Transcript Dr anahita vali Dermatologist

In the name of God
Laser Lipolysis
Laser Body Contouring
Laser Liposuction
Laser-Assisted Lipolysis
Laser Lipo Suction
Laser-Assisted Body Contouring
DR ANAHITA VALI
DERMATOLOGIST
WWW.DRVALI.IR 03116632834-5
Careful discussions regarding your reasons for wanting treatment
are very important before you undertake any procedure.
1-Diet
2-Exercise
3-????
4-Laser Lipolysis
The average human body has
up to 40 billion fat cells.
The rounded fat cells (pink) are called adipocytes. Connective tissue fibres (yellow) have a supporting function for the fat cells. Almost the entire volume of each adipocyte is occupied by a single lipid droplet fo
The rounded fat cells (pink) are called adipocytes. Connective tissue
fibres (yellow) have a supporting function for the fat cells. Almost the
entire volume of each adipocyte is occupied by a single lipid droplet
formed from triglycerides. Fat not used up in metabolic processes is
housed in these cells. Adipose connective tissue forms a thick layer
under the skin, around the buttocks, thighs and kidneys. It functions as
an insulating layer and energy store.
 In biology, adipose tissue is loose






connective tissue
composed of adipocytes.
It is technically composed of roughly only
80% fat; fat in its solitary state exists in
the liver and muscles.
Adipose tissue is derived from lipoblasts.
Its main role is to store energy in the
form of lipids,
cushions and insulates the body.
adipose tissue as a major endocrine organ,
hormones such as leptin, estrogen,
resistin, and the cytokine TNFα.
Adipose tissue is the greatest peripheral source
of aromatase in both males and females,
contributing to the production
of estradiol.
Adipose derived hormones include:
Adiponectin
Resistin
Plasminogen activator inhibitor-1 (PAI-1)
TNFα
IL-6
Leptin
Estradiol (E2)
Adipose tissues also secrete a type of
cytokines (cell-to-cell signalling proteins)
called adipokines (adipocytokines), which
play a role in obesity-associated
complications.
only when insulin is low can FFA
leave adipose tissue.
Leptin is produced in the white adipose
tissue and signals to the hypothalamus.
When leptin levels drop, the body interprets
this as loss of energy, and hunger increases.
Mice lacking this protein eat until they are
four times their normal size.


Leptin, plays a different role in diet-induced
obesity in rodents and humans. Because
adipocytes produce leptin, leptin levels are
elevated in the obese. However, hunger
remains, and, when leptin levels drop due to
weight loss, hunger increases. The drop of
leptin is better viewed as a starvation signal
than the rise of leptin as a satiety
signal.[However, elevated leptin in obesity is
known as leptin resistance. The changes that
occur in the hypothalamus to result in leptin
resistance in obesity are currently the focus
of obesity research.[
"Dying to be thin:
A dinitrophenol related fatality".
McFee, RB; Caraccio, TR; 
McGuigan, MA; Reynolds,
SA; Bellanger, P (2004).
"Dying to be thin: A
dinitrophenol related
fatality". Veterinary and
human toxicology 46 (5):
251–4. PMID 15487646.
 ^ Miranda, EJ; McIntyre,
IM; Parker, DR; Gary, RD;
Logan, BK (2006). "Two
deaths attributed to the
use of 2,4-dinitrophenol".
Journal of analytical
toxicology 30 (3): 219–22.
PMID 16803658.
The best and healthiest way to lose
weight is with a combination of diet
and exercise.
Adipose tissue as an endocrine
organ regulating growth, puberty,
and other physiological functions.
Being overweight is a contributing
cause of many
preventable illnesses.
Perhaps more important than
weight is the percentage of fat in the
body.
For healthy women, fat can account for as
much as
25 % of body weight, 17 % is a healthy
percentage for men. Most of the extra calories
we eat that we do not need for immediate energy
is
stored as fat. Obesity – even moderate
overweight
– puts undue stress on the back, legs and internal
organs an this can eventually exacerbate many
physical problems and compromise health.
Obesity increases the body’s resistance
to insulin
insulation from
susceptibility to infection

