The hottest news in fat removal is lasers that claim to “melt your fat away.” To be clear, none of the FDA approved devices out there can turn your solid butter unwanted fat into liquid vegetable oil.
“Fat melting lasers” can be broken down into two groups. The first group consists of lasers used for surgical laser lipolysis. With these lasers, a laser fiber is typically inserted under the skin into anesthesized fatty tissue to break down the fat cells with heat. Smartlipo by Cynosure was the first brand to hit the market in the United States, but now there are at least half a dozen of such lasers being commonly used for this purpose. Other more common lipolysis lasers include Coollipo by Cool Touch, Inc., Lipotherm by Osyris, Prolipo by Sciton, LipoLite from Syneron, SlimLipo by Palomar, Smooth Lipo by Elena Medical, and Lutronic Accusculpt.
The wavelengths (the particular part of the light spectrum for the laser beam) of these lasers are selected to break down fat cells with heat and stimulate some degree of tightening of the skin. When collagen is heated to about 42 degree Celsius, a shrink wrap effect is produced in the skin over the months that follow.
Once the fat is emulsified (broken down), it is then typically removed by gentle suction using thinner, more delicate instruments that cause much less trauma and pain to the body than traditional liposuction instruments. That is why the fat can be removed without potentially risky general anesthesia, using local anesthetic fluid that is spread into the fat that will be removed. Less trauma also translates into less post-operative pain, less need for narcotic pain medication, and faster recovery. Most patients are back to work in 3 to 4 days and exercising within one week.
The best candidates are those who are close to their ideal body weight with resistant areas that are not responding to proper diet and exercise. Most medical conditions such as diabetes, high blood pressure, thyroid abnormalities, and heart problems must be stabilized first. You should also cease smoking several weeks prior to the procedure date.
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The second group of “fat melting lasers” are used externally and do not produce any heat at all. These lasers work by shining the light
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