Franck Marie Leclère1, Justo M Alcolea2, Peter M Vogt3, Javier Moreno-Moraga4, Vincent Casoli5, Serge Mordon6, Mario A Trelles2. 1. Department of Plastic & Transsexual Surgery, Burn Surgery, Hand Surgery, CHU University of Bordeaux, Centre François-Xavier-Michelet, Groupe hospitalier Pellegrin, Bordeaux;; INSERM U1189, University of Lille, France;; Department of Plastic Surgery, Hannover Medical School, University of Hannover, Germany; 2. Instituto Médico Vilafortuny, Cambrils (Tarragona); 3. Department of Plastic Surgery, Hannover Medical School, University of Hannover, Germany; 4. Instituto Médico Láser, Madrid, Spain. 5. Department of Plastic & Transsexual Surgery, Burn Surgery, Hand Surgery, CHU University of Bordeaux, Centre François-Xavier-Michelet, Groupe hospitalier Pellegrin, Bordeaux; 6. INSERM U1189, University of Lille, France;
Abstract
BACKGROUND: Upper arm deformities secondary to weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures. OBJECTIVE: To objectively assess whether, in Teimourian high-grade upper arm remodelling, laser-assisted lypolysis (LAL) alone could result in patient satisfaction. METHODS: Between 2012 and 2013, 22 patients were treated for excessive upper arm fat (Teimourian grade III and IV) solely with LAL. The laser used in the present study was a 1470 nm diode laser (Alma Lasers, 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 to destroy 1 mL of fat. Patients were asked to complete a satisfaction questionnaire. The arm circumference was measured pre- and postoperatively. Treatment parameters, adverse effects and outcomes were recorded. RESULTS: Pain during the anesthesia and discomfort after the procedure were minimal. Complications included ecchymoses and prolonged edema. The mean (± SD) arm circumference decreased 5.5±1.0 cm in the right arm (P<0.01) and 5.2±1.1 cm in the left arm (P<0.01) in grade III patients and 4.9±1.1 cm in the right arm (P<0.01) and 4.9±1.1 cm in the left arm (P<0.01) in grade IV patients. Although the circumference of both arms significantly decreased in grade III and grade IV patients, the skin tightening remained incomplete. Overall, the average opinion of treatment was poor for both patients and investigators. Of the 22 patients, only nine (41%) would recommend this treatment. CONCLUSION: LAL for upper arm remodelling is not sufficient to ensure full skin tightening for patients with Teimourian grades III and IV upper arm deformities. A complementary surgery is mandatory for grades III and IV.
BACKGROUND: Upper arm deformities secondary to weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures. OBJECTIVE: To objectively assess whether, in Teimourian high-grade upper arm remodelling, laser-assisted lypolysis (LAL) alone could result in patient satisfaction. METHODS: Between 2012 and 2013, 22 patients were treated for excessive upper arm fat (Teimourian grade III and IV) solely with LAL. The laser used in the present study was a 1470 nm diode laser (Alma Lasers, 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 to destroy 1 mL of fat. Patients were asked to complete a satisfaction questionnaire. The arm circumference was measured pre- and postoperatively. Treatment parameters, adverse effects and outcomes were recorded. RESULTS:Pain during the anesthesia and discomfort after the procedure were minimal. Complications included ecchymoses and prolonged edema. The mean (± SD) arm circumference decreased 5.5±1.0 cm in the right arm (P<0.01) and 5.2±1.1 cm in the left arm (P<0.01) in grade III patients and 4.9±1.1 cm in the right arm (P<0.01) and 4.9±1.1 cm in the left arm (P<0.01) in grade IV patients. Although the circumference of both arms significantly decreased in grade III and grade IV patients, the skin tightening remained incomplete. Overall, the average opinion of treatment was poor for both patients and investigators. Of the 22 patients, only nine (41%) would recommend this treatment. CONCLUSION: LAL for upper arm remodelling is not sufficient to ensure full skin tightening for patients with Teimourian grades III and IV upper arm deformities. A complementary surgery is mandatory for grades III and IV.
Entities:
Keywords:
Arm; Arm remodelling; Brachioplasty; LAL; Laser; Laser lipolysis
Authors: Franck Marie Leclère; Javier Moreno-Moraga; Justo M Alcolea; Vincent Casoli; Serge R Mordon; Peter M Vogt; Mario A Trelles Journal: J Cosmet Laser Ther Date: 2014-09-19 Impact factor: 2.247
Authors: Javier Moreno-Moraga; Mario A Trelles; Serge Mordon; Frank Unglaub; Elena Bravo; Josefina Royo de La Torre; Ignacio Sanz; Pascal Servell; Nacim Betrouni; Franck Marie Leclère Journal: J Cosmet Laser Ther Date: 2012-04 Impact factor: 2.247
Authors: M A Trelles; S R Mordon; E Bonanad; J Moreno Moraga; A Heckmann; F Unglaub; N Betrouni; F M Leclère Journal: Lasers Med Sci Date: 2012-02-19 Impact factor: 3.161