Progress report on multicenter study of laser-assisted liposuction

Apfelberg, David B.; Rosenthal, S. A.; Hunstad, Joseph P.; Achauer, Bruce M.; Fodor, Peter B.

doi:10.1007/bf00449791

Cited by 131 publications

(93 citation statements)

References 11 publications

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“…Siendo descrita la LSDL-980nm como una técnica menos traumática para liposucción, se evidencian su ventajas principalmente en el postoperatorio (7,8,10,11) al causar menor trauma, importante retracción de piel, conllevar un corto periodo de recuperación, una baja incidencia de complicaciones y bajos niveles de dolor postoperatorio. Un aspecto de mucha importancia para los pacientes es el dolor postoperatorio.…”

Section: Discussionunclassified

Liposucción con diodo láser 980-nm (LSDL 980-nm): optimización de protocolo seguro en cirugía de contorno corporal

Centurion

Cuba

Noriega

2011

Cir. plást. iberolatinoam.

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ResumenLa disponibilidad en el mercado de una gran gama de equipos de láser de diferentes potencias y longitudes de onda para su aplicación en el tejido graso, así como la existencia de diversos trabajos científicos sobre el tema con resultados opuestos, han causado gran confusión y dudas sobre la téc-nica de láser-lipolisis entre los cirujanos plásticos.Presentamos un protocolo quirúrgico de liposucción con diodo-láser de 980-nm (LSDL 980-nm) aplicado en 240 pacientes. Evaluamos la seguridad de la técnica según el ín-dice de complicaciones sufrido, así como la evolución en el post-operatorio de los pacientes tratados. Empleamos un equipo diodo-láser-980 nm (ORlight ®), cuya energía llevamos a través de una fibra de 600 µm. Esto se traduce en la aplicación de 99 J por cada cm 2 de área tratada, con un espesor de hasta 4 cm de tejido adiposo subcutáneo. No tuvimos complicaciones mayores, tipo quemaduras y entre las complicaciones menores, que fueron de un 48.33% (116 pacientes), encontramos equímosis mínimas (menos del 2% de superficie corporal). El tiempo que los pacientes requirieron para controlar el dolor postoperatorio fue de entre 1 y 2 días.Consideramos importante la incorporación de la LSDL-980 nm por ser una técnica menos traumática y con bajo índice de complicaciones, que reduce el periodo de recuperación de los pacientes, provoca una importante retracción de la piel y disminuye el dolor postoperatorio.Palabras clave Liposucción, Lipoláser, Láser, Láser Diodo 980-nm, Lipolisis, Lipoabdominoplastía. Código numérico 46-1545 AbstractThe availability of multiple laser systems on the market with different power and wavelengths and the existence of several scientific papers with contradictory presents, have created great confusion and doubts among plastic surgeons with regard to the laser lipolysis technique. We report a surgical protocol for liposuction diode laser-980 nm (LSDL-980 nm) applied to 240 patients. We evaluate the security of the technique according to the complication rate and the postoperative development of patients submitted to the technique We use a diode laser-980 nm (ORlight®), transporting its energy through a 600 µm fiber. This concludes in the aplication of 99 J per cm 2 of treated area with a width of until 4 cm of subcutaneous adipose tissue. All the complications were considered minor or nonexistent. Within the minor complications that were 48.33% (116 patients) most cases presented minimum echymosis (less than 2% of the body surface). The time required to control pain was between 1 and 2 days, depending on the procedure.We consider important to incorporate the LSDL 980-nm in clinical practice because it is a less traumatic technique with a low rate of minor complications, significant skin retraction, short recuperation period and less postoperative pain Key wordsLiposuction, Lipolaser, Laser, Diode Laser, Lipolysis, Lipoabdominoplasty. Numeral Code 46-1545Centurión, P.Liposucción con diodo láser 980-nm (LSDL 980-nm): optimización de protocolo seguro en cirugía de contorno corporal B...

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Section: Discussionunclassified

Liposucción con diodo láser 980-nm (LSDL 980-nm): optimización de protocolo seguro en cirugía de contorno corporal

Centurion

Cuba

Noriega

2011

Cir. plást. iberolatinoam.

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“…As more women and men want to look and feel better about themselves, body contouring and liposculpture continue to grow in popularity, making laser lipolysis one of the most popular cosmetic surgeries performed today [1][2][3][4]. Laser lipolysis is usually performed with a cannula that contains a laser fiber.…”

Section: Introductionmentioning

confidence: 99%

“…The cannula is inserted into the treatment area and moved back and forth so that the laser energy can dissolve unwanted fat. The immediate effect of laser-assisted lipolysis is to produce temporary pores in the cell membranes of adipocytes, allowing dissolved fat to migrate into the extracellular space [1][2][3][4]. Laser lipolysis causes less bleeding, bruising, and swelling than conventional liposuction procedures, resulting in a faster recovery [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Wavelength Dependence for Laser-assisted Lipolysis Effect Using Monte Carlo Simulation

Youn¹

2009

Journal of the Optical Society of Korea

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The aim of this study is to evaluate wavelength dependence for laser-assisted lipolysis using a mathematical simulation. In this study, a Monte Carlo simulation was performed to simulate light transport in fat and dermal tissue with 3 different laser wavelengths (λ = 1064 nm, 1320 nm, and 1444 nm) that are currently used in clinic settings for laser-assisted lipolysis. The relative rates of heat generation versus penetration depth showed that the greatest amount of heat generation was seen in the tissues at λ = 1444 nm. This Monte Carlo simulation may help lend insight into the thermal events occurring inside the fat and dermal tissue during laser-assisted lipolysis.

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“…Bu ön çalışmada liposakşın kanülü içine yttrium aluminium garnet (YAG) fiber optiği kullanıldı, fakat lazerin etkinliğinin olmadığı düşünülerek FDA tarafından onay verilmedi 6 . Daha sonraki çalışmacılar optik fiberli lazerin yağ dokuya direk teması ile yağ dokuda termal lizis oluştuğu, bu şekilde lazer destekli termal hasarın intraoperatif kan kaybını ve post operatif ekimozu azalttığı aynı zamanda da deride sıklaşma sağladığını gözlemlediler [7][8][9] .…”

Section: Tarihçeunclassified

Lazer Lipoliz

...

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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Progress report on multicenter study of laser-assisted liposuction

Cited by 131 publications

References 11 publications

Liposucción con diodo láser 980-nm (LSDL 980-nm): optimización de protocolo seguro en cirugía de contorno corporal

Liposucción con diodo láser 980-nm (LSDL 980-nm): optimización de protocolo seguro en cirugía de contorno corporal

A Comparison of Wavelength Dependence for Laser-assisted Lipolysis Effect Using Monte Carlo Simulation

Lazer Lipoliz

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