From Smartlipo laser lipolysis to laser assisted liposuction
The original Smartlipo – laserlipolysis technique is used for removing excess fatty tissue from areas of the body that patients find are resistant to dieting and exercise by delivering a specifically calibrated laser beam that act on the cells that contain fat.
This advanced laser technique destroyers the fat membrane itself due to the effect of the laser which is specific. The SmartLipo Nd-YAG laser has a selective wavelength for fatty tissue and by producing a thermal and mechanical effect that will provoke the rupturing of the membrane adipose cells and transform them into an oily emulsion allowing it to be absorbed and eliminated by the body.
Smartlipo‘s pulsating laser beam has a photo-mechanical effect rupturing the fat cells’ membrane. Also it has thermal effect which melts the fractured fat cells and coagulates small blood vessels which reduce the bleeding to minimum. Both effects together (Photo-dynamic and Thermal) will give the skin tightening results.
The areas to be treated are marked with a special pencil and each is divided into segments of 5×5 cm or 10×10 cm. A small incision 1-mm is made with a micro-scalpel in which the local anesthetic is injected. The local anesthesia is carried out via longitudinal infiltration of the subcutaneous fatty tissue in anything from ten to twenty directions in order to form a network.
The optical fire of the laser is inserted into the same incision created for the infiltration of the anesthetic solution. Its transit through the skin is monitored by means of the guiding light on the laser device itself. The actual treatment begins by slowly moving forwards lengthwise following the lines traced on the skin and trying to constantly maintain the same speed of movement.
1- Melting the deep loose fat
Figure 1 – Smartlipo laser treatment melting the deep loose fat.
2- Lasering the superficial fat and tightening the skin at the same time
Figure 2 – Smartlipo laser treatment, lasers the superficial fat.
Method of Smartlipo
- Treatment is carried out in a sterile surgical theater environment.
- The areas to be treated are marked with a special pencil, and lines are traced outwards from one single point in which the local anesthetic is injected.
- The local anesthesia is carried out via longitudinal infiltration of the subcutaneous fatty tissue in anything from ten to twenty directions in order to form a network.
- The optical fiber of the laser is inserted into the same incision created for the infiltration of the anesthetic solution.
- In order to facilitate the insertion of the cannula, a small incision must be made with a micro-scalpel.
- The laser is then turned on and the optical fiber is inserted into the adiposity. Its transit through the skin is monitored by means of the guiding light on the laser device itself.
- The actual treatment begins by slowly moving forwards lengthwise following the lines traced on the skin and trying to constantly maintain the same speed of movement.
SmartLipo Laser beam targeting fat cells membrane only
1- The laser beam, inserted into the hypoderma by means of the cannula, affects the adipocytes and surrounding tissues.
2- The photo-mechanical effect, part of the laser energy ruptures the membrane of the adipocytes closest to the end of the fiber.
3- In some cases the adipocytes are not destroyed immediately. Nevertheless, the laser energy still manages to alter the permeability of their membrane causing them to swell which leads to their destruction within a month or two.
The final result is produced by the reduction in the number of fatty cells, with a reduced blood loss thanks to the coagulation of the small blood cells during the operation.
At the end of the treatment the fatty tissue will be more compact and have greater tone without any surface irregularities.Then the liquefied fat will be sucked out Due to the lipolysis effect produced by the laser, the body contours improve day by day, providing the results within 1 to 2 months post-treatment. However, it usually takes between 3 to 4 months to see the final results, which vary individually between clients.
Laserlipolysis allows for recovery and the patient can return to a normal lifestyle in one to two days after Smartlipo treatment.
The number of treatments is very much depends on the amount of fat to be removed from each area. More often than not one treatment will achieve the desired effect.
The treatment takes 1-2 hours depending on the number of areas. Most patients can return to work the following day after treatment.
Smartlipo treatment that can be used to treat asymmetrical shaping, as the surgeon can apply differing amounts of varying laser energy to different areas so he can sculpture the body shape with the laser.
Skin Retraction and Tightening Split Abdomen using Smartlipo
As the above control study shows, the left lower abdomen area lasered with the Smartlipo MPX system has a significant skin tightening effect.
This technique is affective in treating small area or areas of stubborn pockets of fat. But the patients need to be patient with time and it will take about 4 to 6 months to see the final results.
In the year 2008 the evolution of laser treatment came with the 2nd generation Smartlipo MPX by Cynosure from the USA which was also introduced by Dr Ayham Al-Ayoubi who furthermore evolved his laser assisted liposuction technique by using the Smartlipo MPX (which has 32 watts and 46 Watts laser energy) which allows him to perform Smart Lipo with suction in multiple areas in addition with the skin tightening effect.
The Smartlipo MPX is the evolution of this revolutionary technique as instead of one it uses two different laser wavelengths both targeting the fat cell membranes and the blood vessels and water which gives the skin a tightening effect in addition to fracturing the fat cells. The SmartLipo MPX system was introduced into the UK and Europe by Dr Ayham Al-Ayoubi in 2008.
The third generation of SmartLipo known as Smartlipo triplex was introduced into the UK and Europe by Dr Ayham Al-Ayoubi in 2010 this machine uses 3 different wavelengths of laser energy.
The latest generation Smartlipo Triplex introduced by Dr Ayham Al-Ayoubi has taken the laser assisted liposuction technique to a different level this now allows the plastic surgeon to perform Smartlipo with suction on multiple and large areas giving skin tightening effect with no surgical scars and with no down time.
All the above Smartlipo treatments (with or without suction) can be performed under local anesthetic, light IV sedation or general anesthetic which in comparison with the traditional surgical techniques for fat reduction including liposuction makes the Smart lipo and the laser assisted liposuction treatments far more superior.
The skin tightening in some areas like hips,outer thighs is immediate. It is also done under local anesthetic or general anesthetic.However patients don’t not have to stay overnight. There are no stitches, just a very small incision that heals very well and quickly. With Laser Assisted Liposuction by three or so months the patients can see the final results.
The post-treatment marks like hematoma and inflammation – common to other methods of surgical body modeling – are considerably reduced.
To read more on Smartlipo treatments, laser assisted liposuction and other laser body sculpting techniques, please download Smartlipo E-book (written by Dr Ayham Al-Ayoubi) from our website.