Aesthetic Plastic Surgery

, Volume 33, Issue 5, pp 701–705 | Cite as

Laser Lipolysis Used to Treat Localized Adiposis: A Preliminary Report on Experience with Asian Patients

  • Yi Sun
  • Su-fan WuEmail author
  • Sheng Yan
  • Hang-yan Shi
  • Da Chen
  • Yong Chen
Original Article



Localized deposits of fat (adiposis) located in the face, chin, neck, and arms usually are more compact and difficult to treat using conventional liposuction. It is necessary to find an effective approach for this type of localized adiposis. This study aimed to investigate the clinical application of laser lipolysis for the treatment of localized adiposis in Asian patients.


In this study, 35 patients with localized adiposis were treated by laser lipolysis. Neodymium:yttrium-aluminum-garnet (Nd:YAG) laser energy was transferred through an optic fiber into the adipose tissue. The optimal energy and frequency of the laser were controlled precisely to melt and destroy the adipose tissue without damage to the skin and deeper tissues. The histologic study of treated adiposis tissues, the postoperation reaction, and the clinical results were observed and studied.


After laser lipolysis, the localized adipose tissues were liquefied effectively, and the compact fibrous tissues were broken down into a looser structure. Bleeding was noted to be less than with conventional liposuction due to the coagulation of capillary vessels and the thermal effect of the laser. Laser lipolysis caused less edema, petechiae, and other postoperative complications, producing rapid recovery and satisfactory results.


The Nd:YAG laser has a definite lipolysis effect on compact adipose tissue and is a more effective approach for the treatment of localized adiposis than conventional liposuction.


Laser lipolysis Liposuction Localized adiposis 


  1. 1.
    Guo-zhang C (2003) Lasers in aestheticsSurgery. The Medicine Science and Technology Press of China, BeijingGoogle Scholar
  2. 2.
    Fu CH, Lee LA, Fang TJ, Wong KS, Li HY (2007) Endoscopic Nd:YAG laser therapy of infantile subglottic hemangioma. Pediatr Pulmonol 42:89–92PubMedCrossRefGoogle Scholar
  3. 3.
    De Benedittis M, Petruzzi M, Pastore L, Inchingolo F, Serpico R (2007) Nd:YAG laser for gingivectomy in Sturge-Weber syndrome. J Oral Maxillofac Surg 65:314–316PubMedCrossRefGoogle Scholar
  4. 4.
    Fried NM (2006) Therapeutic applications of lasers in urology: an update. Expert Rev Med Devices 3:81–94PubMedCrossRefGoogle Scholar
  5. 5.
    Ichikawa K, Miyasaka M, Tanaka R, Tanino R, Mizukami K, Wakaki M (2005) Histologic evaluation of the pulsed Nd:YAG laser for laser lipolysis. Lasers Surg Med 36:43–46PubMedCrossRefGoogle Scholar
  6. 6.
    Apfelberg DB, Rosenthal S, Hunstad JP, Achauer B, Fodor PB (1994) Progress report on multicenter study of laser-assisted liposuction. Aesth Plast Surg 18:259–264CrossRefGoogle Scholar
  7. 7.
    Brown SA, Rohrich RJ, Kenkel J, Young VL, Hoopman J, Coimbra M (2004) Effect of low-level laser therapy on abdominal adipocytes before lipoplasty procedures. Plast Reconstr Surg 113:1796–1804PubMedCrossRefGoogle Scholar
  8. 8.
    Neira R, Arroyave J, Ramirez H, Ortiz CL, Solarte E, Sequeda F, Gutierrez MI (2002) Fat liquefaction: effect of low-level laser energy on adipose tissue. Plast Reconstr Surg 110:912–922PubMedCrossRefGoogle Scholar
  9. 9.
    Goldman A (2006) Submental Nd:Yag laser-assisted liposuction. Lasers Surg Med 38:181–184PubMedCrossRefGoogle Scholar
  10. 10.
    Kim KH, Geronemus RG (2006) Laser lipolysis using a novel 1,064-nm Nd:YAG laser. Dermatol Surg 32:241–248PubMedCrossRefGoogle Scholar
  11. 11.
    Badin AZ, Moraes LM, Gondek L, Chiaratti MG, Canta L (2002) Laser lipolysis: flaccidity under control. Aesth Plast Surg 26:335–339CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2009

Authors and Affiliations

  • Yi Sun
    • 1
  • Su-fan Wu
    • 1
    Email author
  • Sheng Yan
    • 1
  • Hang-yan Shi
    • 1
  • Da Chen
    • 1
  • Yong Chen
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryZhejiang Provincial People’s HospitalHangzhouPeople’s Republic of China

Personalised recommendations