Laser-assisted lipolysis for arm contouring in Teimourian grades I and II: a prospective study of 45 patients

Franck Marie Leclère, Justo M. Alcolea, Peter Vogt, Javier Moreno-Moraga, Serge Mordon, Vincent Casoli, Mario A. Trelles

    Research output: Contribution to journalArticleScientificpeer-review

    5 Citations (Scopus)

    Abstract

    Upper arm deformities secondary to weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures. We conducted this study to objectively assess if, in Teimourian low-grade upper arm remodelling, one session of laser-assisted lypolisis (LAL) could result in full patient satisfaction. Between 2011 and 2013, 45 patients were treated for unsightly fat arm Teimourian grade I (15 patients), grade IIa (15 patients) and grade IIb (15 patients) with one session of LAL. The laser used in this study was a 1470-nm diode laser (Alma Lasers, Cesarea, 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 in order to destroy 1 ml of fat. Treatment parameters and adverse effects were recorded.The arm circumference and skin pinch measurements were assessed pre and postoperatively. Patients were asked to file a satisfaction questionnaire. Pain during the anaesthesia and discomfort after the procedure were minimal. Complications included prolonged oedema in 11 patients. The average arm circumference decreased by 4.9 ± 0.4 cm in the right arm (p <0.01) and 4.7 ± 0.5 cm in the left arm (p <0.01) in grade I patients, 5.5 ± 0.6 cm in the right arm (p <0.01) and 5.2 ± 0.5 cm in the left arm (p <0.01) in grade IIa patients and 5.4 ± 0.5 cm in the right arm (p <0.01) and 5.3 ± 0.5 cm in the left arm (p <0.01) in grade IIB patients. The skin tightening effect was confirmed by the reduction of the skin calliper measurements in all three groups. Overall mean opinion of treatment was high for both patients and investigators. Of the 45 patients, all but one would recommend this treatment. A single session of LAL in upper arm remodelling for Teimourian grades I to IIb is a safe and reproducible technique. The procedure allows reduction in the amount of adipose deposits while providing full skin tightening.

    Original languageEnglish
    Pages (from-to)1053-1059
    Number of pages7
    JournalLASERS IN MEDICAL SCIENCE
    Volume30
    Issue number3
    DOIs
    Publication statusPublished - 1 Apr 2015
    Publication typeA1 Journal article-refereed

    Keywords

    • Arm
    • Arm remodelling
    • Brachioplasty
    • LAL
    • Laser
    • Laser lipolysis

    ASJC Scopus subject areas

    • Surgery
    • Dermatology
    • Medicine(all)

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