Laser-assisted lipolysis for cankle remodelling: a prospective study in 30 patients

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• 作者：Franck Marie Leclère (1) (2)
  Javier Moreno-Moraga (3)
  Serge Mordon (1)
  Pascal Servell (1)
  Frank Unglaub (5)
  Frédéric Kolb (2)
  Fran?oise Rimareix (2)
  Mario A Trelles (4)
  
• 关键词：Cankles ; Laser ; Laser lipolysis ; LAL
• 刊名：Lasers in Medical Science
• 出版年：2014
• 出版时间：January 2014
• 年：2014
• 卷：29
• 期：1
• 页码：131-136
• 全文大小：310 KB
• 作者单位：Franck Marie Leclère (1) (2)
  Javier Moreno-Moraga (3)
  Serge Mordon (1)
  Pascal Servell (1)
  Frank Unglaub (5)
  Frédéric Kolb (2)
  Fran?oise Rimareix (2)
  Mario A Trelles (4)
  
  1. INSERM U703, Lille University Hospital, 152, rue du Dr. Yersin, 59120, Lille-Loos, France
  2. Department Plastic Surgery, Institut Gustave Roussy, Villejuif, France
  3. Instituto Médico Laser, Madrid, Spain
  5. Medizinische Fakult?t Mannheim, Universit?t Heidelberg, Heidelberg, Germany
  4. Instituto Médico Vilafortuny, Fundacion Antoni de Gimbernat, Cambrils, Tarragona, Spain
  
• ISSN：1435-604X

文摘

Cankles refer to the area where the calf and ankle meet. Unaesthetic fat cankles, where definition between the calf and ankle is impossible, are a frustrating aesthetic deformity, which are exacerbated by their genetic conditioning and special resistance to diet. This article reports our experience with laser-assisted lipolysis (LAL) in cankle remodelling. A total of 30 patients were treated for unaesthetic fat cankles with LAL. The 924/975-nm diode laser used in this study consisted of two lasers, one emitting at 924?nm, and the other at 975?nm. According to our mathematical models, we assumed that to destroy 1?ml of fat, 0.1?kJ was required in dual emission mode at 924/975?nm. Patients were asked to file a satisfaction questionnaire. Ultrasound was used to measure the fat thickness pre- and postoperatively. Oedema in both lateral sulcus of the Achilles tendon was seen in all patients. It subsided after 4?weeks in nine cases and 6?weeks in 21 cases. Only two patients developed mild hyperpigmentation that disappeared, respectively, after 4 and 10?weeks. Pain during the anaesthesia and discomfort after the procedure were low with this technique. Mean down time was 1.0?day. Of the 30 patients, 29 would recommend this treatment. Overall, high patient and investigator satisfaction was confirmed by the sonography used to measure decrease in fat thickness. LAL in cankle remodelling is a safe and reproducible technique that is particularly appreciated by the patient. The procedure allows homogenous reduction of fatty tissue together with skin tightening.