title: Reduction of subcutaneous fat and improvement in cellulite appearance by dual-wavelength, low-level laser energy combined with vacuum and massage.
abstract: BACKGROUND
  This study compares the efficacy and safety of low-level, dual-wavelength laser energy and massage with massage alone for the reduction of subcutaneous fat in the thighs of normal women. The device was an early prototype of the FDA-cleared SmoothShapes system (Elemé Medical, Merrimack, NH, USA).
  
  
  METHODS
  The thighs of each individual (n=102) were randomized to either laser light (dual wavelength of 650+/-20 nm and 915+/-10 nm) and massage or to massage alone (control). Individuals who completed the study (n=74) received a mean of 14.3 treatments over 4-6 weeks. Magnetic resonance imaging (MRI) scans quantified fat pad dimensions before and after the final treatment.
  
  
  RESULTS
  Fat thickness decreased for the leg treated with laser-massage by 1.19 cm(2) (mean) and increased by 3.82 cm(2) (mean) for the control leg over time. The difference was statistically significant (p<0.001). Among those who completed the study, 82.26% responded to treatment. Individuals reported looser-fitting clothing and satisfaction with the procedure and results. Adverse effects were limited to occasional increases in urinary frequency.
  
  
  CONCLUSIONS
  Low-level, dual-beam laser energy with massage appears to be safe and more efficacious than massage alone for reducing subcutaneous fat in the thighs of normal women.
authors.affiliation: Boston Surgical Group, Southborough, MA 01772, USA. Lach@alum.mit.edu
authors.forename: Elliot
authors.initials: E
authors.lastname: Lach
mesh_terms: D000273:Adipose Tissue; D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D028022:Low-Level Light Therapy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008405:Massage / Q000379:methods*; D008875:Middle Aged; D009765:Obesity / Q000628:therapy*; D017060:Patient Satisfaction; D013848:Thigh; D055815:Young Adult