, providing

Around organs, it provides

its main function is to be a
reserve of lipids, which can be
burned to meet the energy
needs of the body and to
protect us from excess glucose
by storing triglycerides
produced by the liver from
sugars.
Adipose depots in different
parts of the body have different
biochemical profiles. Under
higher risk for developing coronary artery
disease
diabetes, stroke, and other serious health
problems

 Biotechnology

suffer psychologically as well as physically.
protective padding.
normal conditions, it
provides feedback for
hunger and diet to the
brain.
premature death.
Complications of pregnancy
liver damage
heat and cold.
human embryonic stem cells.
induced pluripotent
stem cells without the
need for feeder cells.
Excess fat
susceptibility to infection
higher risk for developing coronary
artery disease
diabetes, stroke, and other serious
health problems
premature death.
Complications of pregnancy
liver damage
suffer psychologically as well as
physically.
Without fat
 you would freeze to death in
weather that was anything
less than warm, have no
energy stores, and have to
eat constantly. If you did
anything at all that
expended energy, your body
would have to start burning
muscle tissue to create that
energy. Without body fat,
you would be uncomfortable
sitting or laying down
because your bones would
have no padding.
International research has
shown that the common causes of obesity are:
•Poor diet/eating habits
•Hormonal Imbalances
•Lack of exercise
•Glandular Malfunctions
•Diabetes
•Hypoglycaemia
•Hyperinsulinemia
•Emotional Tension
•Boredom
•And many, many others.
Science Behind the Treatment
Fat tissue
(anatomy,physiology,histology)
Adipocytes(Cellular
characteristics,subcellular
organells,metabolism)
Nutrition & Diet
Exercise programms
Tumescent aesthesia
Laser –fat interaction &Technical
information
‫نردبام اين جهان مال و مني است‬
‫عاقبت اين نردبان بشكستني است‬
‫الجرم هركس كه باال تر نشست‬
‫استخوانش سخت تر خواهد شكست‬
BODY
SLIMMING
Decrease in
Decrease in
Adipocytes size
number of adipocytes
Lypomed &LLLT
Laser lipolysis &liposuction
 No invasion
 Less expensive
 More sessions
 If weight gain
occurs no risk
More invasive
Risk of abnormal
fat deposition if
weight gain
More expensive
Limited session
Fat Location and Distribution: Subcutaneous and
Visceral Fat The superficial and deep subcutaneous
layers are separated by a membrane called fascia.
subcutaneous fat (the
superficial layer)

is less commonly removed, suctioned out in
liposuction. (Hyper hidrosis)

is denser than the deep layer and is tightly
packed with nerves and blood vessels. This
fat layer is the location of the dreaded
cellulite, which is caused by tight bands of
connective tissue that squeeze portions of
the fat cells and cause the bumpy
irregularities on the skin.

Liposuction in the superficial layer must be
done carefully so as not to damage the
functional components of the skin.

