Advertisement

Aesthetic Plastic Surgery

, Volume 42, Issue 1, pp 9–12 | Cite as

1000 Consecutive Cases of Laser-Assisted Liposuction Utilizing the 1440 nm Wavelength Nd:YAG Laser: Assessing the Safety and Efficacy

  • Christopher T. Chia
  • Mark G. Albert
  • Sharon Del Vecchio
  • Spero J. Theodorou
Original Article Body Contouring

Abstract

Background

Liposuction remains one of the most popular aesthetic surgery procedures performed today, and it has undergone continuous refinements over the past four decades. Advancements in anesthesia, improvements in instrumentation, better understanding of fluid dynamics and the addition of energy to liposuction have led to better outcomes with improved safety and efficacy.

Objectives

The purpose of this study is to review 1000 consecutive laser-assisted liposuction (LAL) cases utilizing the 1440 nm wavelength. Emphasis was placed on complication rates and the need for revision procedures.

Methods

The charts of 611 patients who underwent 1000 consecutive LAL operations were reviewed. All cases were performed either under general anesthesia or under local with sedation, and the cases were performed alone or in conjunction with other procedures. All patients went to presurgical testing and had preoperative laboratory and additional clearance by a specialist when indicated. Before and after medical photographs were obtained of all patients. All operations were done in an accredited office-based operating room. Demographic information, tumescent volume, aspirate volume, surgical time, complications and other data were reviewed.

Results

There were one minor complication and no major complications such as burns, hospitalizations or mortalities. One patient developed a small hematoma, which was likely caused by the patient self-aspirating edema fluid during the immediate post-op period. The hematoma resolved with non-surgical management. The average laser energy applied was 15,756 J with an average total aspirate volume of 1256 cc. Fourteen anatomic areas were treated with LAL, and 59 operations were combination cases.

Conclusion

Energy-assisted liposuction using the 1440 nm wavelength has been shown in this series to have a very low complication rate when performed alone or in combination with other aesthetic operations under local and general anesthesia.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Laser Liposuction Assisted Body contouring 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

References

  1. 1.
    Hait P (1994) History of the American Society of Plastic and Reconstructive Surgeons, Inc. 1931–1994. Plast Reconstr Surg 94(4):1A–109APubMedGoogle Scholar
  2. 2.
    Iverson RE, Lynch DJ (2004) American Society of Plastic Surgeons Committee on Patient Safety. Practice advisory on liposuction. Plast Reconstr Surg 113(5):1478–1490 (discussion 1491–1475) CrossRefPubMedGoogle Scholar
  3. 3.
    Pace MM, Chatterjee A, Merrill DG, Stotland MA, Ridgway EB (2013) Local anesthetics in liposuction: considerations for new practice advisory guidelines to improve patient safety. Plast Reconstr Surg 131(5):820e–826eCrossRefPubMedGoogle Scholar
  4. 4.
    Hanke CW, Bernstein G, Bullock S (1995) Safety of tumescent liposuction in 15,336 patients. National survey results. Dermatol Surg Off Publ Am Soc Dermatol Surg [et al] 21(5):459–462Google Scholar
  5. 5.
    Klein JA (1993) Tumescent technique for local anesthesia improves safety in large-volume liposuction. Plast Reconstr Surg 92(6):1085–1098 (discussion 1099–1100) CrossRefPubMedGoogle Scholar
  6. 6.
    McBean JC, Katz BE (2011) Laser lipolysis: an update. J Clin Aesthet Dermatol 4(7):25–34PubMedPubMedCentralGoogle Scholar
  7. 7.
    Chia CT, Theodorou SJ (2012) 1,000 consecutive cases of laser-assisted liposuction and suction-assisted lipectomy managed with local anesthesia. Aesthet Plast Surg 36(4):795–802CrossRefGoogle Scholar
  8. 8.
    Rohrich RJ, Beran SJ, Kenkel JM, Adams WP Jr., DiSpaltro F (1998) Extending the role of liposuction in body contouring with ultrasound-assisted liposuction. Plast Reconstr Surg 101(4):1090–1102 (discussion 1117–1099) CrossRefPubMedGoogle Scholar
  9. 9.
    Paul M, Blugerman G, Kreindel M, Mulholland RS (2011) Three-dimensional radiofrequency tissue tightening: a proposed mechanism and applications for body contouring. Aesthet Plast Surg 35(1):87–95CrossRefGoogle Scholar
  10. 10.
    DiBernardo BE (2010) Randomized, blinded split abdomen study evaluating skin shrinkage and skin tightening in laser-assisted liposuction versus liposuction control. Aesthet Surg J/Am Soc Aesthet Plast Surg 30(4):593–602CrossRefGoogle Scholar
  11. 11.
    Nagy MW, Vanek PF Jr. (2012) A multicenter, prospective, randomized, single-blind, controlled clinical trial comparing VASER-assisted Lipoplasty and suction-assisted Lipoplasty. Plast Reconstr Surg 129(4):681e–689eCrossRefPubMedGoogle Scholar
  12. 12.
    Woodhall KE, Saluja R, Khoury J, Goldman MP (2009) A comparison of three separate clinical studies evaluating the safety and efficacy of laser-assisted lipolysis using 1,064, 1,320 nm, and a combined 1,064/1,320 nm multiplex device. Lasers Surg Med 41(10):774–778CrossRefPubMedGoogle Scholar
  13. 13.
    Katz B, McBean J (2008) Laser-assisted lipolysis: a report on complications. J Cosmet Laser Ther Off Publ Eur Soc Laser Dermatol 10(4):231–233CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2017

Authors and Affiliations

  1. 1.Department of Plastic Surgery, Aesthetic Plastic Surgery FellowshipManhattan Eye, Ear and Throat HospitalNew YorkUSA
  2. 2.Translational Research Institute AustraliaUniversity of QueenslandBrisbaneAustralia
  3. 3.Department of Plastic Surgery, Aesthetic Plastic Surgery FellowshipManhattan Eye, Ear and Throat HospitalNew YorkUSA

Personalised recommendations