LAM FACIAL PLASTICS

Does smart lipo (laser assisted lipo) really tightens the skin? Any experiences? I'm mostly interested for under the chin and along the jaw line.

who knows. i just heard a presentation on sunday from a good buddy of mine in Vegas on the subject. But truly there is NO science at this time. Just releasing the skin from the muscle will tighten it.

The Dr. I had consultation said the same thing about separating skin from muscle - he said the scar tissue formed tightens the skin. He also said that the heat from the smart lipo laser has effect similar to Thermage - contracts collagen so it's like Thermage from inside. Some practitioners claim that the heat generation during smart lipo is important for skin tightening.

who knows. show me science. that is what i have to say. however, it probably won't hurt. Nd:YAG is safe if done safely.

Here is what one doc says, for future refs:

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medicalspamd.com/display/ShowPost?moduleId=183145&postId=295254#post306758

[quote]I don't personally have the CoolLipo but I do know how you can achieve the tightening effect using the device. This is your last step after the lipolysis and liposuction steps.
In general, you need to get the patient's baseline skin surface temperature. Then aim to raise it by 5 Celsius to about the 39-45 range and keep that temp constant for 2-3 minutes. Work a portion at a time then move to the next area. For example, let's say the neck. After the lipolysis and liposuction (if needed), there is much loose skin there. Let's say you portion the treated neck into 2 or 3 parts vertically speaking depending on how big the neck is (right & left or right, middle and left) ( not horizontal since your tightening treating motion would be up and down in a constant N shape pattern)
When you are ready, place the fiber against the skin's underside and start rubbing or stroking against it in a constant and steady N pattern back and forth. For safety reason, have someone keep the infrared temp thermometer to tell you of the 5 C rise then make sure it stays there for 2-3 minutes. CAUTION: do not go over 45C (can lead to tissue necrosis). I might simply dial down the power as soon s it gets to 43C just in case there is a time lag in temp reading. The surface temp range reflects about a 59-65C of the subdermal collagen denaturation range. Also be careful of older or Fitz I people with thinner skin and areas of bony and shallow nature. Good Luck.[/quote]

doesn't sound as if he is talking about Cool Lipo but instead infrared skin tightening. he references it during his answer. my opinion of IR tightening is that it is close to useless. I just sold my IR device. I stated similarly on Sunday when I was on the laser panel in Vegas.

He is talking about SmartLipo, he doesn't have CoolLipo.

They are both laser assisted lyposuction but CoolLipo is considered better at skin tightening (someone was talking about studies showing it) since its wavelength 1320nm target collagen better than the SmartLipo 1064nm.

I started to write this answer at work and forgot to post it. I'll send you a response tomorrow.