title: Evaluation of Tissue Tightening by the Subdermal Nd: YAG Laser-Assisted Liposuction Versus Liposuction Alone.
abstract: BACKGROUND
  Skin tightening is a desirable outcome for skin flaccidity.
  
  
  OBJECTIVE
  We evaluated the applicability, safety, capacity and intensity of skin tightening with the subdermal 1,064 nm Nd: YAG laser application to the upper arms, and compared the results with liposuction.
  
  
  METHODS
  Patients with lipodystrophy and mild-to-severe skin laxity of the arms were included (n=28). In half of patients, a single treatment with a subcutaneous laser and liposuction was performed, while the other 14 had a regular liposuction. Treatment parameters, adverse effects and photographic documentation were recorded.
  
  
  RESULTS
  Aesthetic improvement and skin retraction was superior by laser lipolysis. The procedure was well tolerated without significant complications.
  
  
  CONCLUSIONS
  The subdermal laser-assisted liposuction using a 1,064 nm Nd: YAG laser achieves improved skin tightening.
authors: Clinica Goldman Porto Alegre, RS, Brazil.
authors: Alberto
authors: A
authors: Goldman
authors: Uwe
authors: U
authors: Wollina
authors: Elsa Cristina
authors: EC
authors: de Mundstock