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128
G. Campiglio
and sclerosis with micronodules and Grad 4 =
macronodules.
Etiology is multifactorial with hormones, diet
and exercise playing an important role in its
upset and evolution in the time. Interestingly
cellulite is a fat problem which has nothing to
do with weigh gain being often observed also in
slim women.
Many different types of treatment have been
described to improve the cellulite. Some of
them require topical agents but there is little
peer-reviewed evidence about their efficacy and
lasting effect. Also non-invasive devices have
been proposed by various companies with
varying results. Endermologie (LPG Systems),
probably the most famous among them, is
based on massage and suction of the skin.
Many clinical studies reported a certain improvement
in surface irregularities and also a
reduction in circumference of thighs after
cycles of treatment with this device.
In this paper we present the preliminary data
with the use of a new technology, named
photomology TM , which synergistically couples
the lipolytic effects of a dual wavelength laser
with a vacuum and mechanical rollers. This
technology is the core of a new machine, which
has both FDA and CE approval, specifically
indicated for the non surgical treatment of cellulite
(external laser lipolisys).
aterials and methods
m
PhotomolgyTm module
The photomologyTM module is constituted
by:
1) a 10W laser diodes with a wave length of
915 nm;
2) a 1W LED light of 650 nm;
3) two contoured rollers;
4) a vacuum system (Figure 3).
915 nm laser diodes
The choice of 915 nm wavelength was
based on its preferential absorption by lipids 2 .
This laser energy penetrates well into the tissue,
with a minimal scattering, and leads to a moderate
temperature elevation (< 40°C) inside the
adipocytes promoting fat liquefaction.
650 LED light
This wavelenght was selected for its
ability to interplay with the adipocytes mem-
Journal of Plastic Dermatology 2010; 6, 2
Figure 2.
Pre and post operative views of a young patient
with deep fat accumulation in the flanks,
thighs and buttocks who underwent
to suction assisted lipectomy.
branes as previously demonstrated by Neira et
al. in 2002 3 . In their work the authors showed
that adipocytes in tissue samples taken from
abdominoplasties, irradiated for 4 minutes and
6 minutes with this wavelength, release respectively
80 and 99 percent of the fat.
Transmission electron microscopy images of
the adipose tissue taken at x 60,000 showed a
transitory pore and complete deflation of the
adipocytes with subsequent spillage of fat into
the interstitial space.
According to the Author the low-level laser
Figure 3.
Draw of the photomology module.