METHOD FOR SUBCUTANEOUS FAT REMOVAL IN SHOULDER AREA Russian patent published in 2019 - IPC A61F2/02 A61N5/67 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to plastic surgery. Performing the preoperative examination of the patient and scheduling the operation, wherein in the patient's standing position with a forearm and a forearm bent upwards, a degree of soft tissue ptosis is determined as the shortest distance from the biceps medial shoulder line to a lower point of the soft tissues of the shoulder, in the arm region below the medial bifurcation line of the biceps muscle from the axilla to the elbow, a lipolysis region is prescribed to remove subcutaneous adipose tissue therein and at least one operative approach point within a given lipolysis region. Performing uniform infiltration anesthesia of subcutaneous fat removed. From laser radiation source Nd: YAG with 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 pulsed mode with frequency of 50 Hz, with pulse duration of 300 mcs and power of preset value. If the degree of soft tissue ptosis does not exceed 5 cm, the power of the laser radiation Nd: YAG with wavelength of 1,064 nm is specified in range from 12 W to 14 W inclusive, and in case, when degree of ptosis of soft tissues of shoulder is more than 5 cm and up to 10 cm inclusive, value of laser radiation power Nd: YAG with wavelength of 1,064 nm is set in range from 14 W inclusive to 16 W inclusive. Continuous translational movement of the emitting end of the optical fiber in the volume of the removed subcutaneous fat is ensured by uniform destruction along the entire area and depth of the given lipolysis region. At the end of the operation, the surgical wounds are closed with aseptic dressings, the compression bandages are applied on the lipolysis area and the postoperative period is performed.

EFFECT: method provides destructive effect on removable subcutaneous fat adequate for maximum complete lipodestruction of its entire volume in the area of lipolysis, while reducing the probability of undesirable traumatisation of tissues in the lipolysis region.

28 cl, 5 ex