candidates will not suffer any extra pain if the specimens of both groups are harvested during face-lifting surgery at the same time.At last, a strictly sterile laboratory environment is needed for the time-consuming and complex process, which may limit its clinical use on a large scale. To summarize, the authors' findings contribute to cellmediated therapies for sun-aged skin. We expect further studies on more stringent evaluations of safety and therapeutic efficacy.

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Combination Laser-Assisted Liposuction and Minimally Invasive Skin Tightening with Temperature Feedback for Treatment of the Submentum and Neck

Abstract: Combination temperature-controlled LAL-MIST treats excess fat and skin laxity of the submentum and neck with excellent safety and efficacy.

Cited by 15 publications

References 21 publications

Radiofrequency-assisted Liposuction for Neck and Lower Face Adipodermal Remodeling and Contouring

Radiofrequency-assisted Liposuction for Neck and Lower Face Adipodermal Remodeling and Contouring

18 Liposuction of the Face and Neck: The Art of Facial Sculpture

Photoaged Skin Therapy with Adipose-Derived Stem Cells

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