This damage can result in visible permanent
irregularities, discolorations, and possible
death to that section of skin (skin necrosis).
subcutaneous fat (the deep
layer
 The deep subcutaneous
fat layer is the one that
is commonly removed in
liposuction.
Definition
 Laser Lipolysis is a minimally invasive way
of removing small localised fat deposits. It
is a newer laser assisted liposculpture
procedure first used around 2004 for the
removal of 'saddlebags', 'love handles',
and 'double chins' etc. It can effectively
reduce areas of fat resistant to diet or
exercise whilst reducing the risks
associated with traditional procedures
such
as
liposuction.
Indications
Body sclpturing & Beauty
Metabolic correction e.g.DM
Axillary
hyperhidrosis
Bromhydrosis
Hydradenitis
&
suppurative
(apocrine hydradenitis )
Gynecomastia
Devices
 It is currently available in
the UK using mainly the
Smartlipo®
laser,
although more and more
clinics are now offering a
variety of other devices
including the OSYRIS
Pharaon Laser Lipolysis
System
and
the
CoolTouch
 CoolLipo™.
Private costs for Laser
Lipolysis
treatment
depends on the size and
number of area(s) being
treated and can range
from £1,500 – £4,500.
 1064nm/1320/1444/Diode
Smartlipo MPX system. Smartlipo
MPX affects adipocytes
through
 photo-mechanical
 Thermal
interactions.
 The energy was
delivered until the
tissue was pliable.
The procedure
 is
performed
by
introducing a fine fibreoptic probe under the skin
which delivers low-level
laser
energy
this
selectively breaks up fat
cells transforming them
into an oily substance
that is absorbed and
eliminated by the body
over the following weeks,
or sucked out at the time
of
the
procedure.
The Smartlipo MPX, offering two distinct wavelengths, is
a safe and effective procedure for laser lipolysis and skin
tightening.
The combination of wavelengths appears to
increase the speed and efficiency of disrupting the
adipocytes.
The laser tissue interaction supporting the addition
of the 1320 nm wavelength to the current 1064 nm
Nd:YAG
system is based on the strong absorption and minimal
scattering
characteristics of the 1320 nm wavelength in fat tissue
allowing the majority of the energy to be deposited in a
localized region near the laser fiber tip in the
subcutaneous
layer. This results in efficient heating of the
subcutaneous
layer and effective lipolysis.
The 1064 nm laser has less absorption and larger
scattering
than the 1320 nm counterpart allowing for disruption
of a broader region of fat tissue. The 1064 nm wavelength
heats tissue more evenly while generating broader
heating
zones than the 1320 nm wavelength. Sequential lasering
with both wavelengths in the MultiPlex mode, not only
generates higher temperature rise at the front of the laser tip
but also heats peripheral tissue. It allows for more efficient
lipolysis, and safer and more efficient heating of collagen
bundles in the dermis resulting in tissue tightening.
Two different types of adipose tissue
Brown adipose tissue
White adipose tissue
Difference between Liposuction &
Laser Lipolysis
Liposuction
 uses an invasive
mechanical technique to
tear the fat cells and
suck them out of the
body.
Laser Lipolysis
 usaes a thermal process to
gently heat up and destroy
the fat cells, leaving it in a
liquefied state which makes
it easier for the Specialist
to remove, or for the body
to naturally metabolize the
fat.
 The heat stimulates the
fibroblast resulting in a skintightening effect. This also
happens to be an extremely
beneficial post-pregnancy
treatment.
Tumescent anesthesia
Marking in different positions
Marking &positioning both before and
during surgery
Today’s tumescent anesthesia
 you can improve upon your
appearance without
incurring the cost and
risk associated with “going
to sleep” under general
anesthesia. Skilled cosmetic
surgeon gives women the
option of in-office
cosmetic surgery with
tumescent anesthesia.
 advantages of tumescent
anesthesia with breast
augmentation, liposuction,
lipoabdominoplasty and
other cosmetic procedures.
Tumescent Liposuction
Body sculpture by liposuction
is literally a dream come true.
 1975/Georgia &Arpad
fischer/Rome
 1987/Klein/california/Derm
atologist &pharmacologist
 Max dose 35mg/kg
lidocaine or 50mg/kg
for prilocaine up to 6
liters
Tumescent anesthesia
(lidocaine has antibacterial properties)
Anytime you can avoid general anesthesia,
you should.
 The anesthetic solution
containing approximately
either 0.05% or 0.1% with
epinephrine 1:1,000,000 is
prepared by adding either
500 mg or 1000 mg lidocaine
(50 or 100 ml of 1%
lidocaine), 1 mg
epinephrine (1 ml of 1:1000),
and 12.5 meq of sodium
bicarbonate (1 meq/ml)
to 1000 ml of normal saline
(0.9% NaC1).







