N e w s m a k e rs
B ylngaH ansen
T h eS m a rtlip ola s e r-a s s is te dlip o ly s iss y s te m
re c e iv e sFD Aa p p ro v a lfo rfa t
d e s tru c tio na n ds k intig h te n in g .
S m a rtU p oF D J\~
t
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p
p
r
o
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e
d
H ow
ItW o rk s
S m a rtlip ou s e s a 1 0 6 4n m
la s e r fib e r in tr o d u c e d
th ro u g h a 1m m
c a n n u la . A m ix tu re o f n u m b in g
a g e n ts a n d s a lin eis in tro d u c e d in to th e a r e a .D u r
in gtre a tm e n t, th e la se r c o m e sin d ire c t c o n ta c t
w ith s u b c u ta n e o u sf a t, c a u s in g th e a d ip o c y te s to
ru p tu re .T hed e b risis th e n s u c tio n e d o u t.T he h e a t
e n e rg y o f th e la s e r e ffe c ts p ro d u c tio n o f c o lla g e n
and shrinks tissue.Italso coagulates blood vessels
inth e a re ato re d u c e b le e d in g , w h ic h
isty p ic a lly
associatedw ith liposuction procedures.
"A lly o uneedis a 1to 2m m
in c is io n , w h ic h
is
s ig n ific a n tly s m a lle r th a n th e in c is io n n e e d e dfo r
lip o s u c tio n ,"s a y sK a tz ."T he c a n n u laits e lfiss otin y
th a t trau m ato th e areais m in im al."
T hele s sinvasive procedure allow sfo r a shorter
re c o v e ry tim e w ith p a tie n ts re tu rn in g .to n o rm a l a c
tiv itie sinjust days follow ing the procedure. "W e
te ll o u r p a tie n ts to ta k eo ff th e d a y fo llo w in g th e
procedure because thereiss o m e d ra in a g e ,"s a y s
K a tz ," b u t th e y c a ng o b a c k tow o rk th e n e x td a y ."
R isko f c o m p l ic a tio n s w ith th e p r o c e d u r eis
re la tiv e lylo w . A lb e rto G o ld m a n ,M D, a s e
n io r m e m b e r o f th e B ra z ilia n S o c ie ty o f P la s tic
S u rg e ry , h a s s tu d ie d la s e r-a s s is te d Iip o ly s isfo r
c o n tin u e do np a g e8 7
som e areas, sucha s under the chin,in the upper
a rm s a n d th e a b d o m e n w h e re tra d itio n a l lip o s u c
tio nle f tb e h in d lo o s e , s a g g in g sk in th a t o fte n h a d
tob e s u rg ic a lly re m o v e d .
" T h iss y s te m
w asm adefo rsm all areas offa t
d e p o s its th a t a ls o re q u ires k in tig h te n in g ,"s a y s
B ruceK a tz ,M D,c lin ic a lp ro fe sso r, d e rm a to lo g y ,
M ountS in a iS c h o o lo fM e d ic in e a n d d ire c to r,Ju v a
S k in&
L aserC e n te r,N ewY o rk ,w h o s e c e n te r to o k
p a rtinth eFD A tria lsfo r S m a rtlip o ." Ify o u d o a re a s
lik eth en e c k o rarm s, o r th e a b d o m e n fo llo w in g
c h ild b irth , w h e re th es k inisv e ryloose w ithsm all
d e p o s itsc iff a t, tra d itio n a l lip o s u c tio n c a n m a k e
these areas w orse.T h iss y s te m
allo w su s to sim u lta
n e o u s ly m e lt th efa ta n d tig h te n th es k in to im p ro v e
the appearance ofth ea re a ."
N
e a rlyh a lfam illio nlip o s u c tio ntre a tm e n ts
w ereperform edin2005, accordingtoth e
A m ericanS o c ie tyo fA e s th e ticP la s ticS u rg e ry .
T here c e n tu .s .F o o da n dD ru gA d m in istratio na p
p ro v a lo fS m a rtlip o ,afa trem ovals y s te m th a tcom
b in e sla s e rte c h n o lo g ie sw ithlip o s u c tio n ,islik e lyto
p u shth o s enum berse v e nh ig h e r.T hes y s te mre d u c e s
b le e d in g ,c a nb eperform edu n d e rlo c a la n e s th e tic
a n do ffe rsaq u ic kre c o v e rytim ew ithn os titc h e s .
" S m a rtlip o , w h ic h re c e iv e dFD A a p p ro v a lfo r
laser-assistedlip o ly s is , vaporizationo f tissue and
c o a g u la tio no ftis s u e le a d in gtos k in tig h te n in g ,h a s
b e e n a v a ila b le th ro u g h o u t th e w o rldfo rs e v e ra l
y e a rs ,"s a y sM arinaK am enakis,v ic e -p re s id e n t
o fc lin ic a l m a rk e tin g a n d e d u c a tio n , C y n o s u re ,
W estford,M assachusetts. "C ynosure acquiredFD A
a p p ro v a lfo r th es y s te m
inO c to b e r 2 0 0 6 , a n drig h ts
tod is trib u te S m a rtlip o th ro u g h o u tN o rthA m erica."
T hec o n c e p t o f la s e r-a s s is te d lip o ly s is (th e
d e s tru c tio n o ffa tc e lls)f ir s t a p p e a r e din th e
mid-1990s when David
B .A p fe lb e rg ,M D, b e g a n
re s e a rc h in g a n e w te c h n iq u e th a t c o m b in e d tra d i
tio n a l lip o s u c tio n w itha nN d :Y A G
la s e r.T heid e a
w astos e eif th e c o m b in a tio n o f la s e rs k in tig h t
e n in g a n dfa trem oval could replace surgeryin
AS m a rtlip ow o rk sb e s tfo rs m a llfa td e p o s itsw h e res k intig h te n in g
isa ls on e e d e d .
6 4
M a r c h iA p r il 2 0 0 7IM e d e s th e tic s
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