Hair Transplantation

admin - Ocak 8, 2014

Hair transplantation involves removing small pieces of hair-bearing scalp grafts, or plugs, from a donor site (often from the thick hair on the sides and back of the head) and relocating them to a bald or thinning area.

Before we examine specific hair replacement techniques, let’s look at the history of hair transplantation. Historians say that the hair restoration field probably had its roots in the 1930s in JAPAN, where experiments focused on taking skin, hair and roots from one area of the body and moving them to areas of the body disfigured by accidents and war injuries.

In the 1950s, American dermatologist Norman Orentreich published articles on how hairy skin can be moved from one area to a bald area and actually take the genetics with it. Contrary to what most people believed, Orentreich was able to prove the theory of donor dominance, which says that hair, when moved, will continue to grow as it would have in its original site. (That’s why the permanent, “lifetime” hair on the sides and back of the head are often used as donor sites in transplants.) He is credited with being the first to come up with the idea of using transplantation to replace the hair that a balding person is losing.

According to Dr. Stephen Cotlar, hair transplantation ranks as the number one cosmetic procedure performed on men today. The reason for the transplant explosion of the past six or seven years is that the results gained from the procedure are so much better than they once were. And the results are better because techniques have been improved. However, Cotlar says, the basic concept of hair transplantation is pretty much the same as when it was first performed. The major difference in hair transplantation today is related to graft, or plug, size.

Someone whose transplants were done by a doctor using the older technique can be easily identified by the “garden patch” appearance of his hair. These larger grafts were the standard until about a decade ago, when transplant surgeons looked critically at their work and the correlation between their results and graft size. They decided that smaller grafts would provide better results, because smaller grafts contain fewer hairs and, therefore, less clumping (of transplanted hairs), which is responsible for that characteristic sprout-like look. That began the era of mini-grafts and micro-grafts. Let’s look more closely at these as we learn how hair transplantation works.

PROCEDURE

As we mentioned earlier, hair transplantation involves removing small pieces of hair-bearing scalp from a donor site and relocating them to holes or slits in a bald or thinning area, usually on the top of the scalp. Modern techniques in hair grafting (the most recently performed method of transplantation) is performed by many physicians and in many clinics throughout the world. No new hair is added during this procedure — hair and skin are simply relocated. Grafts vary in size and shape:

Punch grafts – Round grafts that usually contain about 10 to 15 hairs
Mini-grafts – Much smaller grafts containing 2 to 4 hairs
Micro-graft – Tiny grafts containing 1 to 2 hairs
Slit grafts – Thin grafts that contain about 4 to 10 hairs each
Strip grafts – Long, thin grafts containing 30 to 40 hairs
Several surgical sessions may be needed to achieve more fullness, and a healing interval of several months is usually recommended between sessions. It may take up to two years before you see the final results of the transplant series.

The amount of coverage you need is partly dependent on the color and texture of your hair. Coarse, gray or light-colored hair offers better coverage than fine, dark-colored hair. The number of large plugs transplanted in the first session varies with each individual, but the average is about 50. For mini-grafts or micro-grafts, the number can be up to 700 per session (more about the new megasessions later).

In hair transplantation, pieces of hair-bearing scalp are taken from the sides and back of the head and re-planted in holes in the bald area.
Just before surgery, the donor area will be trimmed short so that the grafts can be easily removed. The graft donor and recipient areas are treated with a local anesthetic similar to that used by dentists. If your surgeon is making punch grafts, he or she may use a special tube-like instrument made of sharp carbon steel for punching the round graft out of the donor site. (The doctor will be very careful in removing and placing grafts to ensure that the transplanted hair will grow in a natural direction and that hair growth at the donor site is not negatively affected.)

For other types of grafts, your doctor will use a scalpel to remove small sections of hairy scalp, which will be divided into tiny sections and transplanted into tiny holes or slits within the scalp. When grafts are taken, your doctor may periodically inject small amounts of saline solution into the scalp to maintain proper skin strength.

The donor site holes may be closed with stitches (a single stitch may close each punch site). When other types of grafts are used, a small, straight-line scar will result. The stitches are usually concealed with the surrounding hair. To maintain healthy circulation in the scalp, the grafts are placed about one-eighth of an inch (3 mm) apart. In later sessions, the spaces between the plugs will be filled in with additional grafts.

