Patient Overview:

Patient has elected to pursue laser lipolysis/smart lipo to the abdomen, flanks, low back with extraction using the nutational device. The patient is unhappy with their generalized waist and neck. They exercise regularly but have gained 30 pounds over the last 2 years. They have had no prior procedure to these areas.  The patient understands that there will be no changes in muscular diastases or striae. The upper abdomen shows mild adiposity laxity. The lower abdomen shows moderate adiposity with mild laxity. There is moderate adiposity with mild laxity of the flanks and low back.

Surgical Case Study:

• Patient was taken to the preoperative holding area. Under the patient’s supervision, the areas to be treated were marked.
• The patient was taken to the operating room where adequate anesthesia was achieved. The patient was placed in the supine position
  The ports were infiltrated with our standard straight solution.
• The areas to be treated were infiltrated with our standard quarter strength tumescent solution. The area was prepped and draped in a sterile fashion. The ports were made with an 18-gauge needle.
• The laser cannula was introduced into the soft tissue and activated on a setting of 40 W with an 1000 µm fiber after assuring the
  patient and all OR personnel had adequate eye protection. Great care was taken to treat all layers of fat deeper than 1 cm to a uniform temperature of 55°C. A 1 cm subdermal soft tissue was treated on a setting of 40 W with a 55 °C cutoff.
• Gentle aspiration was performed with the nutational smart lipo device. A 5 mm bucket cannula was used in the deep subcutaneous tissue. A 3 mm aspiration
  cannula with 1 mm ports was used for the more superficial layers.
• The ports were closed using subcuticular 4-0 chromic. The Smartsense and Thermaguide were utilized throughout the procedure.
• The patient was taken to the recovery room in stable condition.