Recipe for Tumescent Technique
Anesthetic Solutions for Liposuction
(Lidocaine 0.05%, Epinephrine
1:1,000,000)
Lidocaine
500 mg (50
ml of 1% lidocaine solution)
Epinephrine
1 mg (1 mg
of 1:1,000,000 solution of epinephrine
Sodium bicarbonate
12.5
meq (12.5 ml of an 8.4%
NaH2CO3 solution)
Normal saline
1000 ml of
0.9% NaC1 solution
The resultant solution is lidocaine
(0.047%), epinephrine (1:1063,500),
and sodium bicarbonate 11.8 meq/L in
1063.5 ml of saline 0.84%
The addition of sodium bicarbonate to the
anesthetic solution minimizes the pain of
infiltration.
Using a local anesthetic solution without sodium
bicarbonate often necessitates the use of IV
sedation and narcotic anesthesia. With
the tumescent technique, IV sedation and narcotic
analgesia are virtually unnecessary.
Tumescent Technique for Regional Anesthesia
Permits Lidocaine Doses of 35 mg/kg for
Liposuction
Jeffrey A. Klein, M.D.

Abstract.
The tumescent technique for local anesthesia permits regional local anesthesia of the skin and
subcutaneous tissues by direct infiltration. The tumescent technique uses large columns of a dilute
anesthetic solution to produce swelling and firmness of targeted areas. This investigation examines the
absorption pharmacokinetics of dilute solutions of lidocaine (0.1% or 0.05%) and
epinephrine (1:1,000,000) in physiologic saline following infiltration into subcutaneous fat of liposuction
surgery patients. Plasma lidocaine concentrations were measured repeatedly over more than 24 hours
following the infiltration. Peak plasma lidocaine levels occurred 12-14 hours after
beginning the infiltration. Clinical local anesthesia is apparent for up to 18 hours, obviating the
need for postoperative analgesia. Dilution of lidocaine diminishes and delays the peak plasma lidocaine
concentrations, thereby reducing potential toxicity. Liposuction reduces the total amount of lidocaine
absorbed systemically, but does not dramatically reduce peak plasma lidocaine levels. A safe upper
limit for lidocaine dosage using the tumescent technique is estimated to be 35 mg/kg. Infiltrating a
large volume of dilute epinephrine assures diffusion throughout the entire targeted area while
avoiding tachycardia and hypertension. The associated vasoconstriction is so complete that
there is virtually no blood loss with liposuction. The tumescent technique can be used with general
anesthesia or IV sedation. However, with appropriate instrumentation and surgical method, the
tumescent technique permits liposuction of large volumes of fat totally by local anesthesia, without IV
sedation or narcotic analgesia. J Dermatol Surg Oncol 1990; 16:248-263.
How much is sufficient ? The word
tumescent means swollen &firm
Watermelon
 Distension
 Sound
 40-50ml/palm
area
Peauds orange apearance
Means
 The volume of
tumescense is
sufficient in
the upper
part of SQ
tissue and
dermis
Why is tumescent anesthesia
a safer option?
 Anytime you can avoid general anesthesia,
you should. Well-publicized risks include
respiratory problems, stroke, heart
attack and even death.
 The vasoconstrictor element (adrenaline)
of tumescent anesthesia helps prevent
blood loss during surgery because it
constricts the blood vessels. Lidocaine acts
both as a pain reliever and a bacteriostatin
so you’re better protected from infection.
Tumescent anesthesia also offers the
advantages of diminished bruising,
faster recovery and less pain after
surgery.
Lidocaine Toxicity with Tumescent
Liposuction
A Case Report of Probable Drug
Interactions
by Jeffrey A. Klein MD and Norma
Kassarjdian, MD

