Laser lipolysis with navigation; lipocontrol

DS: Who is Zekeriya Kul? Can you talk briefly?
After my medical education at Istanbul University Cerrahpaşa Faculty of Medicine, I started to specialize in Aesthetic, Plastic and Reconstructive Surgery at Istanbul Vakıf Gureba Training and Research Hospital. I worked with Dr César Arrunategui at Belvedere Clinic in Brazil on aesthetic breast surgery and body contouring surgery. I received training on classical and endoscopic facelift surgery at Ivo Pitanguy Institute. I carried out my studies in the field of hair surgery with Dr Carlos Uebel in Porto Allegre. In 2006, I participated in “breast augmentation” (breast augmentation) surgeries performed using CAL (cell assisted lipotransfer) method with Dr. Kotaro Yoshimura in Japan-Yokohama Cellport Clinic. Together with Henry Delmar, I developed my experience on the Endoscopic Axillary Breast Augmentation technique. Currently, I continue to work as an Aesthetic, Plastic and Reconstructive Surgery Specialist in Istanbul and part-time in Dubai.

Aesthetic Surgeries, which is my special interest;
-Breast augmentation surgery (Endoscopic axillary-underarm-breast augmentation surgery)
-Breast reduction surgery (medial pedicle, central pedicle breast reduction surgery)
– Abdominoplasty (high side tension tummy tuck surgery)
-Rhinoplasty (open technique rhinoplasty)
-Liposuction(Laser lipolysis with Lipocontrol, water assisted liposuction with Bodyjet)
-oil injection (BEAULI )
-Face lift (Macs lift, endoscopic face lift)
-Brow lift (endoscopic eyebrow lift)
-Hair surgery (FUE )
-Migraine surgery

· DS: What is a navigation-controlled laser lipolysis system?
With the use of laser technology in liposuction operations; We see that problems such as being disconnected from business life for a long time, long-lasting bruises and swellings, irregularities on the skin surface, and looseness and sagging of the skin, which we encounter in classical liposuction operations, are considerably reduced. Most importantly, the heat generated by the laser energy under the skin and then the increase in collagen production; It provides tightening of the skin, which is a situation that we want to occur in every patient we have liposuction. Developed as a result of long-term research to make laser liposuction techniques safer. lipocontroldevice allows laser liposuction to be performed in a very safe and controlled manner, it is approved by the American Food and Drug Administration (FDA). lipocontrolThe device ensures that the fat accumulated under the skin is scanned with the navigation system used in satellite technology and melted more precisely and carefully.
·DS: What is the difference from classical liposaction operations?
In classical liposuction and other laser liposuction techniques, the surgeon determines the amount of fat under the skin with his experience and the level of heating of the skin, while this detection and evaluation becomes very difficult due to the effect of the liquid we inject under the skin before liposuction, and may present false results. For this reason, an irregular appearance may occur in the skin due to the melting of the fat layer more in certain areas and less in certain areas. lipocontrol The device, on the other hand, sends laser beams equally to every region of the subcutaneous fat layer, only to the extent that unwanted fat can melt. The surgeon sees not only subjectively, but also on the screen of the device with the help of navigation, in which area the fat has completely melted and where still needs work. However, while the laser pulse continues until the unmelted fat cells are removed, the device automatically stops the laser pulse when the amount of fat that needs to be melted ends. Again, when the oily area whose borders were drawn and determined by the surgeon before the operation is exceeded; lipocontrol stops the laser shot. All these processes take place thanks to the navigation system that scans the oily area during the process. Fat cells are irreversibly broken down and liquefied by laser beams given during the process, and liquefied fat cells can be easily aspirated into the external environment. In areas where there is not much lubrication, there is no need to aspirate the oil to the outside, and the melted fat is thrown away by the body within weeks. This is again a difference from classical liposuction techniques. However, laser beams enable the skin to recover with its heating effect, resulting in a tighter appearance. Because heating under the skin leads to collagen production. Thus, the appearance of sagging in the area where the fat is removed is prevented. The biggest problem we encounter in classical liposuction techniques is the recovery of the skin.

· DS: Is there any pain during and after the application of guided lipolysis?
Since it can be performed under local anesthesia, there is no need to stay in the hospital. Since local anesthesia completely numbs the working area, there is no pain during and after the procedure. In addition, laser beams prevent bleeding and prevent the formation of bruises, and compared to classical liposuction, it is not necessary to wear a corset for months. The fast procedure shortens the operation time and the time to return to your normal daily activities.

