Laser-Assisted Lipolysis: A Review

Fakhouri, Tarek M.; Tal, Abdel Kader El; Abrou, Ayad E.; Mehregan, David A.; Barone, Frank E.

doi:10.1111/j.1524-4725.2011.02168.x

Cited by 43 publications

(25 citation statements)

References 37 publications

(128 reference statements)

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“…Theoretically, use of the 1,444-nm Nd:YAG laser should result in more effective LAL, because fat has a 10-fold greater affinity for this wavelength than the 1,064-nm wavelength [19]. In addition, fat contains 14% water and collagen contains approximately 60% water [20]. The greater affinity of fat and water for the 1,444-nm wavelength focuses energy and heat in the adipose tissue.…”

Section: Discussionmentioning

confidence: 99%

Laser-Assisted Liposuction Using the Novel 1,444-nm Nd:YAG Laser for the Treatment of Gynecomastia: A Pilot Study

Yoo

Bae²,

Won

et al. 2015

Dermatology

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Background: Laser-assisted liposuction (LAL) is currently widely used to reduce localized fat. A novel Nd:YAG laser that uses a wavelength of 1,444 nm, which is better absorbed by fat, has recently been introduced. In this study, we investigated the efficacy of 1,444-nm Nd:YAG LAL for the treatment of gynecomastia. Patients and Methods: Thirteen Korean male patients (20-28 years, mean age 23 years) diagnosed with gynecomastia were enrolled in this study. All patients were treated by LAL with 1,444-nm Nd:YAG laser (100 µs pulse width, 40 Hz frequency, 300 mJ pulse energy and 12 W power with continuous emission) after tumescent anesthetic infiltration and were then evaluated. Outcome was assessed using the following 4 methods: (1) clinical assessment with photographs obtained before and 12 weeks after LAL treatment, (2) comparison of pre- and postoperative patient chest circumferences, (3) computed tomography (CT) scans to evaluate changes in breast thickness and (4) a patient satisfaction survey at the end of the study. Results: After 12 weeks, most patients (84.5%) showed an improvement greater than 50%. Mean chest circumference was significantly reduced from 109.6 ± 8.2 to 101.2 ± 4.4 cm 12 weeks after LAL (p < 0.001). CT scans showed a significant reduction in mean breast thickness from 22.7 ± 3.2 to 15.6 ± 2.4 mm (p = 0.016). Side effects (pain, edema, numbness and ecchymosis) were minimal and disappeared shortly after the first manifestation. Conclusion: Gynecomastia can be safely treated with 1,444-nm Nd:YAG LAL to reduce fatty tissue and total breast volume.

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Section: Discussionmentioning

confidence: 99%

Laser-Assisted Liposuction Using the Novel 1,444-nm Nd:YAG Laser for the Treatment of Gynecomastia: A Pilot Study

Yoo

Bae²,

Won

et al. 2015

Dermatology

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“…The typical wavelength is in the range 600-1000 nm (red to 102 near infrared), but some research has been done and products outside of this range are available [16]. LLLT in the current study was performed using diode laser which is a cheap, easy to handle and does not produce heat as it depends on the chemical effect and not thermal effect, On the other hand both conventional liposuction and laser-assisted lipolysis used by many authors [17], [18] And [19] depend on internal application of laser energy to adipose tissue to induce selective thermal lipolysis, are more complicated procedures and may be associated with epidermal and dermal thermal injuries [20]. Thornfeldt and coworkers in 2016 concluded that one weekly low-level laser therapy treatment for six weeks was clinically effective for reducing waist, hip, thigh, and upper abdomen circumference and may be more effective than the previous two-week treatment protocol [21].…”

Section: Discussionmentioning

confidence: 99%

Gallium Arsenide Low Level Laser Therapy as an Adjunctive Modality in Treatment of Cellulite After Liposuction

Ibrahim¹,

Borhan²,

Abdelrahman³

et al. 2017

IJPR

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“…Tümesan anestezi tekniği sayesinde intraoperatif kanama riski ve kanamaya bağlı komplikasyonlar postoperatif ekimoz riski azalmıştır. Dermatolojik cerrahide kullanılan Klein solüsyonu; 1 litrelik normal salin solüsyonun içine 500-1000 mg lidokain (%0,05-0,1), 1mg epinefrin (1:1000000 ünit) ve 12,5 ml %8,4 lük sodyum bikarbonat eklenmesi ile oluşmaktadır 3 . Strik tümesan tekniğinde ise intravenöz sedasyona gerek kalmadan sadece lokal anestezi ile liposakşın yapılmasına olanak sağlanmaktadır.…”

Section: Gi Riflunclassified

“…ND-YAG lazer (Smartlipo, Cynosure, Westfort, MA) yumuşak dokuda cerrahi insizyon, eksizyon, vaporizasyon, ablasyon ve koagülasyon için 2006 yılında FDA onayı almıştır 5 . Günümüzde lazer destekli lipoliz ve LL için çok sayıda lazer geliştirilmiş olup artık lazerin yağ dokuya ulaşmasını sağlamak için küçük kanüller içinden geçen optik fiberler kullanılmaktadır 3 .…”

Section: Tarihçeunclassified

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Lazer Lipoliz

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2012

Turkderm

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ÖzetLiposakşın klinik pratikte, en sık yapılan kozmetik cerrahi uygulamalardan birisidir. Son dönemlerde bu alanda kullanıma giren yardımcı yöntemlerden biri ise lazer lipoliz uygulamalarıdır. Bu teknik ile farklı dalga boylarındaki lazer enerjisi lipoliz ve hemostaz yaparken, neokollagenezi de stimüle etmektedir. Lazerin yağ dokuda kullanımı üzerine yapılmış orijinal çalışmalar gözden geçirilmiş ve değerlendirilmiştir. Bazı yazarlar lazer lipoliz uygulamasının genel anestezi altında yapılan geleneksel yöntemlere nazaran daha az yan etkili olduğunu öne sürmektedir. Ancak literatürde bu iki metodu objektif şekilde karşılaştıran çalışma eksiği vardır. Lazer lipoliz tecrübelerinin artması, daha etkili ve güvenli tekniklere ulaşmamızı sağlayacaktır. Sum maryIn clinical practice, liposuction is one of the most commonly performed cosmetic surgical procedure. Recently laser lipolysis is the latest adjunct procedure to liposuction. This technique employs laser energy with different wavelenghts to induce lipolysis and hemostasis and stimulate neocollagenesis. Original articles that studied the application of laser to adipose tissue were reviewed and included. Several authors claimed that laser lipolysis offers fewer side effects than traditional liposuction performed under general anesthesia. A true objective comparison within these two methods is missing in the literature. As laser lipolysis experience grows, it will help to achive more efficient and safer techniques.

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Laser-Assisted Lipolysis: A Review

Cited by 43 publications

References 37 publications

Laser-Assisted Liposuction Using the Novel 1,444-nm Nd:YAG Laser for the Treatment of Gynecomastia: A Pilot Study

Laser-Assisted Liposuction Using the Novel 1,444-nm Nd:YAG Laser for the Treatment of Gynecomastia: A Pilot Study

Gallium Arsenide Low Level Laser Therapy as an Adjunctive Modality in Treatment of Cellulite After Liposuction

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