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Fat removal procedures are used mostly in cosmetic surgery with the intention of removing unwanted adipose tissue.The procedure may be invasive, as with liposuction, [1] or noninvasive using laser therapy, radiofrequency, ultrasound or cold (cryoablation or cryolipolysis) to reduce fat, sometimes in combination with injections.
Liposuction, or simply lipo, is a type of fat-removal procedure used in plastic surgery. [1] Evidence does not support an effect on weight beyond a couple of months and does not appear to affect obesity-related problems. [2] [3] In the United States, liposuction is the most common cosmetic surgery. [4] [5]
It is non-toxic and less invasive than operations like liposuction. [3] Carboxytherapy leads to a temporary decrease in subcutaneous fat but has shown to reoccur again after a 28 week period. [4] It can be applied for those with androgenic alopecia or alopecia areata. [5] As of 2018, Carboxytherapy has not approved by the FDA. [3]
Currently there are four main non-invasive body contouring techniques in aesthetic medicine for reducing localized subcutaneous adipose tissue in addition to the standard minimally invasive liposuction: low-level laser therapy (LLLT), cryolipolysis, radio frequency (RF) and high-intensity focused ultrasound (HIFU).
Medical reviews suggest that LLLT is as effective or potentially more than other non invasive and traditional therapies like minoxidil and finasteride but further studies such as RCTs, long term follow up studies, and larger double blinded trials need to be conducted to confirm the initial findings. [74] [75] [76]
Cryolipolysis (commonly referred to as "fat freezing") is a non-invasive procedure for fat removal that uses extreme cold to freeze subcutaneous adipose tissue in specific areas of the body. This process aims to reduce localized fat deposits. [1] [2] [3]
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