Laser-assisted lipolysis for knee remodelling: A prospective study in 30 patients

Moreno-Moraga, Javier; Trelles, Mario A.; Mordon, Serge; Unglaub, Frank; Bravo, Elena; Torre, Josefina Royo de la; Sanz, Ignacio Pereira; Servell, Pascal; Betrouni, Nacim; Leclère, Franck Marie

doi:10.3109/14764172.2012.670248

Cited by 8 publications

(8 citation statements)

References 22 publications

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“…Weight gain, sagging skin related to aging or recent weight loss, and decreased muscle tone from inactivity or injury can all affect the appearance of the knee area. These changes are frustrating to women and can affect them emotionally and socially [ 1 ]. According to Chamosa, the medial knee zone has the greatest deposits of adipose tissue [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…These changes are frustrating to women and can affect them emotionally and socially [ 1 ]. According to Chamosa, the medial knee zone has the greatest deposits of adipose tissue [ 1 , 2 ]. Excessive fat on knees can also be genetically predisposed and is resistant to diet and regular exercise [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Liposuction and lipectomy are some of the surgical procedures carried out by medical professionals to address unwanted fat in this area [ 1 , 3 ]. However, these can be traumatic to patients and have slower recovery time, and can have unpredictable results and serious adverse events [ 1 , 3 ]. According to literature, lipectomy on knee area is prone to persistent edema, hyperpigmentation, prolonged pain, irregularities, and cutaneous necrosis [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…With the advancement of technology, many noninvasive treatment modalities have been developed to address fat reduction in several areas of the body, such as monopolar and bipolar radiofrequency (RF) [ 4 ], cryolipolysis [ 5 – 7 ], high-intensity focused ultrasound (HIFU) [ 8 , 9 ], and lasers [ 1 , 3 , 10 – 13 ]. These procedures have quicker postoperative recovery and better patient safety profiles [ 1 , 3 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Noninvasive 1060-nm Diode Laser for Medial Knee Fat Reduction

Yan

Wanitphakdeedecha

Evangelista

et al. 2022

Dermatol Ther (Heidelb)

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Introduction Laser lipolysis is a rapidly growing noninvasive body-contouring treatment in Asians. There is increasing demand for leg contouring, especially in areas where unwanted fat deposits are prominent despite diet and exercise. Medial fat knees are one of the esthetic concerns of women today and can be a challenging problem in terms of treatment. There are few noninvasive options to remove fat from these areas. This study aims to evaluate the safety and efficacy of a 1060-nm diode laser for medial knee fat reduction. Methods Nineteen subjects with localized unwanted fat on the medial knees were enrolled into this study. All of them were treated with a single session of 1060-nm diode laser at a power setting of 1.0–1.4 W/cm 2 , depending on patient tolerance. Body weight, knee circumference at 3 cm above the medial epicondyle of the femur, and knee fat thickness measured by ultrasonography were recorded at baseline and 1, 3, and 6 months after treatment. Clinical photographs and ultrasound images were taken before and after treatment. Side effects were documented during follow-up visits. Subjects answered a satisfaction questionnaire at the completion of the study. Results All subjects were female, with mean age of 32.3 ± 5.3 years and body weight of 59.8 ± 11.6 kg. The average power setting was 1.3 ± 0.1 W/cm 2 with pain score of 6.1 ± 1.0. Significant reduction in knee circumferences ( p < 0.001) at 1-, 3-, and 6-month follow-up visits compared with baseline, and knee fat thickness measured by ultrasound in both axial and sagittal plane at 1 and 6 months after treatment ( p = 0.036 and p < 0.001, respectively) were recorded. Side effects were mild and transient, including mild erythema and tenderness. Conclusion The 1060-nm diode laser is effective and safe for knee circumference and medial knee fat layer thickness reduction. Trial registration ClinicalTrials.gov identifier, TCTR20220219002. Retrospectively registered on February 19, 2022.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Efficacy of Noninvasive 1060-nm Diode Laser for Medial Knee Fat Reduction

Yan

Wanitphakdeedecha

Evangelista

et al. 2022

Dermatol Ther (Heidelb)

View full text Add to dashboard Cite

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Laser-assisted lipolysis for cankle remodelling: a prospective study in 30 patients

