IJPR.2017.169
Type of Article: Original Research
Volume 5; Issue 4 (July 2017)
Page No.: 2187-2193
DOI: https://dx.doi.org/10.16965/ijpr.2017.169
GALLIUM ARSENIDE LOW LEVEL LASER THERAPY AS AN ADJUNCTIVE MODALITY IN TREATMENT OF CELLULITE AFTER LIPOSUCTION
Amr M. Ibrahim *1, Wafaa H. Borhan 2, Sameh A Abdelrahman 3, Haidy N Asham 4.
*1 MSc physical therapy student, Cairo University, Egypt.
2 Professor of Physical Therapy for Surgery, Faculty of physical therapy, Cairo University, Egypt.
3 Assistant professor of plastic surgery department, faculty of medicine, Ain shams university, cairo, Egypt.
4 Assistant professor of physical therapy, Department of physical therapy for surgery, faculty of physical therapy, Cairo university, Cairo, Egypt.
Address for Correspondence: Amr M ibrahim, Department of physical therapy for surgery, Faculty of physical therapy, Cairo university, Cairo, Egypt. E-Mail: amr.esam1986@yahoo.com
ABSTRACT
Background: Cellulite is a consequence of alterations that develop in the lymphatic system and lead to an accumulation of substances in subcutaneous tissue, in particular in the cellular interstice. These alterations may be influenced by hormones or by any other mechanism that predisposes the individual to an accumulation of fluids and other substances in the cellular interstice.
Purpose: To determine the therapeutic efficiency of Gallium Arsenide Low Level Laser Therapy on cellulite after liposuction.
Materials and Methods: Thirty Female patients had cellulite in their thigh after liposuctions were assigned into two equal groups: Group A consisted of 15 females with received Gallium Arsenide Low Level Laser Therapy (wavelength 904 nm, 30 minutes session, 2 times per week for 6 weeks). Group B consisted of 15 females who have liposuction only. Cellulite grading scale and skin fat caliper was measured for each patient before and after treatment.
Results: T-test revealed that there was a significant difference (p= 0.0000) between experimental and control group in skin fold (mm) post treatment. T-test revealed that there was significant difference (p= 0.0000) between experimental and control group in cellulite grading scale post treatment.
Conclusion: Gallium Arsenide Low Level Laser Therapy is efficient for cellulite reduction after liposuction.
Key word: Cellulite, Liposuction, Low Level Laser, Gallium Arsenide, Skin Fold Caliper, Cellulite Grading Scale.
REFERENCES
- Yoshida Y, Detmar M and Kajiya K. Method of evaluating cellulite and method of evaluating cellulite-effective drug using fibulin-3 and/or sarcoglycan gamma as an indicator. Shisheido Company, Ltd. 2015; US 20150301064 A1
- Rawlings A. Cellulite and its treatment. Int J Cosmet Sci 2006;28:175-190.
- Avram MH. Cellulite: A review of its physiology and treatment. J Cosmet Laser Ther 2004;6(4): 181-185.
- Lintner K. Cellulite: evolving techneologies to fight the orange peel battle. Cosmetics & Toiletries magazine. 2009;124(9).
- Rossi A and Vergnanini A. Cellulite: a review. J Eur Acad Dermatol Venerol. 2000;14:251-62.
- Stevens-Simon C, Thureen P, Barrett J and Stamm E. Skin fold caliper and ultrasound assessments of change inthe distribution of subcutaneous fat during adolescent pregnancy. Int J Obes Relat Metab Disord. 2001;25(9):1340-5.
- Rawlings A. Cellulite and its treatment. Int J Cosmet Sci 2006;28:175-190.
- Schindl A, Merwald H, Schindl L, Kaun C and Wojta J (2003). Direct stimulatory effect of low intensity 610 nm laser irradiation on human endothelial cell proliferation. Br. J. Dermatol 2003;148(2):334-336.
- Nestor MS, Newburger J and Zarraga MB. Body Contouring Using 635-nm Low Level Laser Therapy Semin Cutan Med Surg. 2013;32(1):35-40.
- Rushdi AT. Effect of low-level laser therapy on cholesterol and triglyceride serum levels in ICU patients: A controlled, randomized study. EJCTA 2010;4:96–99.
- Hexsel D. Body repair: Cellulite. In Women’s dermatology. Parthenon Publishing Group 2001;586-595.
