Recently, the FDA approved the new Cellulaze laser, which is an nD Yag 1440 nanometer laser, specifically used for removing cellulite throughout the body. It is especially used for removing cellulite along the lateral thigh, infragluteal fold and the buttock areas. Cellulite is associated with the dimpling of the skin with three specific components. The first are small pseudo-herniations of fat in the subdermis. The second is fibrous stria which attaches the subdermis deep to the fascia creating pits and contour irregularities. The third is thinning out of the elasticity and collagen of the skin. The Cellulaze laser has a handpiece which is used in three different directions in order to accomplish the three specific components to reduce cellulite. In the first setting, several hundred joules are used with the handpiece down the 6 o’clock position in order to emulsify the deep fat which causes the mountain and lumps that are seen within the skin. The handpiece is then rotated 90 degrees and the side laser at 90 degrees sub sizes the fiber septae permanently, preventing them from reattaching. Finally, approximately 50 to 75 percent of the joules are then used with the laser directed up to the 12 o’clock position directly under the skin allowing for collagen formation and tightening of the subdermis and dermis. The results of the Cynosure Cellulaze laser is the first FDA-approved and only approved laser for removal of cellulite. We have acquired the Cellulaze laser from Cynosure and have been certified with the use of this laser. Only your plastic surgeon can use this laser. Nurses are not allowed due to the intensity of the nD Yag. Both the number of joules and the heat specifically within the compartments are monitored throughout the procedure. Normal settings can include settings at 8.8 watts, 25 Hertz and approximately 1000 to 1200 joules per 5×5 cm square grid box. Up to 40 boxes can be performed at one setting. Most patients are placed under IV sedation or general anesthetic.
For the lateral saddlebags, removing the cellulite specifically, I prefer to use 8.8 watts, 25 Hertz, 12.5% of the 6000 joules distributed to the fat, 12.5% to the fiber septae and 75% upward under the skin to tighten the skin. Temperatures should be no more than 45 to 47 degrees, although we keep the temperature between 38 and 42 degrees. The results from the Cellulaze cellulite removal can take up to a year. Patients between three and six months see the best final results.