LASER lipolysis (LASER lipoplasty) was introduced in the United States in 1994, with an impulse of 1064 – nm Nd: YAG laser which has proven safely and effective. LASER energy transmitted through a flexible optical fiber is discharged at the end of the fiber and absorbed by adipocytes, leading to the increasing of their volume and their disrupting and the coagulation of small vessels in the adipose tissue. Histological analysis after LASER’ use on human adipose tissue is showing areas of reversible cellular damages (swelling), irreversible cell injury (cell lysis) and small vessel injuries. Our practice: 980nm diode laser (Med’Art Denmark) that is used by units’ emission. Transcutaneous illumination of the beam ensures accurate viewing of the area of the laser ‘action. Laser light is introduced into fat using a 16 gauge needle with 80 mm incorporating an optical fiber of 600um (0.6 mm) with a lock on this optical fiber on the needles.
-Local dermal diseases
-Untreated general pathology
-Contour correction and skin retraction were observed at almost all patients after 4-7 days
-Swelling was observed at 90% of patients over a period of 7 days
-Superficial, pointy, minor burns at 2 patients (~ 5%)
-Bruising at 40% of patients for a period of 6 days
-paresthesias after one month at 3 patients (~ 5%)
-No infections or skin pigmentations
-Pointy dermal indurations at 5% of patients (transient after 2-3 weeks)
-Laser lipolysis is a new and developing technique
– It is recommended for patients with moderate soft tissue laxity as a result of aging process or patients who do not want major surgery (facelift) but would like visible results
– Surgeons honesty is required to explain the patient that laser lipolysis alone or in combination with other less invasive procedures (fractional laser, lipofilling, liposuction) does not address to the muscular layer of the face or neck, which is the major cause of “aging”, but is addressing to the subcutaneous tissue by stretching it
-Is a comfortable method for both patient and physician with a low rate of risks and complications.
February 1 2012
Plastic Surgeon Dana Jianu