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

58 American Society for Laser Medicine and Surgery Abstracts
Results: With LAL not only fat could be removed but also tissue
tightened due to thermal effect on collagen fibers, a main
advantage compared to traditional liposuction. LAL achieved good
results for skin tightening without leaving visible scars.
Convalescence and down time was highly reduced compared to
lifting surgery. In addition skin quality and elasticity could be
improved with RF. The electromagnetic waves of RF penetrated
deep enough and stimulated the neocollagenesis in the dermis by
thermal effect. The subsequent tightening of skin leaded to a
reduction of wrinkles and refining of skin texture. In AWT shock
waves penetrated into dermis and reached subcutaneous fatty
tissue. AW stimulated cell metabolism, proliferation of stem cells
and blood circulation in adipose tissue, induced a natural repair
process. In addition, there was a collagen remodeling.
Conclusion: LAL, RF, AW for body contouring and skin
tightening have their specific pros and cons. Their effectiveness
has been proven individually. AW and RF are ideal
complementary applications for body treatments due to the
different depth and mode of action and very effective after LAL for
improving and maintenance of skin quality and elasticity.
Combination of these procedures can increase clinical results and
patients’ satisfaction.
#196
LASER HAEMORRHOIDECTOMY:
RETROSPECTIVE STUDY OF AN EFFECTIVE AND
AMBULATORY HAEMORRHOIDECTOMY
Manish Khandelwal, M. Hemadri, E. Ewart,
P.J. Moore
Scunthorpe, United Kingdom
Background: Laser haemorrhoidectomy is performed as a day
case procedure under local anaesthetic and sedation for
symptomatic grade 3 and 4 haemorrhoids. The conventional
operation, Milligan-Morgan haemorrhoidectomy which consists of
excision of haemorrhoids is done under general anaesthetic with a
diathermy or sharp dissection. Laser seal is obtained by Diomed
810 nm or CO2 10,600 nm at 20 W. We want to present our results
of 102 consecutive patients who underwent this procedure. They
were admitted in our day surgery unit and prepared according to
our established protocol (which has ethical approval). They were
all administered phosphate enema pre-operatively.
Study: Retrospective analysis of 102 consecutive patients who
have undergone the laser haemorrhoidectomy from 2006 to 2009.
They had regular clinic follow-up at 2 weeks, 6 weeks and 6
months post-operatively.
Results: One hundred and two patients in 3 years. Male/female
ratio was 48:54, age range: 32–81 years. One patient was
converted to general anaesthetic (1%). All patients (except two, i.e.
2%) were discharged within 2 hours. One due to administration of
general anaesthetic who was discharged as day-case; other due to
post-operative bleeding and was admitted for 3 days of
conservative management. Four readmissions (4%) (two patients
due to post-operative oedema, two patients due to post-operative
oedema and pain). All of them were discharged after observation.
Four patients developed post-operative chronic anal fissures (4%).
All of them healed with 6 weeks of 0.2% glyceryl trinitrate cream.
Conclusion: Laser seal haemorrhoidectomy in our hands is
showing good results. It enhances patient experience. It also has
cost benefits due to very short stay as most patients go home
within 2 hours of procedure. It also avoids the risks of a general
anaesthetic in most of the cases.
#200
ELECTRONIC POSTER
(ePoster)
STRIAE IMPROVEMENT WITH A NOVEL
APPROACH BY SUBLATIVE REJUVENATION:
A PRELIMINARY REPORT
Maurice Adatto, Boris Vaynberg, Ruthie Amir,
Hanit Brenner-Lavie
Skinpulse Dermatology & Laser Center, Geneva, Switzerland;
Syneron Medical, Yokneam Illit, Israel
Background: Striae distensae, or stretch marks, are linear scars
in the dermis which arise from rapid stretching of the skin over
weakened connective tissue. Ninety-five of women are affected by
this phenomenon either during puberty or pregnancy. Although
being not considered as a disease, striae can affect psychologically.
In this study, we are looking at the efficiency of a new ablative
fractionated bipolar radiofrequency, in terms of improvement of
the global aspect of striae, not only in depth but also in width.
Study: Six patients received one treatment per month over 4–6
months in the areas where the striae were more prominent
(abdomen, buttocks, thighs). This new device has the ability to
place the heat energy within the dermis, with a minimal
epidermal impact. All patients were treated with the 144 pin tip at
energies varying between 30 and 36 mJ/pin. Results were
evaluated by clinical pictures and patient self-evaluation at
1-month post-last treatment.
Results: All patients have seen a visible improvement after the
first or second treatment. As the study is still ongoing, the final
results will be given at the meeting. Treatments were
performed without any anesthesia and post-operative care
consisted in the application of a moisturizing cream, twice a day,
for 3 days.
Conclusion: The application of this new sublative fractionated
bipolar radiofrequency for improvement of striae seems
promising. This preliminary study performed with this device
suggests a similar mechanism of action on collagen as in facial
treatments for acne scar improvement and wrinkle reduction.
#201
AGE OF TATTOO IS AN INDICATOR FOR THE
RATE OF SUCCESS OF LASER-ASSISTED TATTOO
REMOVAL
Robert Anolik, Julie K. Karen, Elizabeth K. Hale,
Leonard Bernstein, Roy G. Geronemus,
Elliot T. Weiss, Anne Chapas, Lori Brightman
Laser and Skin Surgery Center of New York, New York, NY
Background: Tattoos as well as their removal have continued to
be popular in the United States. When patients consult physicians
regarding laser-assisted tattoo removal, a common question for
their physician is how many treatments are necessary to achieve
satisfactory results. Although it is not possible to give patients a
precise number, estimation based on tattoo characteristics are
valuable. It has been the authors’ experience that older tattoos
respond more quickly to laser treatment when compared to newer