After the grafting session is complete, your scalp will be cleansed and covered with gauze. Some doctors require patients to wear pressure bandages for a day or two, while others allow their patients to recover bandage-free.

Megasessions

Now that smaller grafts represent the standard in hair transplantation, the only major controversy in the field today is staged restoration versus megasessions. Traditionally, surgical hair restoration has been staged (planned) in multiple surgical sessions. A typical session might average between 150 and 300 grafts. The sessions are spaced three to four months apart. Depending on the patient’s degree of balding, four or more sessions might be scheduled. Using staged sessions, it can take up to two years or so before the full effects of the transplant can be seen.

Recently, there has been a trend toward placing more grafts per session — as many as 3,000! Technically, surgeons say, megasessions are more demanding and allow a slimmer margin for error. They are lengthy and require more staff. For example, a large session of 2,000 grafts or more may take over eight hours and require up to four or five assistants. In most cases, the physician will remove the pieces of hair-bearing scalp and then close the resulting wound. He then hands the donor hair to the assistants, who are responsible for both preparing the grafts for transplantation and placing them (usually the doctor will make the holes where the grafts are to be placed).

Proponents of the megasession say its appeal is that it requires fewer surgeries to achieve hair restoration in a shorter period of time. Since many physicians charge less per graft when larger numbers are placed, there may also be financial advantages to this option. If a person is traveling out of town to have his surgery performed, he probably would want to have as few sessions as possible.

Doctors who are opposed to megasessions say that in the very large megasessions where grafts are packed very close together, the overall graft survival is not as good. They also say that, since hair loss is an ongoing process, planning multiple smaller sessions allows more flexibility for the future. Even in the case of megasessions, a repeat procedure is often necessary for getting the best results.

We’ll take a closer look at some of the other different types of surgical procedures for hair replacement in the following sections.

Other Surgical Techniques

There are several techniques that can be used alone or in combination. Transplant techniques, such as punch grafts, mini-grafts, micro-grafts, slit grafts and strip grafts, are generally performed on patients who desire more modest changes in hair fullness.

Flaps, tissue-expansion and scalp-reduction are usually more appropriate for patients who desire a more dramatic change. (General anesthesia is often necessary to allow patients to sleep through these more extensive surgical procedures) Let’s look at these more closely.

A large flap of hair-bearing skin, taken from the back or sides of the head to the bald area, can take the place of several hundred punch grafts.
Flaps
How would you like to wake up tomorrow with a full-grown frontal hair line of your own natural hair? Well, this is the only procedure that offers such a possibility.

In this 20-year-old procedure, a much larger portion of hair-bearing skin — basically a flap — is transferred from the sides or back of the head to the balding area. The size of the flap and its placement depend on the patient’s needs. The hair-bearing flap (which can take the place of around 350 punch grafts) is brought into its new position and sewn into place, still attached on one end to its origial blood supply. As healing occurs, the scar will be hidden by relocated hair, which grows to the very edge of the incision.

Although flaps transfer the greatest amount of hair in the shortest amount of time, the surgery is more extensive and your doctor must have very specific training and experience. This treatment requires general anesthesia, and it leaves scars both above and below the flap. Also, the angle of hair growth may be the same as it was on the side of your head, which may look strange.

In recent years, PLASTIC SURGEONS have made significant advances in flap techniques, combining flap surgery with scalp reduction for better coverage of the crown, or with tissue expansion to provide better frontal coverage and a more natural hairline.

In scalp reduction surgery, a segment of bald scalp is actually removed and the surrounding skin pulled together and sutured.
Scalp Reduction
What if you could just remove the skin in the bald area on the back of your head and pull the two sides of (hair-bearing) skin together? Scalp reduction, which has become pretty common, is sometimes referred to as “advancement flap surgery” because sections of hair-bearing scalp are pulled forward or advanced to fill in a bald crown (it’s not useful for covering the frontal hairline).

After the scalp is injected with a local anesthetic, a segment of bald scalp is removed. The pattern of the segment varies widely, depending on the patient. If a large amount of coverage is needed, doctors commonly remove a segment of scalp in an inverted Y-shape. Excisions may also be shaped like a U, a pointed oval or some other figure.

