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SmartLipo as an Advanced System for Laser Lipolysis
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In October of 2006, the United States Food and Drug Administration approved Smartlipo (Cynosure, Inc. Westford, MA), a medium-pulsed 1064 nanometer Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser for the surgical incision, excision, vaporization, ablation and coagulation of all soft tissues. Laser-assisted lipolysis is now an exciting, effective and safe option for patients and physicians who wish to improve local adiposities while minimizing downtime.

Doctors, patients and the media are excited about this procedure because for the first time, one modality both liquefies adipose tissue and coagulates tissue, resulting in tightening of the skin. Patients are pleased with results and the safety record of Smartlipo has been impressive in our experience. However, clinicians continue to search for ways to enhance the efficacy and safety of laser lipolysis even further.

The Smartlipo MultiPlex is the newest generation of laser-assisted lipolysis devices. This technology incorporates two wavelengths, a 1064 nm and a 1320 nm, that fire sequentially in MultiPlex mode to maximize removal of adipose tissue and skin tightening. The 1064 nm wavelength disrupts a broad region of adipose tissue while heating the treated areas evenly. It also mediates blood vessel coagulation, enhancing hemostasis. In contrast, the 1320 nm wavelength scatters minimally and is robustly absorbed by water in the tissue located near the laser tip. The combination of the two wavelengths creates a blended thermal and photomechanical effect that effectively liquefies fat and heats collagen.

As a result of this latest design, the system provides unique flexibility for the surgeon allowing the use of the 1064 nm or 1320 nm wavelength alone or in succession. Additionally, the Smartlipo MultiPlex is equipped with a unique delivery system that contains an advanced microchip called the Accelerometer inserted into the intelligent handpiece — SmartSense™. SmartSense reduces the energy output of the laser as the handpiece movement slows.