We report a case of mild lidocaine toxicity. A reduced rate of
lidocaine metabolism following tumescent liposuction may
result from an inhibition of cytochrome P450 3A4 (CYP3A4)
by sertraline (Zoloft) and flurazepam (Dalmane).
Awake but pain-free, patients can comfortably
interact with Dr. during cosmetic surgery to
provide input on size and body contouring
General local anesthesia
 FDA based its official
7mg/kg maximum
recommended dosage for
lidocaine with epinephrine
for infiltration
Tumescent local anesthesia
 35mg/kg
High-intensity exercise is one way to effectively reduce total
abdominal fatat least 10 MET-hours per week of aerobic exercise is
required for visceral fat
visceral fat Abdominal
obesity
 An excess of visceral fat is
known as central obesity, or
"belly fat", in which the
abdomen protrudes
excessively.
 The correlation between
central obesity and
cardiovascular disease is
strong. Excess visceral fat
is also linked to type 2
diabetes, insulin resistance,
inflammatory diseases,and
other obesity-related
diseases.
Subcutaneous fat
is not related to
many of the
classic obesity-related pathologies,
such as heart disease, cancer, and
stroke, and some evidence even
suggests it might be
protective.
The typically female (or gynecoid)
pattern of body fat distribution
around the hips, thighs, and
buttocks, is subcutaneous fat, and
therefore poses less of a health
risk compared to visceral fat.[
Like all other fat organs, subcutaneous
fat is an active part of the
endocrine system, secreting the
hormones leptin and resistin.
Advantages of tumescent
liposuction
 Absence of the need for a general
anesthesia
 Significantly reduce blood loss
 Immediate patient mobilization
 Convalescence
 Long lasting post operative
analgesia(8-16h)
 Positioning during surgery
 Compensating intraoperative fluid
losses
 Stabilizing SQ tissue so less trauma
Patience results
 The procedure would be
 Less painful for the patient
 Less strenuous physically
for the surgeon
 Q Why should I choose
"True" Tumescent
Liposuction
over other techniques?
A 1. Better and smoother
results–using microcannulas.
2. Safer–all local
anesthesia, no IV sedation,
virtually no blood loss.
3. Decreased postoperative discomfort.
4. Resume normal
activities within only 2
days.
Patience (30-60minutes)
Patience
Patience
Patience
Patience
Patience
Laser Lipolysis with Sequential Emission of
1064 nm and 1320 nm
Wavelengths
The 1320 nm
converting
wavelength heats the blood
hemoglobin to methemoglobin.
The 1064 nm wavelength
has a 3-5 time greater affinity for
methemoglobin than for
hemoglobin thereby increasing absorption resulting in
more
efficient coagulation leading to
skin tightening.
Repeat Treatments
often than not,
one treatment session
 More
per area is considered to
be enough, however it all
depends on the amount
of fat to be removed,
and if it is felt that the
final result (after 4 –
6 months)
needs
improving on or not
Skin tightening
abdominal as well as the submental area.
Thermal denaturation
of structural proteins in fresh tissue has been
reported
at 40 – 45 degrees Celsius.
Due to lasing in the dermal
plane, temperature may rise delivering
additional heat to
the dermis.
Thus, our lasing was stopped when
the skin
temperature reached 38-40
degrees Celsius.
the SmartSense delivery system
an intelligent chip – the “Accelerometer” - which attaches
to the laser handpiece providing feedback to the laser.
the laser is deployed only
when the handpiece is in motion and adjusts the amount
Through the use of SmartSense,
of energy delivered with the motion of the handpiece. The
laser energy distribution is proportional to the rate of movement
of the handpiece.
slows the movement
of the handpiece, the laser energy drops accordingly.
As the surgeon
If the laser handpiece comes to a complete stop, the laser
will stop within 0.2 second. This method ensures
optimal
patient safety by preventing
excessive thermal damage.
Unrealistic expectations
 Sensible diet
 Exercise
 Lipolaser
The last 10 or 15 pounds of fat
seems resistant to further
weight loss efforts
The last 5-6 KG
 After
puberty, fat cells
(adipocytes) remain constant
in number and change their
size and volume according to
the lipid (fat) content the
body decides to store.
Sometimes this fat assumes
abnormal proportions in welldefined areas, such as under
the chin, upper arms, thighs,
hips and waist - even when
your body weight is normal
for your height. Attempts to
reduce these localised fat
deposits by diet or exercise
alone are often unsuccessful.
Digital Surface Imaging Clinics
360° 3D Image Capture: Complexion
Analysis & Consultation
‫پيكر تراش پيرم و با تيشه خيال‬
‫يك شب ترا ز مرمر شعر آفريده ام‬
 Digital Surface
Imaging Clinics
360° 3D Image
Capture:
Complexion Analysis
& Consultation