The skin surrounding the cut-out area is loosened and pulled, so that the sections of hair-bearing scalp can be brought together and closed with stitches. Doctors say you will probably feel a strong pulling at this point and possibly some pain. Usually, multiple scalp reductions are done; their success depends on the laxity of the scalp and the degree of hair loss as well as the patient’s age. Almost all scalp reductions are done with a combination of either flaps or grafts.

Disadvantages to this procedure are that multiple surgeries are usually required as the skin on most heads is not elastic enough to remove more than a few square inches of scalp at a time. The procedures may go on for months, and the pain and healing cycles are present after each session. Scars may be very noticeable between procedures and the skin on your head may feel very tight for a long time.

Scalp Expansion and Extension
Scalp expansion and scalp extension are done to accommodate scalp reductions when the scalp is too tight. Expansion is also used to prepare individuals for flap surgeries.

Tissue Expansion

Plastic Surgeons are the leaders in tissue expansion, a procedure commonly used in reconstructive surgery to repair burn wounds and injuries with significant skin loss. Its use in hair replacement surgery has generated dramatic results — significant coverage in a relatively short amount of time.

A balloon-like device is inserted beneath hair-bearing scalp near bald areas and inflated to stretch skin and create new skin cells.

Once the skin has stretched enough, another procedure is done to bring the expanded skin over to cover the now smaller bald area.

In this technique, a balloon-like device called a tissue expander is inserted beneath hair-bearing scalp that is next to a bald area. The device is gradually inflated with salt-water over a period of weeks, causing the skin to expand and grow new skin cells. This causes a bulge beneath the hair-bearing scalp, especially after several weeks.

When the skin beneath the hair has stretched enough — usually about two months after the first operation — another procedure is performed to bring the expanded skin over to cover the adjacent bald area.

Laser Surgery

Lasers were first used in hair transplantation in 1992. Results were variable (in some instances, the use of strong continuous beam lasers caused traumatic injuries) and the procedure remains controversial today.

Newer, safer technology has been developed and approved by the FDA, especially in the area of pulsating lasers. However, laser surgery still isn’t a mainstream hair replacement option. In this procedure, the laser’s light beam is rapidly pulsed up to hundreds of times per second. This avoids heat buildup and preserves the vascular layers of the scalp.

Laser recipient sites are generally holes ranging in size from 0.3 to 0.8 millimeters. (Some surgeons prefer to use strip grafts — again, doctors disagree on this subject.) Small amounts of bald tissue are removed with each pulse of the laser. This prevents any compression of the newly placed grafts. After all the recipient sites are made, a small probe is used to enter the scalp’s vascular layer — a procedure that must take place without damaging the vascular layer’s components.

As with conventional transplant surgery, local anesthetic is used, preceded by an analgesic cream that helps to reduce the injection’s sting. The donor area is then harvested using simple scalpel techniques (the laser doesn’t do the job here). After the donor grafts or strips have been removed, the area is sealed with an infrared coagulation device and then closed with sutures. Sutures are removed in 10 days in most cases.

Labiaplasty FAQ

admin - Aralık 29, 2012

Labiaplasty is plastic surgery of the labia majora and/or the labia minora, which are the external folds of skin surrounding the structures of the vulva. The procedure involves surgically reducing excess tissue of the labia. Labiaplasty may also be called “vaginal rejuvenation”
In some women, the labia can become enlarged and elongated, causing discomfort when wearing certain clothing, occasional hygiene issues, as well as being aesthetically displeasing. Labiaplasty surgery permanently corrects this problem, and is considered by plastic surgeons to be a fairly simple procedure that can usually be done under a local anesthesia on an outpatient basis.
Occasionally the labia majora, or outer lips of the vagina may be enlarged, usually due to excess fat, and this can be corrected as well.
Labiaplasty risks: Doctors cite potential risk bleeding or infection. It is important to avoid aspirin and other anti inflammatories for 10 days prior to surgery. Perioperative antibiotics and good hygiene will diminish one’s risk for infection. Pain or discomfort is present, although not significant with a wedge technique. Wound separation is possible.
Labiaplasty recovery requires avoiding intercourse for 6-8 weeks post-operatively.

What is Fractional CO2 laser Treatment?

admin - Temmuz 6, 2012

Why does our once beautiful skin become dull and wrinkled?

