Laser Lipolysis Used to Treat Localized Adiposis: A Preliminary Report on Experience with Asian Patients

Abstract

The Nd:YAG laser has a definite lipolysis effect on compact adipose tissue and is a more effective approach for the treatment of localized adiposis than conventional liposuction.

Laser Lipolysis Without Suction: Reality or Myth?

“…Cellular damage following laser lipolysis can be reversible (tumefaction) or irreversible (adipolysis), 12,17,18 and the degree of damage is energy dependent. 6,17 Increasing the energy also results in tissue fibrosis 13 and subsequent scarring.…”

“…The mechanism of action of laser lipolysis is a purely thermal effect. [11][12][13][14][15] An internal temperature of 48°-50°C must be achieved for skin tightening, 1,16 but the minimum temperature required for lipolysis of adipose tissue remains unknown. Cellular damage following laser lipolysis can be reversible (tumefaction) or irreversible (adipolysis), 12,17,18 and the degree of damage is energy dependent.…”

Gynoid Lipodystrophy Treatment and Other Advances on Laser-Assisted Liposuction

“…In women, fat cell chambers, or papillae adiposae, are sequestered by septa of connective tissue, positioned in a radial or diagonal manner, anchoring the dermis to the muscle fascia via the subcutaneous fat. The papillae adiposae of the subcutis bulge up into the dermis (sometimes close to the dermoepidermal junction), changing the gross appearance of the skin surface [31]. This condition (cellulite) can also be treated with laser lipolysis.…”

“…The moving speed of handpiece is also important for the clinical effect: too high speed will decrease the photothermal effect on the tissue, whereas to lower speed will damage the tissue due to the thermal effect remained in small part. The authors experience of the speed is about 3-5 cm/second [31]. The laser emission is usually controlled by a foot switch.…”

Avaliação citométrica dos adipócitos localizados no tecido subcutâneo da parede anterior do abdome após infiltração percutânea de CO2

“…Although the pathophysiological bases of these complications are not yet fully understood, different methods have been proposed in order to meet the best therapeutic strategy for its correction 1 . Thus, application of chemical or physical agents has been used indiscriminately, but the results are still controversial 9,10 . Unsatisfied with the outcome, many patients resort to alternative procedures (most often performed by non authorized individuals), which may worsen cosmetic results and lead to the onset of serious, at times fatal, complications 11 .…”