Laser lipolysis

By Prof. Dr Ahmet Karacalar

Laser lipolysis or laser liposuction stands out as one of the safe and shortcut ways to get rid of regional fat excess. The method, also known as laser lipo, is based on sending laser energy into the fat tissue via a fiber optic; causing it to break down and be damaged. Due to its ability to tighten loose skin to some extent, it seems like an ideal method for this area.

This feature is attributed to stimulating collagen production. With this effect and the absorption of broken down fats, results begin to appear after 6 weeks and improvement continues for 4 months. It can be said that being able to be performed under local anesthesia, along with minimal bruising and swelling post-procedure, makes it a method suitable for the needs of our era as a fast procedure.

One session is sufficient for each area, and the procedure time varies between approximately 15-60 minutes for each area. The use of a corset for about 10 days post-procedure is required.

Studies show that fat cells cannot function and disperse with laser energy. Meanwhile, it has been determined that the laser energy affecting the underlying skin increases tissue quality by affecting collagen and elastic fibers.

Areas where the tissue is loose, areas where liposuction has been previously performed, and hard areas such as the back or male breast tissue, which are not suitable for liposuction, seem suitable for this method.

Types of laser lipolysis and the differences between them

Although different devices such as Deka Smart lipo, Palomar Slim lipo, Fotona XP-2, Cynosure, and Osyris are used instead of the name laser lipolysis, the type of laser used in these devices is Nd-YAG and diode laser. While they do not provide a very distinct superiority to each other in clinical results, they have some differences in terms of ease of use and procedure time.

What is the effect of laser on fat tissue?

1. Permanent effect called lysis: When laser light hits the fat tissue, the rupture of the fat cell wall occurs through a photothermal effect.

2. Reversible fat damage called tumefaction: If laser energy is given low and insufficient, the effect remains at this stage. It has been determined that 3000 Joules of energy should be given for 5 cm3. It is possible to make this effect permanent with some auxiliary applications.

The superiority of laser lipolysis over liposuction

The speed and permanence of the procedure, its compatibility with social life, its effect in cases where liposuction is insufficient, and its tissue tightening feature make it stand out as a scientific method. However, it should not be forgotten that liposuction is added to most laser lipolysis procedures. Liposuction is still an important method.

The role of laser lipolysis in cellulite

In the simplest definition, the orange peel or mattress appearance on the skin is called real cellulite. Real cellulite becomes more apparent when we squeeze the tissue with our palm. This condition is accompanied by excess in the superficial fat layer with impaired microcirculation. The mildest stage is noticeable with a pinch. As the stage progresses, it starts to be visible even when lying down. Secondary cellulite, which we call cellulite due to tissue loosening, disappears if we stretch the tissue with our hand from above. This type of cellulite is more of a problem of advanced age. Regional fat excess is not called cellulite.

In aesthetic surgery, real cellulite treatment includes cutting cellulite bands, laser lipolysis, and superficial liposuction. In the case of tissue sagging, which we call secondary cellulite, liposuction can be performed on a very limited area. When laser lipolysis and cell injections are used together, improvement is achieved in such cellulite. However, they are never sufficient on their own in cellulite treatment. Cellulite treatment requires a very comprehensive treatment plan.