Everyday, you skin is exposed to sun and pollution which negatively affect the skin’s appearance. The texture and tightness of the skin diminish, and dark red or brown spots start appearing. Emotions such as excitement, laughter or stress leave wrinkles around the eyes, and the skin begins to sag due to gravity. All these factors along with the natural aging process destroy collagen – the main protein of connective tissue that makes the skin plump and tight.

Why do we get acne scars?

Some of us produce more oil in the sebaceous glands than others, which leads to acne. Bacteria invade those glands, where it loves to metabolize the oil. Unfortunately, it is irritating to our skin. The follicles with glands become plugged, collecting more debris. As our body attempts to remove the debris, it causes an inflammatory response. While the debris erupts into the deeper layer of the skin, the dermis gets destroyed. This leads to an injury or a wound in the skin, which after healing leaves a scar due to uneven repair of the underlying supportive tissue in the dermis.

What can New You do for you?

Fractional CO2 laser treatment is a revolutionary treatment that helps regain youth and beauty by eliminating sun damage, wrinkles, dark spots, bumps or other signs of aging. The laser uses columns of energy beams for making tiny holes in the deeper dermis. The healthy untreated tissue surrounding the treated areas fill in with new cells, and the rate of collagen production is increased. Especially with fractional CO2 treatment it’s much more powerful than fractional Erbium lasers. The result is a healthy, fresh, tight skin and new collagen formation. Fractional CO2 laser rejuvenates and resurfaces skin while reducing and removing fine lines and wrinkles, repairing sun damaged skin, and reducing dark spots and acne scars. The improvement is especially dramatic in severely damaged skin. The procedure corrects the skin on the face, neck, chest, shoulder and hands. There is minor redness visible on the top skin layer which disappears within few days, and the improvement in texture and tone of your skin leaves you looking and feeling fabulous!

MiXto SX® CO2 Fractional Laser

admin - Temmuz 6, 2012

The MiXto SX® is the latest technology in micro fractional CO2 laser skin resurfacing which can be used on all skin types for laser skin treatments.

The MiXto Laser treats the face, neck, chest, hands and arms and delivers more results in a 30-minute treatment than competitors can accomplish in 3 treatments with less discomfort, downtime and cost.

Fractional Laser Skin Resurfacing Treatments

The MiXto technology allows for a variety of uses and according to Dr. Alper TUNCEL,  “allows maximal benefits consistent with minimal discomfort, minimal anesthesia and minimal recovery.  In addition, it treats many disorders associated with skin aging stimulating the formation of new skin collagen, tightening of the skin and removal of the signs of aging.”

 

Manufacturer Pulls Macrolane ‘Boob Jabs’ from UK Market

admin - Mayıs 2, 2012

“Boob jabs,” the kitschy name given to Macrolane injections for breast augmentation, will be phased out for the time being due to concerns that they may inhibit breast cancer detection on mammograms, according to Macrolane manufacturer Q-Med.

At present, there is a lack of consensus among radiologists regarding the best way to examine Macrolane-enhanced breasts. Q-Med will discontinue this indication until experts agree on the best way to screen for breast cancer in women who have been treated with Macrolane. They do plan on re-introducing the product in the future once a consensus is reached. This product was never available or approved for use in the United States or Canada.

According to the Medicines and Healthcare products Regulatory Agency (MHRA), the discontinuation “is not because of safety concerns with the product itself but because the product may interfere with the reading of mammograms and could make diagnosis more difficult. The product can still be used in its other indications, such as augmenting body contour and correcting soft tissue defects.”

Importantly, “there are no safety concerns with the product. However, if women have been injected with Macrolane and subsequently had a mammogram, they should contact their general practitioner to see if they need to be referred for further screening.”

Q-Med will be informing its customers of its discontinuation in a letter and will make consumer information available on the websites.

The British Association of Aesthetic Plastic Surgeon (BAAPS) lauds the decision. A survey among BAAPS members had shown that one in four surgeons were seeing complications in patients who had been injected with Macrolane.

