Treatment and Prevention of Umbilical Sagging with Laser-assisted Liposuction: The New Happy Protocol

Summary:. Sagging of the periumbilical skin, also known as the “sad umbilicus,” is one of the most common postoperative complications in liposuction. It is characterized by an increase in the width and decrease in the height of the umbilicus. Technological advances in power-assisted liposuction resu...

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Main Authors: Leandro D. Faustino, MD, MS, Felipe S. Cruciol, MD, MS, Thamy H. C. Motoki, MD, Igor A.T. S. Figueiredo, MD, Arthur F. E. Garcia, MD, Fábio X. Nahas, MD, PhD, Lydia M. Ferreira, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2023-06-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005022
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author Leandro D. Faustino, MD, MS
Felipe S. Cruciol, MD, MS
Thamy H. C. Motoki, MD
Igor A.T. S. Figueiredo, MD
Arthur F. E. Garcia, MD
Fábio X. Nahas, MD, PhD
Lydia M. Ferreira, MD, PhD
author_facet Leandro D. Faustino, MD, MS
Felipe S. Cruciol, MD, MS
Thamy H. C. Motoki, MD
Igor A.T. S. Figueiredo, MD
Arthur F. E. Garcia, MD
Fábio X. Nahas, MD, PhD
Lydia M. Ferreira, MD, PhD
author_sort Leandro D. Faustino, MD, MS
collection DOAJ
description Summary:. Sagging of the periumbilical skin, also known as the “sad umbilicus,” is one of the most common postoperative complications in liposuction. It is characterized by an increase in the width and decrease in the height of the umbilicus. Technological advances in power-assisted liposuction resulting in skin tightening have been central to improvements in the treatment of sagging skin. Laser-assisted liposuction is a procedure in which a laser fiber induces lipolysis and skin tightening. Laser treatment delivered using a 980-nm diode laser may result in up to 30% skin surface area contraction. The aim of this study was to describe a new technique called the “happy protocol” for the treatment and prevention of the sad umbilicus. The periumbilical region is treated using a 980-nm diode laser set to an output power of 20 W, with a total delivered energy of 5000 J. The developed technique may be applied to correct shape distortions or to create a natural-looking and aesthetically pleasant umbilicus during liposuction. A decrease in the width of the umbilicus followed by an increase in height are observed in the first postoperative days. Patients who were followed up for 7 months postoperatively showed positive aesthetic results. The final outcome was an oval-shaped umbilicus, with increased height and reduced sagging in the periumbilical region.
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spelling doaj.art-4e409c4eec7c452c9df5cd38302b04452023-06-30T01:49:19ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-06-01116e502210.1097/GOX.0000000000005022202306000-00005Treatment and Prevention of Umbilical Sagging with Laser-assisted Liposuction: The New Happy ProtocolLeandro D. Faustino, MD, MS0Felipe S. Cruciol, MD, MS1Thamy H. C. Motoki, MD2Igor A.T. S. Figueiredo, MD3Arthur F. E. Garcia, MD4Fábio X. Nahas, MD, PhD5Lydia M. Ferreira, MD, PhD6From * Private Practice, Human Clinic Plastic Surgery Center, São Paulo, SP, Brazil† Centro Universitário de Brasília (UniCEUB), Brasília, DF, Brazil‡ Graduate Program in Translational Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil§ Centro Universitário Metropolitano da Amazônia (UNIFAMAZ), Belém, PA, Brazil¶ Private Practice, Human Clinic Plastic Surgery Center, São Paulo, SP, Brazil‖ Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil** Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil.Summary:. Sagging of the periumbilical skin, also known as the “sad umbilicus,” is one of the most common postoperative complications in liposuction. It is characterized by an increase in the width and decrease in the height of the umbilicus. Technological advances in power-assisted liposuction resulting in skin tightening have been central to improvements in the treatment of sagging skin. Laser-assisted liposuction is a procedure in which a laser fiber induces lipolysis and skin tightening. Laser treatment delivered using a 980-nm diode laser may result in up to 30% skin surface area contraction. The aim of this study was to describe a new technique called the “happy protocol” for the treatment and prevention of the sad umbilicus. The periumbilical region is treated using a 980-nm diode laser set to an output power of 20 W, with a total delivered energy of 5000 J. The developed technique may be applied to correct shape distortions or to create a natural-looking and aesthetically pleasant umbilicus during liposuction. A decrease in the width of the umbilicus followed by an increase in height are observed in the first postoperative days. Patients who were followed up for 7 months postoperatively showed positive aesthetic results. The final outcome was an oval-shaped umbilicus, with increased height and reduced sagging in the periumbilical region.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005022
spellingShingle Leandro D. Faustino, MD, MS
Felipe S. Cruciol, MD, MS
Thamy H. C. Motoki, MD
Igor A.T. S. Figueiredo, MD
Arthur F. E. Garcia, MD
Fábio X. Nahas, MD, PhD
Lydia M. Ferreira, MD, PhD
Treatment and Prevention of Umbilical Sagging with Laser-assisted Liposuction: The New Happy Protocol
Plastic and Reconstructive Surgery, Global Open
title Treatment and Prevention of Umbilical Sagging with Laser-assisted Liposuction: The New Happy Protocol
title_full Treatment and Prevention of Umbilical Sagging with Laser-assisted Liposuction: The New Happy Protocol
title_fullStr Treatment and Prevention of Umbilical Sagging with Laser-assisted Liposuction: The New Happy Protocol
title_full_unstemmed Treatment and Prevention of Umbilical Sagging with Laser-assisted Liposuction: The New Happy Protocol
title_short Treatment and Prevention of Umbilical Sagging with Laser-assisted Liposuction: The New Happy Protocol
title_sort treatment and prevention of umbilical sagging with laser assisted liposuction the new happy protocol
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005022
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