· DS: How long is the treatment period with navigational lipolysis? How long does the application process take?
One of the advantages of this system over classical techniques and even other laser liposuction techniques is that it can be applied easily and safely by the surgeon. The procedure, which is under the control of the surgeon and the device, is thus completed in a shorter time. Because the surgeon sees the melted fat areas on the screen, he does not have to work on those areas unnecessarily. Laser lipolysis of a region is completed in about 30-45 minutes.
·DS: Can you talk about the secure device developed for the application?
Lipocontrol, which provides the best volumetric heating in the adipose tissue, causes tightening by increasing the collagen production as a result of a controlled and safe temperature increase in the skin, and causes constriction in the veins to prevent bleeding; It uses a wavelength of 980 nm. Since Lipocontrol, which is the last generation of diode laser lipolysis devices, additionally offers the opportunity to work with the navigation system, it provides the warming effect that breaks down fat cells in a controlled manner.
· DS: What advantages does the navigation system have during implementation?
First of all, the boundaries of the area to be studied are introduced to the navigation system, thus preventing unnecessary laser shooting outside this area. As a matter of fact, when these limits are exceeded, the laser pulse stops automatically. Also, when we define the amount of energy we plan to give to the device for 1 cm3 of adipose tissue, when this amount of energy is reached in a region, the device does not fire the laser again in that region. The amount of laser in the working area, the area where the cannula travels can be followed on the screen, and all these allow the surgeon to work more comfortably and comfortably.
· DS: In which parts of the body does the method give successful results?
Method; especially, it gives successful results on the abdomen, hips, hips, under the arms, under the chin, waist, back and legs. As a matter of fact, we can work in all areas where classical liposuction can be applied. Only the amount of energy we give varies according to the regions.

· DS: Is there a recycling of fat cells after the application?
Working philosophy in laser lipolysis; conversion of laser beams into heat in the adipose tissue, and the heat destroys the fat cells. irreversible However, the important thing here is; sufficient amount of energy and obtaining the warming effect in that region.
· DS: What are the aims of laser energy in laser liposaction with lipocontrol?
There are two things aimed with laser energy;
1. The conversion of laser energy into heat energy, and this heat energy breaks down fats
2. Skin tightening due to the warming effect of the laser energy under the skin and an increase in collagen production.
3. Prevention of bleeding and bruising by shrinking small vessels.
· DS: What should be the ideal wavelength?
Studies have shown that the most suitable technology for the irreversible elimination of fat cells and for obtaining a tightening effect on the skin is the diode laser with a wavelength of 980 nm (Benjamin Wassmer et al, Comparative Study of Wavelengths for laser lipolysis, Photomedicine and Laser Surgery, 2009). It occurs when the laser energy is absorbed by the adipose tissue and converted into heat. Only infrared (although the wavelength ranges between 750-1000 nm) wavelength laser beams provides controlled heating. whereas wavelengths with low absorption such as 1064 nm affect a wider area from the exit point of the laser, which reduces the selectivity in the area where the surgeon will work and reveals the possibility of damage to the surrounding tissues. Lasers with high absorption wavelengths such as 1320 and 1440 nm affect a very small area, causing local overheating in the skin and preventing the surgeon from working under control. Lipocontrol, on the other hand, provides the best volumetric warming and causes tightening by increasing collagen production as a result of a controlled and safe temperature increase in the skin. It uses a wavelength of 980 nm, which causes constriction in the vessels enough to prevent bleeding.
· DS: How is laser liposuction done with Lipocontrol?
In fact, patient selection and surgeon’s approach for laser liposuction with Lipocontrol is not much different from the existing rules for other liposuctions. So again, we do not recommend it for overweight and overweight people. Valid for classical liposuction procedures; The rule of “liposuction is not a slimming but a body shaping operation” applies here as well.
Before the operation, we evaluate the fat thickness of the area to be treated and then we inject local anesthetic liquid into this area, thus preventing you from feeling any pain during and after the procedure. The next step is to determine the amount of laser energy that will provide a permanent effect for each 1 cm3 of adipose tissue. Then, we adapt the laser and navigation probe to the cannula, draw the boundaries of the area to be laser lipolysis, and introduce the area to be studied to the navigation system. In this way, we can see the areas where the cannula goes and go on the screen, we can follow the amount of heating, and we do not continue to work unnecessarily in the region where the fat melting process has been completed.

· DS: Is the navigation-controlled laser lipolysis procedure expensive?
Since it is performed under local anesthesia, there is no big difference between the classical liposuction techniques and the operation fee.