Over the years, a variety of
surgical interventions have been
used to remove localised fat
deposits including
suction-assisted
lipoplasty,
ultrasound-assisted liposuction,
and power-assisted liposuction.
Although these procedures can
be
effective
in
reducing
relatively large fat deposits,
they do result in a lot of
bruising and swelling in the
treated area, requiring several
days to recover; and they can
cause
some
permanent
numbness of the skin due to
nerve damage. In addition, very
small localised areas of fat
deposits can be more difficult
to treat with conventional
liposuction techniques.
Laser Lipolysis is a liposculpture
procedure that
 is generally more suitable
for the removal of cmaller
stubborn pockets of fat
such as 'saddlebags', 'love
handles', and 'double chin'
etc. It can effectively
reduce
areas
of
fat
resistant to diet or
exercise whilst reducing
the risks associated with
traditional procedures such
as
liposuction.
The goal of liposuction is removing
inches not pounds.
What is Laser Lipolysis and
how does it work?

The procedure is performed by introducing a
fine fibre-optic probe under the skin which
delivers low-level laser energy - this
selectively breaks up fat cells (a
process known as lipolysis) transforming them
into an oily substance that is absorbed and
eliminated by the body in a natural manner
over the following weeks. In general, no fat
is aspirated or “sucked out” of the body,
(which helps to avoid the damage to
blood vessels and nerve endings often
associated with liposuction), however it
has been noted that in some cases it can
be more beneficial to the speed and
results of the treatment for suction to
be used. In addition, the low level
laser
energy
helps
to
stimulate collagen production
in the skin resulting in skin
tightening.
 Anaesthesia
 A local anaesthesia
will be used in the
area to be treated
before commencing;
therefore you will
remain comfortable
and
awake
throughout
the
procedure.
How long will it take to recover from Laser
Assisted Lipolysis?
You may be required to rest in a room
afterwards for an hour or so following
treatment, but normal activities can usually
be resumed a day or so following the
procedure.
It is best to avoid vigorous physical activity
or sports for one to two weeks after
this procedure.
What are the risks and potential
complications?
 The actual procedure is
generally well tolerated,
due
to
the
local
anaesthesia. You may
feel a tugging sensation
during treatment but
should not feel pain.
 People may experience
minor swelling, bruising
or tenderness for a few
days or weeks following
treatment - this tends
to be worse if suction is
used
during
the
procedure.
Are there any risks of office
liposuction?









bruising,
swelling,
and temporary numbness.
Although irregularities of the skin are possible
following liposuction, the use of the tumescent
technique and smaller cannulas minimize this risk,
compared to traditional liposuction using larger
cannulas. Smaller cannulas allow for a more gradual,
targeted, and measured or controlled removal of
fat. Rare problems that can occur with any surgery
include
bleeding,
infection,
or nerve injury.
The tumescent technique minimizes these risks.
skin irregularity, lumpiness, dimpling, loose skin
Post-treatment recommendations


:
avoid vigorous physical activity or sports
for one to two weeks afterwards,


keep
the
compression
bandage/clothing supplied on for the
advised period - usually 24 – 48 hours for
treatments on the face and under the chin,
and 7 -10 days in other areas.

take the short course of antibiotics that
has been prescribed for 5 days,

keep the area clean and dry for 2 – 3 days
following treatment,

avoid alcohol consumption for 12 hours
following the procedure,
Post-treatment recommendations
 gentle massage or treatment is allowable af
 ter 10 -12 days,
 avoid vigorous massage in the
treated area for 4 - 5 months,
 contact your practitioner immediately if you
notice any signs of infection or if you
experience heavy bleeding or a sudden
increase in pain.
Contraindications ?

Women
who
breastfeeding
candidates.
are
are
pregnant
not
or
suitable

Laser Lipolysis is not a cure for obesity. If
you are generally healthy and not obese,
Laser Lipolysis could help you to recontour your body with minimal risk. The
procedure works best on small areas such
as the chin, “love handles”, “saddle bags”,
knees, inner thighs, calves etc.

As Laser Lipolysis is generally used for
removal of smaller pockets of fat, it is
important that you are realistic as to what
can be achieved using this procedure.

