FINAL PROGRAM 6TH EDITION - EuroMediCom

LASERLIPOLYSISLA LIPOLYSE AU LASERNICOLA ZERBINATI(ITALY)AESTHETIC DERMATOLOGY & SURGERYCARBOXITHERAPY: DOES IT REALLY WORK ON FAT TISSUE?LA CARBOXITHÉRAPIE FONCTIONNE-T-ELLE VRAIMENT SUR LE TISSU GRAISSEUX ?GUSTAVO LEIBASCHOFF(ARGENTINA)HOW DOES RADIOFREQUENCY CAUSE LIPOLYSIS? AN IN VIVO TISSUE TEMPERATURE STUDY SHOWING TIME IS CRUCIALCOMMENT LA RADIOFRÉQUENCE ENTRAÎNE-T-ELLE LA LIPOLYSE? UNE ÉTUDE IN VIVO DE LA TEMPÉRATUREDES TISSUS MONTRANT L'IMPORTANCE DU TEMPSCLAUDIA VAN DER LUGT(NETHERLANDS)HYDROLIPOCLASIA USING GREATER VOLUMES: THE BRAZILIAN EXPERIENCEL'HYDROLIPOCLASIE AVEC DE GROS VOLUMES : L'EXPÉRIENCE BRÉSILIENNEWILMAR ACCURSIO(BRAZIL)The hydrolipoclasia is a very well known method for the reduction of localized fat where we inject saline solution in the fatty tissue andsubmit it to the action of ultrasound energy, working with a high frequency and potency. These ultrasound parameters associated withthe presence of liquid in the fatty tissue, produce the cavitation phenomenon that leads to the mechanical rupture of fat. The higherthe injected volume and the bigger the exposition of the tissue to the ultrasound waves the greater the rupture produced by theultrasound. Initially small volumes were used, between 20 and 30 ml, in each area of approximately 10 to 15 cm in diameter.Experience has shown that greater volumes produce a higher reduction in body measurements.In Brazil, in the last years, volumes up to 500 ml have been used for the same area driving to an improvement in results. The quantityof liquid that can be injected depends on the cohesion of fat tissue and of the tension of the upper skin layer. The technique is to injectas much as volume possible, respecting the individual characteristics of each patient. After the infiltration, ultrasound energy is usedwith the following parameters: frequency 3 MHz, potency 3 Watts/cm2 (total potency 45 watts), making slow circular movements inorder to enhance the cavitation potential of the technique. The results depend on the correct application of the method and the choiceof areas with evident accumulation of fat to be treated, because small increases of thickness of fatty tissue spread in extensive, nonlocalized areas won't respond well to this treatment. Better results are achieved in thighs, supratrocanteric, supra pubic and abdominalfat.In our trials in the Clinical Research Center of the Brazilian Society of Aesthetic medicine we have been getting good and better resultswith greater volumes than we had before with small volumes and we will show them in our presentation.BLOOD LOSS EVALUATION IN LASER-ASSISTED LIPOSUCTIONL’ÉVALUATION DE LA PERTE DE SANG DANS LA LIPOSUCCION ASSITÉE AU LASERKARIM MASSOUD(EGYPT)The use of interstitial Nd:YAG laser on adipose tissues leads to destruction of adipocytes, coagulation of blood vessels, and stimulationcollagen deposition in the subdermal layer. The potential clinical effects are lipolysis, reduction in the blood loss and bruising, as wellas skin tightening. In order to measure the percent of blood loss reduction with laser-assisted liposuction, 14 volunteer females wereincluded in the study. All cases suffered from symmetrical localized fat deposits in the trochanteric and/or the gluteal regions. Epiduralanesthesia was used in all cases. Infiltration of diluted epinephrine solutions was performed using equal volumes to both sides of thebody. Interstitial Nd:YAG laser was applied to the right side using a 600 Um. fiber and 14 W. of power. Both sides were suctioned bythe same surgeon using the same cannula and the syringe technique. The same volume of total suction was collected from each side.The amount of Hemoglobin was calculated in the diluted infranatant fluid of each side. An average of 30% blood loss reduction wasnoted in the laser-assisted liposuction side.LOW FREQUENCY ULTRASOUNDS FOR THE TREATMENT OF LOCALIZED LIPODYSTROPHIESLES ULTRASONS À BASSE FRÉQUENCE POUR LE TRAITEMENT DES LIPODYSTROPHIES LOCALISÉESFULVIO VANNINI- ANNA MARIA FORENZA(ITALY)PROSLIMELT: low frequency ultrasound for the treatment of localized lipodistrophyesDr.Fulvio Vannini, presents the results of a clinical study conducted on 40 patients after 10 months of treatment using Proslimelt, aspecial device that uses specific ocalized low frequency ultrasound waves (working within a range of 30 to 70 Khz).This clinical evaluation is based on plicometric, perimetric measurements, blood sample analysis, echograhic and termographicpictures and histological exams.62