- Nürnberger F and Müller G. So-called cellulite: an invented disease. J Dermatol Surg Oncol 1978;4(3):221–229
- Pavicic T, Borelli C and Korting HC. Cellulite—the greatest skin problem in healthy people? An approach. JDDG, 2006;10:861–70.
- Bjordal JM, Lopes-Martins RA, Joensen J, Couppe C, Ljunggren AE, Stergioulas A and Johnson MI. A systematic review with procedural assessments and meta-analysis of Low Level Laser Therapy in lateral elbow tendinopathy (tennis elbow). BMC Musculoskeletal Disorders 2008;9:75.
- Brosseau L, Welch V, Wells GA, De Bie R, Gam A, Harman K, Morin M and Shea B. Brosseau, Lucie. ed. “Low level laser therapy (Classes I, II and III) for treating rheumatoid arthritis”. Cochrane Database of Systematic Reviews 2005;(4):CD002049.
- Bjordal JM, Couppe C, Chow RT, Tuner J and Ljunggren EA (2003). A systematic review of low level laser therapy with location specific doses for pain from chronic joint disorders. The Australian journal of physiotherapy 2003;49(2):107–16.
- Huang Y, Chen A, Carroll J and Hamblin M. Biphasic Dose Response in Low Level Lightherapy. Dose-Response 2009;7(4):358.
- Dudelzak J, Hussain M and Goldberg DJ. Laser lipolysis of the arm, with and without suction aspiration: clinical and histological changes. J Cosmet Laser Ther. 2009;11(2):70–73.
- DiBernardo BE, Reyes J and Chen B. Evaluation of tissue thermal effects from 1064/1320nm laser-assisted lipolysis and its clinical implications. J Cosmet Laser Ther. 2009;11(2):62–69.
- Fakhouri TM, El Tal AK, Abrou AE, Mehregan DA and Barone F. Laser-Assisted Lipolysis: A Review. Dermatol Surg. 2012;38(2):155-69.
- McBean JC and Katz BE. Laser Lipolysis: An Update .J Clin Aesthet Dermatol. 2011;4(7):25–34.
- Thornfeldt CR, Thaxton PM and Hornfeldt CS. A Six-week Low-level Laser Therapy Protocol is Effective for Reducing Waist, Hip, Thigh, and Upper Abdomen Circumference. J Clin Aesthet Dermatol. 2016;9(6):31-5. Epub 2016 Jun 1.
- Lach E. Reduction of subcutaneous fat and improvement in cellulite appearance by dual wave length, low level laser combined with vacuum and massage. Journal of cosmetica and laser therapy 2008;10:202-209.
- Briefs NM and Pankratov MM. Use of low intensity light therapy for the treatment of various medical conditions. Eleme Medical Inc.2008;WO2008127641 A1.
- Jackson RF, Dedo DD, Roche GC, Turok DI and Maloney RJ. Low-level laser therapy as a non-invasive approach for body contouring: a randomized, controlled study. Lasers Surg Med. 2009;41(10):799-809.
- Jackson RF, Stern FA, Neira R, Ortiz-Neira CL and Maloney J. Application of Low-Level Laser Therapy for Noninvasive Body Contouring. Lasers in Surgery and Medicine 2012;44(3):211–217.
- Gold MH, Khatri KA, Hails K, Weiss RA and Fournier N. Reduction in thigh circumference and improvement in the appearance of cellulite with dual-wavelength, low-level laser energy and massage: Journal of Cosmetic and Laser Therapy, 211;13:13–20.
- Jackson RF, Roche GC and Shanks SC. A double-blind, placebo-controlled randomized trial evaluating the ability of low-level laser therapy to improve the appearance of cellulite. Lasers Surg Med. 2013;45(3):141-7.
- Avci P, Nyame TT, Gupta GK, Sadasivam M and Hamblin MR (2013). Low-level laser therapy for fat layer reduction: a comprehensive review. Lasers Surg Med.; 45(6):349-57
- Savoia A, Landi S, Vannini F and Baldi A. Low-Level Laser Therapy and Vibration Therapy for the Treatment of Localized Adiposity and Fibrous Cellulite. Dermatol Ther (Heidelb). 2013;3(1):41-52.
- Elm CM, Wallander ID, Endrizzi B and Zelickson BD. Efficacy of a multiple diode laser system for body contouring. Lasers Surg Med. 2011; 43(2):114-21.
- Adis Medical Writers (2015). Cellulite: no clear evidence that any type of treatment is effective. Drugs Ther Perspect. 2015 ;31(12):437-440.