Láser y luz para mejorar la Celulitis
Al calentar el tejido local, pueden estimular la remodelación del colágeno y aumentar la microcirculación, lo que puede mejorar la apariencia de la celulitis.
El impacto de estos dispositivos no es muy sustancial en términos de adipólisis o incluso interrupción de los septos fibrosos que caracterizan la celulitis, pero pueden mejorar la apariencia de la piel y suavizar la superficie.
La principal tecnología láser que ha demostrado ser efectiva para tratar la celulitis es un láser Nd: YAG de fibra de disparo lateral mínimamente invasivo de 1440 nm (DiBernardo et al., 2013, DiBernardo et al., 2016, Sasaki, 2013).
Esta tecnología proporciona un medio altamente específico para entregar energía láser en las estructuras anatómicas específicas que subyacen a la celulitis, ya que la cánula de detección térmica se integra con el sistema de administración de láser para proporcionar una distribución segura y uniforme de energía al sitio de tratamiento.
En un ensayo clínico multicéntrico, donde 57 pacientes se sometieron a un tratamiento de celulitis de tres pasos con un láser Nd: YAG de 1440 nm con una fibra de disparo lateral y una cánula de detección de temperatura, el puntaje promedio de mejora fue de 1.7 para hoyuelos y 1.1 para irregularidades en el contorno en el examen de seguimiento de 6 meses. El puntaje promedio de satisfacción fue de 5,6 para el médico y 5,3 para el paciente en una escala de 6 puntos. El tratamiento fue bien tolerado por los pacientes (DiBernardo et al., 2016).
Fuentes:
DiBernardo B.E., Sasaki G.H., Katz B.E., Hunstad J.P., Petti C., Burns A.J. Estudio multicéntrico para el tratamiento de la celulitis utilizando un láser de longitud de onda Nd:YAG de 1440 nm con fibra de disparo lateral. Esteta Surg J. 2016; 36(3):335–343. [Artículo gratuito de PMC] [PubMed] [Google Scholar]
DiBernardo B., Sasaki G., Katz B.E., Hunstad J.P., Petti C., Burns A.J. Un estudio multicéntrico para un tratamiento láser único de tres pasos para la celulitis utilizando un láser Nd: YAG de 1440 nm, una nueva fibra de disparo lateral y una cánula de detección de temperatura. Esteta Surg J. 2013; 33(4):576–584. [PubMed] [Google Académico]
Sasaki G.H. Tratamiento único de la celulitis de grado II y III utilizando un láser Nd: YAG pulsado mínimamente invasivo de 1,440 nm y fibra de disparo lateral: un estudio aprobado por la junta de revisión institucional con un período de seguimiento de 24 meses. Aesthet Plast Surg. 2013; 37(6):1073–1089. [PubMed] [Google Académico]
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