Leclère

Moreno-Moraga²,

Mordon

et al. 2013

Lasers Med Sci

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Cankles refer to the area where the calf and ankle meet. Unaesthetic fat cankles, where definition between the calf and ankle is impossible, are a frustrating aesthetic deformity, which are exacerbated by their genetic conditioning and special resistance to diet. This article reports our experience with laser-assisted lipolysis (LAL) in cankle remodelling. A total of 30 patients were treated for unaesthetic fat cankles with LAL. The 924/975-nm diode laser used in this study consisted of two lasers, one emitting at 924 nm, and the other at 975 nm. According to our mathematical models, we assumed that to destroy 1 ml of fat, 0.1 kJ was required in dual emission mode at 924/975 nm. Patients were asked to file a satisfaction questionnaire. Ultrasound was used to measure the fat thickness pre- and postoperatively. Oedema in both lateral sulcus of the Achilles tendon was seen in all patients. It subsided after 4 weeks in nine cases and 6 weeks in 21 cases. Only two patients developed mild hyperpigmentation that disappeared, respectively, after 4 and 10 weeks. Pain during the anaesthesia and discomfort after the procedure were low with this technique. Mean down time was 1.0 day. Of the 30 patients, 29 would recommend this treatment. Overall, high patient and investigator satisfaction was confirmed by the sonography used to measure decrease in fat thickness. LAL in cankle remodelling is a safe and reproducible technique that is particularly appreciated by the patient. The procedure allows homogenous reduction of fatty tissue together with skin tightening.

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Laser-assisted lipolysis for arm contouring in Teimourian grades I and II: a prospective study of 45 patients

Leclère

Alcolea²,

Vogt

et al. 2015

Lasers Med Sci

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Upper arm deformities secondary to weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures. We conducted this study to objectively assess if, in Teimourian low-grade upper arm remodelling, one session of laser-assisted lypolisis (LAL) could result in full patient satisfaction. Between 2011 and 2013, 45 patients were treated for unsightly fat arm Teimourian grade I (15 patients), grade IIa (15 patients) and grade IIb (15 patients) with one session of LAL. The laser used in this study was a 1470-nm diode laser (Alma Lasers, Cesarea, Israel) with the following parameters: continuous mode, 15 W power and transmission through a 600-μm optical fibre. Previous mathematical modelling suggested that 0.1 kJ was required in order to destroy 1 ml of fat. Treatment parameters and adverse effects were recorded.The arm circumference and skin pinch measurements were assessed pre and postoperatively. Patients were asked to file a satisfaction questionnaire. Pain during the anaesthesia and discomfort after the procedure were minimal. Complications included prolonged oedema in 11 patients. The average arm circumference decreased by 4.9 ± 0.4 cm in the right arm (p < 0.01) and 4.7 ± 0.5 cm in the left arm (p < 0.01) in grade I patients, 5.5 ± 0.6 cm in the right arm (p < 0.01) and 5.2 ± 0.5 cm in the left arm (p < 0.01) in grade IIa patients and 5.4 ± 0.5 cm in the right arm (p < 0.01) and 5.3 ± 0.5 cm in the left arm (p < 0.01) in grade IIB patients. The skin tightening effect was confirmed by the reduction of the skin calliper measurements in all three groups. Overall mean opinion of treatment was high for both patients and investigators. Of the 45 patients, all but one would recommend this treatment. A single session of LAL in upper arm remodelling for Teimourian grades I to IIb is a safe and reproducible technique. The procedure allows reduction in the amount of adipose deposits while providing full skin tightening.

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Laser-assisted lipolysis for knee remodelling: A prospective study in 30 patients

Abstract: LAL in knee remodelling is a safe and reproducible technique, particularly appreciated by patients. The procedure allows for a reduction in the amount of adipose deposits while providing concurrent skin contraction.

Cited by 8 publications

References 22 publications

Efficacy of Noninvasive 1060-nm Diode Laser for Medial Knee Fat Reduction

Efficacy of Noninvasive 1060-nm Diode Laser for Medial Knee Fat Reduction

Laser-assisted lipolysis for cankle remodelling: a prospective study in 30 patients

Laser-assisted lipolysis for arm contouring in Teimourian grades I and II: a prospective study of 45 patients

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