Laser Assisted Neck-Lift

admin - Ağustos 25, 2010

The neck lift can be performed using a multitude of different techniques that essentially create the same aesthetic results . The laser version of this surgery eliminates the appearance of jowls and horizontal bands of skin on the neck. A laser neck lift surgery is performed to accomplish the same cosmetic goals as a traditional neck lift, which are the elimination of lines, wrinkles, fat, and the tightening of certain muscles.

The first portion of  a laser neck lift surgery is completed with the FDA approved SmartLipo™ Laser.  This reduces the double chin and also serves to tighten the skin.  Additional procecures may also be performed in order to achieve the best results and this includes additional liposuction and or the tightening of the platysma muscle which often forms bands in the neck.  Additonal heating of the skin can be accomplished with the SmartLipo™ Laser prior to the end of the procedure.  Before the advent of the SmartLipo™ Laser many surgeons were hesitant to perform neck lifts without facelifts.  This advanced technology has change the results possible with this approach.  This laser neck lift is a version of Smartlifting pioneered by Dr. Gentile.

A laser neck lift best suits patients who have a prominent facial bone structure, but wish to tighten their skin. If all elasticity is lost from the neck, a laser surgery is not the best option.

The use of the laser not only improves underlying structures of the neck, but also benefits the outer layers of skin. The newly refined skin on the neck is taught and even in tone. A laser neck lift surgery patient is placed under local anesthesia and a may be administered sedatives as well.

Smartlipo Procedure FAQs

admin - Ağustos 25, 2010

LaserBodySculptingSM, Laserlipolysis

The SmartlipoTM is the first laser system designed for LaserBodySculptingSM and for the disruption of fat cells. It is ideal for treating localized deposits of unwanted fat, fat tissue irregularities and for coagulating tissue leading to a tightening effect.

Smartlipo is ideal for treating small areas of the face, neck, arms, male breasts (gynecomastia), and other areas of loose or lax skin (flabby skin).

How does the Smartlipo process work?

Smartlipo laserlipolysis is a minimally invasive surgical procedure. The procedure disrupts the fat cells through a thermal and photodisruptive action – heating and shattering the fat cell membrane. The laser coagulates the underlying vessels due to the hemostatic properties of the laser, resulting in less bleeding, bruising, trauma as well as less down time. As an added benefit, the system has also been reported to promote tissue tightening through bulk thermal heating and tissue coagulation.

The procedure is commonly performed under local and tumescent anesthesia. A laser fiber is introduced through a handpiece and detachable cannula. The cannula is then inserted through a 1 to 2 mm incision in the skin and into fat pockets. The cannula, with the tip of the fiber exposed approximately 2 mm, is then moved in a “back and forth” fanning motion. The laser’s aiming beam can be visualized through the skin, allowing the physician to identify the treatment area. As the fiber tip comes in contact with the fat cells it ruptures the cell membranes and releases the fatty oil from the fat cells. This end product may then be aspirated from the site.

What are the benefits of Smartlipo?

  • Treats unwanted fat and fat tissue irregularities
  • Promotes tissue coagulation resulting in skin tissue tightening
  • Treats flabby or lax skin and areas of high vascularity
  • Minimal edema and bleeding due to the laser’s hemostatic properties
  • Minimal bruising
  • Causes less trauma and faster healing time than traditional liposuction

What type of system Does Smartlipo use?

The Smartlipo is an Nd:YAG laser with high peak power and a high rep rate of 40 Hz. The laser energy is delivered using a 300 micron fiber which is threaded through the handpiece and cannula.

Are there disposable costs associated with the procedure?

Laserlipolysis with the Smartlipo system has very few disposable costs associated with the procedure. The handpiece and cannulas are re-usable and would only be replaced due to normal wear and tear. The fiber is warranted by the manufacturer for one use. However, the fiber is a “cut and cleave” design, meaning you could simply continue to trim down the end of the fiber after each case.

Does this procedure have FDA Clearance?

The Smartlipo has been cleared by the FDA for laser-assisted lipolysis. It is also cleared for incision, vaporization, ablation and coagulation of soft tissue.

Who can use the Smartlipo?

Currently, only physicians who have previous liposuction experience are able to purchase the Smartlipo laser. Prior liposuction experience will shorten the learning curve significantly. Those without prior liposuction training and experience should be trained based on the guidelines of the American Academy of Cosmetic Surgery.

How is training for the Smartlipo system handled?