In general, if you have a Body Mass Index
(BMI) over 30, you will not be a suitable
candidate for Laser Lipolysis (unless you
are a body builder). To calculate your Body
Mass Index – weight/ (height) 2
(BMI) below 30
unless you are a
(body builder)
Most patients are surprised at how
quickly they return to normal activity.
There is no limitation of physical
activity other than what
common sense
would
dictate. Some patients are able
to return to normal work and light
aerobic exercise within a day or
two after surgery.
Repeat Treatments
 More often than not, one
treatment session per
area is considered to be
enough, however it all
depends on the amount of
fat to be removed, and if
it is felt that the final
result (after 4 – 6
months)
needs
improving on or not.
 On average a total of
500mls (about the size of
a can of coke) can be
realistically removed in
one treatment session.
Permanence of Results

Fat that is removed by
liposuction NEVER comes
back. As long as the
individual does not gain
excessive amounts of
weight, the new silhouette is
permanent. When a patient
who has undergone
liposuction gains weight, the
areas originally treated by
liposuction maintain their
new desirable silhouette,
whereas areas not treated
by liposuction show new
deposits of fat
Fat that is removed by
liposuction NEVER comes
back.
Science Behind the Treatment
a
revolutionary new method
 Laser
lipolysis
is
for the removal of
excess fatty tissue in
areas that are normally
resistant to dieting and
physical exercise.
 Standard
lipolysis
involves
the
injection of
fat-dissolving
phosphatidyl
choline
into
localized
regions of the
body to target
fat
layers
beneath
the
skin. Laser
Laser lipolysis
uses
laser technology to remove these
stubborn fatty deposits.
 Different system® for this body
sculpting procedure.
 The Osyris Pharaon Lipo System®
employs a 980nm diode laser
to heat the fat cells in the targeted
area causing them to break down.
Over a short period of time the fat
deposits are simply absorbed and
expelled through our body's natural
metabolic
process.
During
the
procedure the laser seals off minor
blood vessels, significantly reducing
bruising and downtime.
 In addition to the removal of fat, the
introduction of heat from the laser
to the treated area stimulates
collagen production to give a
smooth, tightened and sculpted
appearance to the treated skin
and underlying tissue.
Difference between Liposuction &
Laser Lipolysis



Liposuction
uses
an
invasive
mechanical technique to tear the
fat cells and suck them out of
the body.
Laser Lipolysis uses a thermal
process to gently heat up and
destroy the fat cells, leaving it in a
liquefied state which makes it
easier for the Specialist to remove,
or for the body to naturally
metabolize the fat.
The
heat
stimulates
the
fibroblast (a cell that contributes
to the formation of connective
tissue fibres) which allows you to
produce
new
collagen
fibres,
resulting
in
a
skin-tightening
effect. This also happens to be an
extremely
beneficial
pregnancy treatment.
post-
Effectiveness of treatment

In effect, the treatment is the first laser
vaporizes
subcutaneous fat. It not only
takes away the fat, it also tightens
the skin overlying it. and the
that
literally
procedure leaves no scars, and there is no
downtime associated with it. Improvements
are usually seen within approximately 6 weeks
of treatment and continue to gradually improve
up to 4 months post treatment.

Laser Lipolysis is perfect for eliminating
common and stubborn problem areas such as
inner and outer thigh, tummy, jaw line
jowls and similar areas.

