Abstract
Background and Objective. There has been a heightened interest in laser-assisted fat reduction procedures. We aimed to determine if lipolysis with the 1,320 nm Nd-YAG short-pulsed laser without subsequent suction results in satisfactory contouring of the upper extremity. Materials and Methods. Unilateral laser lipolysis of the upper arm was performed on 5 patients. Subcutaneous, subdermal, and skin surface temperatures were monitored with flexible thermocouples throughout the procedure to aid in the establishment of a treatment endpoint. Photographs and arm circumference measurements were evaluated before and 3 months after laser lipolysis. Patients were given the choice of undergoing the procedure on the contralateral arm at 3 months. Results. All patients achieved no improvement to minimal improvement in upper arm contour. One of five patients was elected to have lipolysis performed on the contralateral arm. Conclusion. Laser lipolysis may be safely performed with the parameters utilized in this pilot study, although minimal improvement was seen in upper extremity contour.
Highlights
A number of fat-reduction procedures have emerged over recent years to address a demand for less invasive approaches, with an ultimate goal of imparting less risk while producing favorable results. These include the use of tumescent solutions [1], smaller gauge cannulas [2], external ultrasound [3], low-level external laser [4], injection lipolysis [5, 6], cryolipolysis [7], external radiofrequency energy [8], and percutaneous laser lipolysis [9]
Five female patients who expressed a desire for improved upper arm contour were included in this prospective pilot study which was performed according to the guidelines of the 1975 Helsinki Declaration
There is currently no consensus on accepted treatment guidelines for body contouring with laser lipolysis
Summary
A number of fat-reduction procedures have emerged over recent years to address a demand for less invasive approaches, with an ultimate goal of imparting less risk while producing favorable results. These include the use of tumescent solutions [1], smaller gauge cannulas [2], external ultrasound [3], low-level external laser [4], injection lipolysis [5, 6], cryolipolysis [7], external radiofrequency energy [8], and percutaneous laser lipolysis [9]. Unilateral laser lipolysis of the upper arm was performed on 5 patients. Laser lipolysis may be safely performed with the parameters utilized in this pilot study, minimal improvement was seen in upper extremity contour
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