Once a customer purchases the unit, they will receive training on the procedure at a designated Cynosure training site.

Due to the nature of the product and procedure there will be no demonstration of the Smartlipo sytem.

Does laser-assisted lipolysis produce lasting results?

Yes! The Smartlipo procedure permanently destroys the treated fat cells. Adults do not create new fat cells. When a person gains weight, that person’s fat cells simply expand. Should you gain weight, that fat will most likely be deposited in areas where the procedure was not performed.

Who is a good candidate for the Smartlipo procedure?

Ideal candidates are in good health, close to normal body weight and have realistic expectations for the results. If the person has areas of fat that will not respond to diet and exercise, then that person is a candidate for laser-assisted lipolysis.

How many treatments are required?

For most patients, typically only one treatment is required. The session may last from 45 minutes to one hour for each area treated. Laserlipolysis is also an ideal choice for “touch ups” and revisions.

How can facilities become trained Smartlipo sites?

Cynosure is very interested in establishing training sites for the Smartlipo through out the country. The qualified training centers should perform 10-20 liposuction cases per month and be willing to follow Cynosure training guidelines.

How does the Smartlipo compare to the Vaser?

Smartlipo is a laser system with the energy transmitted through the fiber (which is threaded through the cannula) and deposited directly to the tissue, disrupting the fat cells. The laser’s aiming beam allows visualization of the treatment area.

The Vaser is an ultrasonic device that transmits energy throughout the entire probe and not just the tip. The energy is more difficult to control and has been known to cause burns near the incision. The probe is much larger than the laser fiber and requires a larger skin incision.

The company provides the system and all accessories to the customer and charges $500 per procedure with a minimum of 4 procedures per month.

How does the Smartlipo compare to the new ultrasound systems such as Ultrashape or Liposonix?

These systems are non-invasive and deposit focused ultrasound energy that does not differentiate between fat and other structure within the body. Extreme care must be taken to guide the system through out the treatment area. The scanner remembers where the system had fired. For example, the Ultrashape device has a 5 mm spot size used via a scanning mode. A 10×10 cm area can take over one hour to treat.

Laserlipolysis (Smartlipo)

admin - Ağustos 25, 2010

The Smartlipo LaserBodySculpting Workstation provides aesthetic surgeons with a less invasive technique than conventional liposuction methods for fat reduction and body toning. As the industry’s only first laser lipolysis system designed to destroy fat cells and coagulate tissue for tighter skin, Smartlipo is ideal for treating localized fat deposits on the face and body.

In addition, Smartlipo can easily treat challenging areas—such as regions of high vascularity and flaccidity.

SmartlipoTM  Procedure FAQs

LaserBodySculptingSM, Laserlipolysis

The SmartlipoTM is the first laser system designed for LaserBodySculptingSM and for the disruption of fat cells. It is ideal for treating localized deposits of unwanted fat, fat tissue irregularities and for coagulating tissue leading to a tightening effect.

Smartlipo is ideal for treating small areas of the face, neck, arms, male breasts (gynecomastia), and other areas of loose or lax skin (flabby skin).

How does the Smartlipo process work?

Smartlipo laserlipolysis is a minimally invasive surgical procedure. The procedure disrupts the fat cells through a thermal and photodisruptive action – heating and shattering the fat cell membrane. The laser coagulates the underlying vessels due to the hemostatic properties of the laser, resulting in less bleeding, bruising, trauma as well as less down time. As an added benefit, the system has also been reported to promote tissue tightening through bulk thermal heating and tissue coagulation.

The procedure is commonly performed under local and tumescent anesthesia. A laser fiber is introduced through a handpiece and detachable cannula. The cannula is then inserted through a 1 to 2 mm incision in the skin and into fat pockets. The cannula, with the tip of the fiber exposed approximately 2 mm, is then moved in a “back and forth” fanning motion. The laser’s aiming beam can be visualized through the skin, allowing the physician to identify the treatment area. As the fiber tip comes in contact with the fat cells it ruptures the cell membranes and releases the fatty oil from the fat cells. This end product may then be aspirated from the site.

What are the benefits of Smartlipo?

