Laser-assisted lipolysis for arm contouring in Teimourian grades I and II: a prospective study of 45 patients
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  • 作者:Franck Marie Leclère ; Justo M. Alcolea ; Peter Vogt…
  • 关键词:Arm ; Arm remodelling ; Brachioplasty ; Laser ; Laser lipolysis ; LAL
  • 刊名:Lasers in Medical Science
  • 出版年:2015
  • 出版时间:April 2015
  • 年:2015
  • 卷:30
  • 期:3
  • 页码:1053-1059
  • 全文大小:763 KB
  • 参考文献:1. American Society of Plastic Surgeons. 2012 Cosmetic plastic surgery statistics [Internet]. Arlington Heights, IL: American Society of Plastic Surgeons; c2012 [cited 2013 May 1]. Available from: http://www.plasticsurgery.org/Documents/news-resources/statistics/2012-Plastic-Surgery-Statistics/Cosmetic-Procedure-Trends-2012.pdf
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    4. Duncan, DI (2012) Improving outcomes in upper arm liposuction: adding radiofrequency-assisted liposuction to induce skin contraction. Aesthet Surg J 32: pp. 84-95 CrossRef
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    8. Trelles, M, Bonanad, E, Moreno-Moraga, J, Alcolea, J, Mordon, S, Leclère, FM (2013) Laser-assisted lipolysis for gynecomastia: safe and effective skin retraction. Rev Col Bras Cir 40: pp. 23-31 CrossRef
    9. Leclère, FM, Moreno-Moraga, J, Mordon, S, Servell, P, Unglaub, F, Kolb, F, Rimareix, F, Trelles, MA (2014) Laser-assisted lipolysis for cankle remodelling: a prospective study in 30 patients. Lasers Med Sci 29: pp. 131-136 CrossRef
    10. Leclère, FM, Trelles, M, Moreno-Moraga, J, Servell, P, Unglaub, F, Mordon, SR (2012) 980-nm laser lipolysis (LAL): About 674 procedures in 359 patients. J Cosmet Laser Ther 14: pp. 67-73 CrossRef
    11. Moreno-Moraga, J, Trelles, MA, Mordon, S, Unglaub, F, Bravo, E, Royo de La Torre, J, Sanz, I, Servell, P, Betrouni, N, Leclère, FM (2012) Laser-assisted lipolysis for knee remodelling: a prospective study in 30 patients. J Cosmet Laser Ther 14: pp. 59-66 CrossRef
    12. Trelles, MA, Mordon, SR, Bonanad, E, Moreno Moraga, J, Heckmann, A, Unglaub, F, Betrouni, N, Leclère, FM (2013) Laser-assisted lipolysis in the treatment of gynecomastia: a prospective study in 28 patients. Lasers Med Sci 28: pp. 375-382 CrossRef
    13. Leclère FM, Moreno-Moraga J, Alcolea JM, Casoli V, Mordon SR, Vogt PM, Trelles MA (2014) Laser assisted lipolysis for neck and submental remodeling in Rohrich type I to III aging neck: a prospective study in 30 patients. J Cosmet Laser Ther 16(6):284-89
    14. Leclère FM, Vogt PM, Moreno-Moraga J, Alcolea JM, Casoli V, Mordon SR, Trelles MA (2014) Laser assisted lipolysis for neck and submental remodeling in Rohrich type IV patient: fact or fiction? J Cosmet Laser Ther 13:1-
    15. Leclère FM, Mordon SR, Trelles MA. Laser lipolysis. Chapter in textbook of aesthetic and cosmetic dermatology, Publisher Informa Healthcare Books, Informa Uk Limited, Mortimer House, 37-41 Mortimer Street, London W1T 3JH. Pending publication
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  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Medicine/Public Health, general
    Dentistry
    Laser Technology and Physics and Photonics
    Quantum Optics, Quantum Electronics and Nonlinear Optics
    Applied Optics, Optoelectronics and Optical Devices
  • 出版者:Springer London
  • ISSN:1435-604X
文摘
Upper arm deformities secondary to weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures. We conducted this study to objectively assess if, in Teimourian low-grade upper arm remodelling, one session of laser-assisted lypolisis (LAL) could result in full patient satisfaction. Between 2011 and 2013, 45 patients were treated for unsightly fat arm Teimourian grade I (15 patients), grade IIa (15 patients) and grade IIb (15 patients) with one session of LAL. The laser used in this study was a 1470-nm diode laser (Alma Lasers, Cesarea, Israel) with the following parameters: continuous mode, 15?W power and transmission through a 600-μm optical fibre. Previous mathematical modelling suggested that 0.1?kJ was required in order to destroy 1?ml of fat. Treatment parameters and adverse effects were recorded.The arm circumference and skin pinch measurements were assessed pre and postoperatively. Patients were asked to file a satisfaction questionnaire. Pain during the anaesthesia and discomfort after the procedure were minimal. Complications included prolonged oedema in 11 patients. The average arm circumference decreased by 4.9?±-.4?cm in the right arm (p--.01) and 4.7?±-.5?cm in the left arm (p--.01) in grade I patients, 5.5?±-.6?cm in the right arm (p--.01) and 5.2?±-.5?cm in the left arm (p--.01) in grade IIa patients and 5.4?±-.5?cm in the right arm (p--.01) and 5.3?±-.5?cm in the left arm (p--.01) in grade IIB patients. The skin tightening effect was confirmed by the reduction of the skin calliper measurements in all three groups. Overall mean opinion of treatment was high for both patients and investigators. Of the 45 patients, all but one would recommend this treatment. A single session of LAL in upper arm remodelling for Teimourian grades I to IIb is a safe and reproducible technique. The procedure allows reduction in the amount of adipose deposits while providing full skin tightening.

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