COMBINED LIPOSUCTION METHOD Russian patent published in 2019 - IPC A61B17/00 A61N5/67 A61F2/02 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to plastic surgery. Performing the preoperative examination of the patient and scheduling the operation, wherein one or more areas of the lower one-third of the face and neck of the patient from a row such as a submental neck region, lower jaw region, neck area from its submental area to the level of the colloidal cartilage and neck area from its submental area to the level of the jugular notch are prescribed by the liposuction regions making the surgical field. Contour boundaries of the operative field and at least one operative approach point are specified. Performing uniform infiltration anaesthesia of the removed adipose tissue in the areas of liposuction. From the Nd:YAG laser radiation source at wavelength of 1,064 nm through a fiber-optic light guide with fiber thickness of 600 mcm directly to the removed fat tissue laser radiation Nd:YAG with wavelength of 1,064 nm in pulse mode with frequency of 50 Hz, with a pulse duration of 300 mcs and power of preset value. If the surgical field makes a submental neck area, the laser radiation power value Nd:YAG with wavelength of 1,064 nm is set within range of 8 W to 12 W, in the case when the surgical field is the submental neck and lower jaw area, laser radiation power value Nd:YAG with wavelength of 1,064 nm is set within range of 12 W to 14 W, in the case when the surgical field is formed by the submental neck area, the lower jaw area and the neck area from its submental area to the level of the cyst-shaped cartilage, laser radiation power value Nd:YAG with wavelength of 1,064 nm is set within range of 14 W to 15 W, in case the surgical field is formed by the submental neck area, lower jaw region and neck area from its submental area to the level of the jugular notch, the power of laser radiation Nd:YAG with wavelength of 1,064 nm is set within range of 15 W to 16 W. Continuous translational movement of the emitting end of the optical fiber in the volume of the removed adipose tissue is ensured by uniform destruction along the entire area and depth of the treated area of liposuction. Formed fat detritus of emulsified adipocytes is removed from the areas of liposuction, the surgical wounds are closed with aseptic dressings, compression bandages are applied on the area of liposuction and a postoperative period is performed.

EFFECT: method provides a destructive effect on adipose tissue adequate for maximally complete lipodestruction of its entire volume in the lower one-third of the face and in all areas of the neck, while reducing the probability of undesirable traumatization of tissues in the areas of liposuction.

25 cl, 4 ex