Experiencia en el uso combinado de liposucción asistida por láser en lipoabdominoplastia

Abstract

Background and Objective. Technological advances in the pro- cedures of Plastic Surgery have favored the obtaining of good results avoiding a greater surgical trauma and reducing the postoperative complications. In this sense, the use of laser technology applied to li- posuction was a very interesting tool and introduced substantial chan- ges in the methodology and possibilities of this intervention We present our experience with the use of 980-nm laser and new 1210-nm laser technology in combination with lipoabdominoplasty surgery. Methods. We conduct a retrospective study in patients operated with our surgical protocol between 2007 and 2014. We performed li- posuction in a first period with 980-nm laser and then 1210-nm laser, prior to lipoabdominoplasty with classical technique and reduced scar. We did 101 lipoabdominoplasties, 47 with the 980-nm laser and 54 the 1210-nm laser, with a postoperative follow-up of up to 6 months. Results. There was no evidence of burns, thromboembolism or epidermolysis. Among the complications collected, we quantified at 14 days postoperatively 8 seromas in the laser group 980 nm - redu- ced scar (25% of the total cases in the group) and 2 cases in both clas- sic scar groups (13.3% of the cases in the group of laser 980 nm - classic scar and 8.7% of laser group 1210 nm - classic scar). At the 2- month postoperative period, the formation of hypertrophic scars in 3 cases, and at 3 months 1 keloid scar in the 1210 nm laser groups, with 3 cases corresponding to the classic scar group and 1 case to the re- duced scar group. Conclusions. According to our experience, this new technology that uses 1210-nm laser in combination with lipoabdominoplasty is a reproducible and safe protocol.