The overall results depends on the amount
of fat in the area to be treated.
The procedure is performed under sterile
conditions in a treatment room.
The area to be treated is marked by the Aesthetic
Specialist, and the area of fat to be removed is locally
aneasthetized so that no discomfort is experienced
during the procedure. A very fine (1.5mm diameter)
cannula which contains the laser fibre is inserted
under the skin through a tiny incision and directly
into the fat. The laser beam is then slowly and
methodically guided through the area and directed
onto the fat cells. The energy and heat from the laser
destroys the fat cells with no damaging effect on the
surrounding tissues. In addition to destroying fat cells
the heat from the laser tightens the skin through
collagen stimulation and new collagen production. Your
body will absorb this liquefied fat and eventually quite
naturally excrete it through the body's natural
metabolic process. Depending on the area treated, the
procedure generally takes about an hour. Usually there
is very little bleeding bruising or swelling and return
to normal activity is possible shortly after the
procedure.
What happens afterwards?
verbal and
written post procedure
instructions, and be provided with
You will be given
your medical requirements before
leaving .
Depending up on the area treated,
you are usually required to wear a
compression garment for 2 - 3
weeks.
There is almost no bruising,
swelling or pain and very few people
require more than an occasional mild
painkiller. Most people can return to
work and most normal activities the
next day.
‫فلينظراالنسان الي طعامه‬
Is treatment permanent?
Laser lipolysis is not a solution to obesity.
Ideal candidates are those that are in
relatively good health mentally and
physically.
Laser Lipolysis is not a replacement
for
liposuction
but
can
be
complementary to it, and is often used
post-liposuction
for
enhanced
body
sculpting and skin tightening.
There is a limit as to how much fat can be
removed at any one time and if you need to
remove larger amounts of fat in one
session then liposuction may be the
preferred option. Laser Lipolysis is a very
effective treatment, however, like any
body sculpting programme a sensible dieat
and lifestyle is necessary to maintain the
condition and its effectiveness.
The use of low-level laser therapy for
Non-invasive body contouring
LLLT yields a valuable response without
generating a photothermal or photoacoustic
means.
LLLT operates within the parameters of
photochemistry
performance
,changes
on
via
modulation
intracellular biochemical reactions.
Non
cell
of
–invasive body slimming;
histologically & clinically validated
LLLT
An identified
target is the
terminal enzyme in the inner
mitochondrial membrane
cytochrome c
oxidase regulating cell
bioenergetics
Modulatory capacity of light on
non-photocynthetic cells
The purpose of low level laser
technology
 pain relief
 cell re-generation for
healing.
 A clinical trial
demonstrated that
modifying the
frequencies and
output was effective
for fat reduction.
Adipose tissue is one of the main types of
connective tissue.
You will not get any greater
benefit by having a
treatment five times per
week compared to
twice per week.
However once per week is not
enough to maintain the
effect.
"cold" laser therapy
 because it doesn't heat your body. The effects on
your fat cells are not due to the heat as in laser
surgery.
High power lasers - which are used in surgery - work
because they produce heat which cuts the tissue.
The Low power laser, used in the Lumislim machine,
is only able to operate at a constant light
wavelength of 650nm which won't cut your tissue;
it just stimulates your cells.
Laser lipolysis is safe because your cells have a
natural ability to resist over-stimulation. It is
not possible to harm your body's tissues by overdosing on the laser lipolysis treatments
Abdominal fat has a different metabolic profile—
being more prone to induce insulin resistance.
LLLT causes upregulation in
cellular and metabolism
respiration
 is only able to
At first as an adjuant to
liposucton
Later as a stand-alone for
non-invasive body countouring
Histologically validated and
placebo-controlled
,randomized, double-blind
multi-center studies.
operate at a
constant light
wavelength of
650nm which won't
cut your tissue; it
just stimulates
your cells.
how does LLLT work?

The light from the low power laser penetrates your skin up to a
9mm.
depth of
That's just deep enough to reach the sub-cutaneous fat layer.

The walls of your fat cells are disrupted by the laser and develop
tiny pores; the fat then flows out into the space between your fat cells.

This is when your lymphatic system gets to work. Your lumph vessels transport
excess fluids away from the spaces in your body tissue and take them back into your
bloodstream. When you start to exercise after a treatment, your body will search
for an energy source (your fat).

Normally it would take fat from around your vital organs (liver, lungs, kidney etc). But
because you have had a laser lipolysis treatment, your body will take the fat from the
treated areas (which is the path of least resistance). And so you will lose inches
from these areas.

If you do not undertake cardio-vascular exercise following a treatment the fat will
just get deposited somewhere else on your body, for example on your tummy or
bottom. This is why we encourage you to use my Vibration Plate immediately
afterwards.
‫آگاهي دقت حوصله تعادل تجسم سه بعدي‬
 Liposuction is not effective
for people who are unable to
maintain a reasonable weight
an
overweight person
whose weight has
remained stable for
many years and has
by dieting. However,
specific problem areas may
be an excellent candidate.
Thank you for your attention