INTRODUCTION
Non-invasive body contouring is constantly on the gain recognition within the U . s . States and also the field is evolving in a fast pace. Actually, it the quickest growing category among dermatologic procedures. In 2014 alone, over 207,000 body sculpting procedures were done by American Society for Dermatologic Surgery (ASDS) people.1 Although this includes tumescent liposuction, most cases are utilizing non-invasive methods. This can be a dramatic 53% increase from 2012, along with a 16% increase from 2013.1 Many factors can lead to someone’s decision to possess a cosmetic procedure. The 2015 ASDS Consumer Survey says dermatologists possess the most affect on patients, ranking above cosmetic surgeons, doctors, buddies, websites, along with other factors.2 Therefore, dermatologists possess a responsibility to become well-informed and acquainted with the short growing group of non-invasive body contouring technologies. Various technologies exist today including cryolipolysis, radiofrequency, ultrasound, injection lipolysis, and laser. The idea of the direct action of lasers on adipose tissue, termed laser lipolysis, was initially pioneered by Apfelberg in 1992.3 At the moment, laser lipolysis was introduced being an adjunct to traditional surgical liposuction. It wasn’t until 2006 the Food and drug administration approved the very first laser lipolysis device, that was an Nd:YAG 1064 nm laser. Laser-aided liposuction brought to superior fat loss, decreased bloodstream loss and ecchymoses, and improved skin tightening. These benefits result from adipocyte membrane disruption, coagulation of bloodstream vessels, and bovine collagen remodeling.3 It's generally recognized these effects are mainly because of the heat generated through the laser. When evolving to some non-invasive method of laser lipolysis, an exterior system is needed. However, when designing an exterior device that utilizes heat since it's mechanism of action, there's a danger of thermal injuries towards the skin causing discomfort or even more significant negative effects. Therefore, the first use of lasers towards the elds of noninvasive body contouring was with low-level laser therapy or "cold laser". This modality creates temporary microscopic pores inside the cell membrane from the adipocytes, via a cytochrome oxidase interaction, allowing the triglyceride contents to depart these broken cells.4 There's no measurable increase in temperature from the treated tissue. The use of the 1060 nm diode laser for fat loss is the foremost and only Food and drug administration removed hyperthermic laser for non-invasive body contouring. This product effectively and securely uses the thermal results of an exterior laser to non-invasively destroy adipose tissue. Herein we'll describe the mechanism of action, effectiveness, and safe nature of the novel modality.
Mechanism of Action
The 1060 nm diode laser results in injuries from the adipocytes through direct heating from the tissue. Energy delivered through the laser creates movement inside the molecules from the uncovered tissue, which in turn generates heat. A controlled temperature of 42-47 C should be maintained to begin from the adipocytes. Only at that hyperthermic temperature, the cell membranes from the
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