  • Treats unwanted fat and fat tissue irregularities
  • Promotes tissue coagulation resulting in skin tissue tightening
  • Treats flabby or lax skin and areas of high vascularity
  • Minimal edema and bleeding due to the laser’s hemostatic properties
  • Minimal bruising
  • Causes less trauma and faster healing time than traditional liposuction

What type of system Does Smartlipo use?

The Smartlipo is an Nd:YAG laser with high peak power and a high rep rate of 40 Hz. The laser energy is delivered using a 300 micron fiber which is threaded through the handpiece and cannula.

Are there disposable costs associated with the procedure?

Laserlipolysis with the Smartlipo system has very few disposable costs associated with the procedure. The handpiece and cannulas are re-usable and would only be replaced due to normal wear and tear. The fiber is warranted by the manufacturer for one use. However, the fiber is a “cut and cleave” design, meaning you could simply continue to trim down the end of the fiber after each case.

Does this procedure have FDA Clearance?

The Smartlipo has been cleared by the FDA for laser-assisted lipolysis. It is also cleared for incision, vaporization, ablation and coagulation of soft tissue.

Who can use the Smartlipo?

Currently, only physicians who have previous liposuction experience are able to purchase the Smartlipo laser. Prior liposuction experience will shorten the learning curve significantly. Those without prior liposuction training and experience should be trained based on the guidelines of the American Academy of Cosmetic Surgery.

How is training for the Smartlipo system handled?

Once a customer purchases the unit, they will receive training on the procedure at a designated Cynosure training site.

Due to the nature of the product and procedure there will be no demonstration of the Smartlipo sytem.

Does laser-assisted lipolysis produce lasting results?

Yes! The Smartlipo procedure permanently destroys the treated fat cells. Adults do not create new fat cells. When a person gains weight, that person’s fat cells simply expand. Should you gain weight, that fat will most likely be deposited in areas where the procedure was not performed.

Who is a good candidate for the Smartlipo procedure?

Ideal candidates are in good health, close to normal body weight and have realistic expectations for the results. If the person has areas of fat that will not respond to diet and exercise, then that person is a candidate for laser-assisted lipolysis.

How many treatments are required?

For most patients, typically only one treatment is required. The session may last from 45 minutes to one hour for each area treated. Laserlipolysis is also an ideal choice for “touch ups” and revisions.

How can facilities become trained Smartlipo sites?

Cynosure is very interested in establishing training sites for the Smartlipo through out the country. The qualified training centers should perform 10-20 liposuction cases per month and be willing to follow Cynosure training guidelines.

How does the Smartlipo compare to the Vaser?

Smartlipo is a laser system with the energy transmitted through the fiber (which is threaded through the cannula) and deposited directly to the tissue, disrupting the fat cells. The laser’s aiming beam allows visualization of the treatment area.

The Vaser is an ultrasonic device that transmits energy throughout the entire probe and not just the tip. The energy is more difficult to control and has been known to cause burns near the incision. The probe is much larger than the laser fiber and requires a larger skin incision.

The company provides the system and all accessories to the customer and charges $500 per procedure with a minimum of 4 procedures per month.

How does the Smartlipo compare to the new ultrasound systems such as Ultrashape or Liposonix?

These systems are non-invasive and deposit focused ultrasound energy that does not differentiate between fat and other structure within the body. Extreme care must be taken to guide the system through out the treatment area. The scanner remembers where the system had fired. For example, the Ultrashape device has a 5 mm spot size used via a scanning mode. A 10×10 cm area can take over one hour to treat.

Dr.Alper TUNCEL is in June Klass Magazine

admin - Haziran 26, 2010

Klass magazine june

Dr.Alper TUNCEL is talking about new solutions in Plastic Surgery, himself and his clinic

Mons Pubis Liposuction

admin - Aralık 25, 2009

In some cases, ladies may complain about elevated and fatty appearance of mons pubis, the area covered with pubic hair. In such case, the patient should be undergone to the “liposuction”. During the operation, the downsizing is possible during liposuction operations to remove also excess fatty tissue of labium majora.

Performed under local anesthesia, the procedure is completed in 15 minutes. There is no scar left after the operation. The local swelling will appear following the procedure for about 5 to 7 days. The results of the procedure can be observed within 2 to 3 days upon disappearance of swelling. It can also be performed with laserlipolysis procedure. Laserlipolysis reduces swelling time and healing is a little bit faster than liposuction.