{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T21:14:39Z","timestamp":1785186879278,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T00:00:00Z","timestamp":1447804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Cellulite and lipodystrophy are often found together, especially in areas of the buttocks and thighs, causing skin surface irregularities. Each of these conditions is currently treated independently as two separate surgical procedures. In our practice, we developed a novel combined approach for the simultaneous treatment of cellulite and lipodystrophy, as a single stage procedure in the same anatomic area. For the treatment of cellulite, we used the Nd:YAG laser at a wavelength of 1,440\u2010nm, along with an innovative 1,000\u2010micron directional side\u2010firing fiber optic laser system. For the treatment of lipodystrophy, the Nd:YAG laser with a 1,440\u2009nm wavelength, along with a fiber optic laser system was used. The objective of this study is to determine the efficacy and safety of a combined approach for the simultaneous treatment of cellulite and lipodystrophy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design, Patients and Methods<\/jats:title><jats:p>In 2012, 16 subjects with noticeable cellulite, Grade II and Grade III, accompanied by mild\u2010to\u2010moderate lipodystrophy of the lower body received single treatments of the Nd:YAG laser at a wavelength of 1,440\u2010nm along with the 1,000\u2010micron side\u2010firing fiber optic laser system for simultaneous treatments of both cellulite and lipodystrophy. Patients were assessed at baseline and 3\u20136 months post\u2010treatment by a modified Nurnberger\u2013Muller scale utilized to quantify the cellulite severity. Additionally, patient satisfaction and a global aesthetic improvement scale were used to measure the improvement in lipodystrophy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Blinded reviewers identified the correct baseline photographs 97% of the time when presented with a set of photographs. The median modified Nurnberger\u2013Muller scale score at baseline was 4.75\u2009\u00b1\u20091.2 and the average improvement was 2.0\u2009\u00b1\u20091.2. Global aesthetic improvement scores ranged from 1 to 3 with an average of 1.58 indicating a much\u2010improved overall appearance. Satisfaction was high for both physicians and patients with scores corresponding to extremely satisfied\/satisfied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Precise, effective delivery of laser energy to the dermal\u2010adipose tissue, as well as the deep adipose lipodystrophy is feasible as a safe modality for the simultaneous treatment of cellulite and lipodystrophy in the buttocks and thighs, as a single stage procedure. Lasers Surg. Med. 48:14\u201322, 2016. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lsm.22437","type":"journal-article","created":{"date-parts":[[2015,11,19]],"date-time":"2015-11-19T01:07:10Z","timestamp":1447895230000},"page":"14-22","source":"Crossref","is-referenced-by-count":12,"title":["Laser cellulite treatment and laser\u2010assisted lipoplasty of the thighs and buttocks: Combined modalities for single stage contouring of the lower body"],"prefix":"10.1002","volume":"48","author":[{"given":"Christine","family":"Petti","sequence":"first","affiliation":[{"name":"Palos Verdes Plastic Surgery Medical Center Torrance California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Stoneburner","sequence":"additional","affiliation":[{"name":"Palos Verdes Plastic Surgery Medical Center Torrance California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Palos Verdes Plastic Surgery Medical Center Torrance California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,18]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asj.2008.09.002"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1997.tb00468.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199806000-00025"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529-8019.2007.00160.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198708000-00015"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X11398353"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-202X(89)90058-4"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2013.09.005"},{"key":"e_1_2_5_10_1","first-page":"17","article-title":"Laser lipolysis: Liposuction using Nd:YAG laser","volume":"17","author":"Goldman A","year":"2002","journal-title":"Rev Soc Bras Cir Plast"},{"issue":"4","key":"e_1_2_5_11_1","first-page":"136","article-title":"Histologic and photonic evaluation of a pulsed Nd:YAG laser for ablation of subcutaneous adipose tissue","volume":"31","author":"Ichikawa K","year":"2006","journal-title":"Tokai J Exp Clin Med"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.20270"},{"key":"e_1_2_5_13_1","first-page":"320","volume-title":"Physical properties of tissue","author":"Duck FA","year":"1990"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2008.11.005"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asj.2009.08.006"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/14764170902792181"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sder.2008.09.002"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/MDER.S47322"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198311000-00001"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/074880688700400403"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X10394815"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asj.2009.09.008"},{"issue":"2","key":"e_1_2_5_23_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/00042728-200602000-00013","article-title":"Laser lipolysis using a novel 1064\u2010nm Nd:YAG laser","volume":"32","author":"Kim KH","year":"2006","journal-title":"Dermatol Surg"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X10380707"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-013-0219-9"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.20858"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/14764170802524437"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X13480858"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03101.x"},{"issue":"1","key":"e_1_2_5_30_1","first-page":"54","article-title":"Tumescent liposuction: Standard guidelines of care","volume":"74","author":"Mysore V","year":"2008","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000436524.56422.04"},{"key":"e_1_2_5_32_1","doi-asserted-by":"crossref","unstructured":"GoldmanA WuS SunY SchavelzonD BlugermanG.2011Gynoid lipodystrophy treatment and other advances on laser\u2010assisted liposuction Advanced techniques in liposuction and fat transfer. Prof. Nikolay Serdev editor ISBN: 978\u2010953\u2010307\u2010668\u20103 InTech DOI:10.5772\/24545. 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