PRIME North America Vol.5 Issue 6

References 1. TheGlobalAestheticMarketStudy XIVJune2016,Medical Insight, Inc. 2. MulhollandRS,PaulMDand ChalfounC. Noninvasivebody contouringwithradiofrequency, ultrasound,cryolipolysisand low level lasertherapy. ClinPlastSurg.2011;38: 503-520 3. FrancoW,KothareA,RonanSJ, GrekinRC,McCalmontTH. Hyperthermic injurytoadipocytecells byselectiveheatingofsubcutaneousfat withnovelradiofrequencydevice: Feasibilitystudies. LasersSurgMed 2010;42(5):361-370 4. DecoratoJW,ChenB,SierraR. SubcutaneousAdiposeTissueResponse toaNon-InvasiveHyperthermic TreatmentUsinga1,060nmLaser. LasersSurgMed2017;49(5):480-489 5. DohertyS,ChenB. Invivoand in vitrotissuetemperatureduringa non-invasive1060nmhyperthermicfat treatment. AnnualMeetingofthe AmericanSocietyforLaserMedicine andSurgery (ASLMS),2016 First FDA Cleared hyperthermic laser device for non-invasive body contouring Propriety laser modulation enables bulk heating of the adipose tissue to destroy fat cells, while protecting the skin from the effects of thermal damage 25 minute treatment is faster than those offered by other non-invasive treatment modalities Flat non-vacuum applicators enable areas of tissue to be treated that other devices, which require the pulling of tissue into a vacuum cup, cannot No risk of ‘shark bite’ effect in tissue post treatment as seen with fat freezing techniques All skin colours can be treated Key points abdominal wall following four previous pregnancies. On assessment, the patient was found to have excess anterior abdominal fat affecting both the upper and lower abdomen, in conjunction with some cutaneous creasing of the skin overlying this area. There was also some fat deposition in the ‘love handle’ region bilaterally. There were stretch marks present across the lower abdomen associated with the pregnancies and significant laxity of the skin across this anatomy. There were no hernias, lesions or evidence of any other contraindications to treatment. The patient was in good healthwith no other medical conditions to note, no medication or allergies. As a busy mother and career woman, she had time for very little exercise except for regular dog walking. During consultation, the patient was advised of the expected outcomes of treatment to reduce the unwanted subcutaneous deposits from the abdomen and love handles but that the device is not specifically indicated for treatment of skin laxity or to improve stretch marks since these factors were also part of her concern. Despite this, she still decided to proceed with treatment for the fat reduction. Three individual areas were addressed during the SculpSure® session. The first using four applications to the upper abdomen in a 2x2 grid formation, the upper two inportrait and the lower two in landscapeorientation. For the second area, the applicators were applied across the lower abdomen using four in line portrait formation to maximize the coverage across the abdomen. The last area targeted the lateral deposits, using two applicators applied to each side of the abdomen in a portrait formation. The patient experienced no significant side‑effects but did have the heating and cooling sensations expected during treatment and some feeling of pressure or slight pinching depending on the area. This was not deemed of a level of discomfort to necessitate taking a break in or terminating treatment. Following the procedure, the patient was advised to keep well hydrated and to massage the treated areas twice daily for 5 minutes. The patient returned to the clinic 6-weeks post procedure for follow-up. Comparison of pre-and post- treatment photographs identified a significant reduction in the visible volume of abdominal fat with associated improvement in the deep skin creasing across the lower abdomen. The patient also reported skin tightening across the lower abdomen although there was no change to the appearance of any existing stretch marks. Further data comparison showed that this patient had a reduced BMI from 21 at baseline pre-treatment to 20.1 at follow-up and a reduced waistline circumference measurement (taken at the umbilicus) from 28.5 inches at baseline to 26.5 inches at follow-up. Circumference measurement at the hip, where treatment did not take place, remained Figure 3 (A) Pre and (B) Post single treatment for 50 year old female with unwanted asymmetrical fat deposits on the back under the bra strap Figure 4 (A) Pre and (B) Post treatment for 44 year old female with dissatisfied appearance to anterior abdominal wall and love handles. unchanged from baseline. The patient was extremely pleased with her results and reported increased body confidence. Conclusion While the degree of fat destruction does vary between clients the author is impressed with the efficacy of the device and the consistency with which it delivers results. The device is both simple to use and extremely well tolerated. In our present series of clients we have seen no significant side effects and client satisfaction is very high. Declaration of interest None Figure 2–4 © Steve Powell | NON-INVASIVE LASER TREATMENT | CASE STUDY | November/December 2017 29