Presidential Greeting - American Society for Laser Medicine and ...

dermal plexus of vessels. Skin tightening through tissue
coagulation also occurs concurrently with the tissue separation.
This review of the first 500 procedures again demonstrated the
significant benefits in reducing blood loss and operating time in
addition to facilitating the aesthetic improvement the patient
requests. The laser used as a dissecting tool facilitates elevation
over certain anatomical regions that are difficult to elevate such
as the nasal labial folds and oral commissure.
#193
TREATMENT OF CELLULITE WITH 1-YEAR
FOLLOW-UP USING A 1,440 NM PULSED LASER:
PRELIMINARY REPORT
Barry DiBernardo
University of Medicine and Dentistry of New Jersey, Newark, NJ
Background: Cellulite is characterized by a thinning dermis,
hypodermal fat lobules that extend upward into the dermis and
expand and stretch fibrous septae that separate the fat lobules.
Eventually the septae contract and harden (sclerosis) holding the
skin at a non-flexible length, while the surrounding tissue
continues to expand. Various devices, requiring multiple
treatments have been cleared by the FDA for temporary
improvement of the appearance of cellulite. The purpose of this
study is to evaluate the efficacy, safety, and duration of the clinical
benefit associated with a single treatment pulsed laser that
delivers 1,440 nm energy to the dermal–hypodermal interface for
the treatment of cellulite and to evaluate the changes in the
dermal structure that effect the appearance of cellulite.
Study: Healthy female subjects (n ¼ 10, aged 47 5.4 years)
with cellulite on their thighs enrolled in a prospective,
IRB-approved study. Subjects received a single treatment with a
1,440 nm pulsed laser using a specialized ‘‘side-firing’’ fiber.
Energy was delivered to the subdermal tissue through a fiber
designed for targeted delivery of laser energy and enclosed in a
cannula. Treatment addressed the thinning dermal layer,
hypodermal fat lobules that extend upward into the dermis, and
fibrous septae by thermal subcision. Ultrasound, skin elasticity
measurements and photographs were conducted at baseline, 1, 3,
6, and 12 months. Subject and physician evaluations were
conducted at 3, 6, and 12 months.
Results: Mean skin thickness (as shown by ultrasound) and skin
elasticity significant (P < 0.001) increases at each time point at 1,
3, 6, and 12 months as shown by objective measurements.
Subjective physician and subject evaluations indicated
improvement, high subject satisfaction, and minimal adverse
effects.
Conclusion: A single treatment with the 1,440-nm pulsed
laser improves the appearance of cellulite and the
improvement persists for at least 1 year with minimal adverse
effects.
#194
American Society for Laser Medicine and Surgery Abstracts 57
HIGH DEFINITION BODY CONTOURING USING
LASER ASSISTED LIPOSCULPTURE
Jamal Jomah, Med Art Clinics
Riyadh, Saudi Arabia
Background: Precision Liposculpture and definition of muscles
has become the new trend in body contouring surgery. This
method is geared to the healthy non-obese patients who request
an athletic look. To achieve this, a meticulous Liposculpture and
Laser Lipolysis are required. A sound knowledge of the muscular
and adipose layer anatomy is essential. The basic principle of
Laser Lipolysis lies on the tissue tightening and coagulation that
result from delivering a controlled thermal energy to the adipose
and the subcutaneous tissue. This energy causes collagen
denaturation and collagenesis remodeling and the ultimate
outcome is measurable shrinkage of the tissue area with definition
of the underlying muscles.
Study: The aim of this presentation is to demonstrate the Laser
Assisted Liposculpture technique and the results of using a
combined precision Classic Liposculpture with Laser Lipolysis.
Twenty-seven male and female subjects were treated with Laser
Assisted Liposculpture. The laser used were 980 diode, 1,320
Nd:YAG and 1,444 Nd:YAG. An attempt to define the anatomic
landmarks of the underlying musculature was performed.
Tumescent anesthesia was used for all patients. The laser probe
was introduced into the subcutaneous tissue and lasing performed
in a homogenous way by transillumination and continuous
motion.
Results: There were 3 males and 24 females patients. Total areas
treated were 38. Areas included face, neck, torso, buttocks, and
thighs. The energy delivered and amount of fats aspirated were
recorded. The patients were followed for minimum of 6 months.
Examples of before and after photos will be presented.
Conclusion: The use of Laser Lipolysis has made a significant
impact on the patients on the pre-operative consultation and there
was a good tool to convince the patients. For the aim of volume and
size reduction the clinical advantage appears to be marginal
compared to the Classic Liposuction. The length of operation was
significantly longer with the use of the laser. For the purpose of
high definition and skin shrinkage it had a significant effect. The
laser added more shrinkage to the skin and also defined the
muscles of the abdomen (the athletic 6 pack). The temperature
surface that was required to achieve the significant result should
be 458C and immediate sub dermal temperature was 40–428C.
But further studies were needed.
#195
A CONCEPT OF BODY CONTOURING BY
COMBINING MINIMAL INVASIVE AND NON-
INVASIVE PROCEDURES: LASER LIPOLYSIS,
RADIOFREQUENCY AND ACOUSTIC WAVES
Katharina Russe-Wilflingseder, Elisabeth Russe,
Manfred Herold
Plastische Chirurgie und Laserzentrum, Innsbruck, Austria
Background: Request for aesthetic body contouring procedures
is increasing. Long downtimes are less accepted. Various
techniques as laserlipolysis (LAL), radiofrequency (RF) and
acoustic waves (AW) cope with these requests.
Study: Thirty patients were treated combining these
technologies. Lipodystrophy and skin laxity on abdomen, upper
arms, thighs were operated with LAL (1,064 nm and 1,320 nm,
blended 1:1 or 1:3; 12–46 W) in TLA. Interstitial temperature
control ensured efficient lipolysis and neocollagenesis. Liquidized
fat was aspirated. Postoperative compression garments were
given for 7–14 days. Starting 3-month postoperative a series of 4–
6 bipolar RF treatments (10–20 J/cm 3 ,2–3seconds) and 6–8
superficial and deeper penetrating AW treatments (D20S 3–5 bar;
DI 1,4–3 bar) were applied. Number of treatments was given
according to skin quality at intervals of 1–2 weeks.