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Laser lipo vs. CoolSculpting: Recovery, results, and cost

By: Medically reviewed by Catherine Hannan, M.D. — Written by Jon Johnson on April 27, 2020
Source: Medical News Today

Laser liposuction and CoolSculpting are two cosmetic procedures that can help remove fat from under the skin. Both procedures are minimally invasive.

Laser liposuction and CoolSculpting do share some similarities. For example, they are both suitable for people who are near their ideal weight.

However, the procedures do have some key differences to consider.

In this article, learn about their effectiveness, costs, and results, as well as what to expect during the procedures.gta medical clinic botox 3
Laser liposuction and CoolSculpting can produce similar results.

When it comes to general effectiveness, both laser liposuction and CoolSculpting can provide similar results.

The procedures may work best for people who have a moderate weight.

Both laser liposuction and CoolSculpting tend to be preferable to more invasive options. In fact, a review in the journal Aesthetic Plastic Surgery notes that laser assisted liposuction appears to produce better results and has better patient satisfaction than traditional liposuction.

However, without making healthy changes to the diet and lifestyle, the person may simply gain the weight back.

Laser liposuction and CoolSculpting have similar price ranges.

For example, laser liposuction may range from about $2,500 to $5,500, while CoolSculpting may cost about $2,000 to $4,000.

These prices can vary, however. A person should talk to a healthcare professional to discuss the best option for them.

Laser liposuction and CoolSculpting have different processes.
Laser liposuction

Laser liposuction, or laser lipolysis, uses a laser to remove fat from under the skin.

A doctor will perform the procedure in the office. The person will be awake during the procedure, so the doctor will apply a local anesthetic to the area where the laser will enter.

They will then make a small incision in the skin, which allows the laser to enter. The concentrated laser light will melt the fat away from under the skin.

Once this is complete, the doctor will insert a small tube into the same area to suck away the liquefied fat.

The doctor will then close and cover the incision site. The entire process takes about 1 hour per area.

CoolSculpting is a version of cryolipolysis, which is a noninvasive way to get rid of excess fat cells. There are no incisions necessary for this process.

CoolSculpting safely freezes the fat cells in the area. The body can then remove these fat cells with time.

The procedure involves placing an applicator to the treatment area, where it will freeze the fat cells beneath the skin. The body then processes these fat cells out as waste.

Each CoolSculpting session will take 30–60 minutes per area.

The results from each procedure are similar, though the time it takes to see results may vary.
Laser liposuction

The results from laser liposuction may be almost immediate. Once any swelling goes down, the person should notice a change in their figure. However, long-term changes may take months to become visible.

Many people feel satisfied with the results of laser liposuction, especially compared with other fat removal methods.

For example, a trial in the Journal of Cosmetic and Laser Therapy found that 61% of people were very satisfied with the results of lipolysis. In comparison, 55.5% of people who underwent traditional liposuction were either neutral or dissatisfied with their results.

Everything you need to know about facial tics

By: Medically reviewed by Seunggu Han, M.D. — Written by Jon Johnson
Source: Medical News Today

A facial tic is an involuntary, uncontrolled spasm in the facial muscles. The tic is unwanted and generally occurs regularly enough to be a nuisance to the person who experiences it.

A person can hold in a tic temporarily, in a similar way to holding in a sneeze, but doing so often makes the person increasingly uncomfortable.

A few different disorders can cause facial tics, but most of the time facial tics do not indicate a severe medical condition.

According to a report in Pediatric Neurology, facial tics occur more commonly in children than adults, and boys seem to be much more likely to experience facial tics than girls. Most children’s facial tics fade after a few months.
What are facial tics?
It is possible to temporarily suppress a facial tic.

Facial tics are involuntary muscle movements that can happen anywhere in the face. However, they usually occur in the same place each time and happen frequently enough to bother the person. Severe tics can affect a person’s quality of life.

Common types of facial tics include:

rapid eye blinking or winking
flaring the nostrils
clicking the tongue
sucking the teeth
raising the eyebrows
opening and closing the mouth
scrunching the nose
mouth twitching

As well as these muscular tics, some people may also experience vocal tics, such as clearing the throat or grunting.

A person may suppress a tic temporarily, but it will come out eventually.
Types of tic disorders

Different types of disorders can cause facial tics. The severity of the tic, as well as the presence of other symptoms, can often help a doctor identify the underlying condition.
Transient tic disorder

Transient tics are temporary. Transient tic disorder may cause a regular facial or vocal tic, but the tic typically lasts for under a year.gta medical clinic botox 2

Transient tic disorder usually only causes tics while a person is awake. People rarely have tics while they are sleeping.

Transient tic disorder is responsible for the majority of causes of tics in children. They usually resolve without any treatment.
Chronic motor tic disorder

Chronic motor tic disorder is a more persistent tic disorder. For a doctor to diagnose a person with chronic motor tic disorder, they must have experienced tics for over a year, for periods of at least 3 months at a time.

Unlike transient tic disorder, chronic motor tic disorder causes tics that can also occur during sleep.

Chronic motor tic disorder can occur in both children and adults. Young children who have chronic motor tic disorder may not need treatment, as symptoms may be more manageable or subside on their own over time.

Adults who have the disorder may need medication or other treatment to control the tics.

Complication of 'fat freezing' procedure may be more common than though

By: Wolters Kluwer Health
Source: Science Daily

Cryolipolysis is a noninvasive cosmetic procedure that eliminates excess fat by freezing it. But a complication called paradoxical adipose hyperplasia (PAH) -a hardened area of localized fat developing after cryolipolysis -- may be more common than previously thought, suggests a paper in the July issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

While PAH can be treated successfully with liposuction, patients must wait a few months before treatment, according to the study, led by ASPS Member Surgeons Michael E. Kelly, MD, and Jose Rodríguez-Feliz, MD, of Miami Plastic Surgery. "Surgeons must be extremely sensitive when dealing with patients who have PAH, both when explaining the problem and when offering them a potential surgical solution," the researchers write.

PAH after Cryolipolysis May Not Be a 'Rare' Complication

Drs. Kelly and Rodríguez-Feliz and colleagues share their experience in managing patients with PAH after cryolipolysis: an FDA-approved procedure that works by destroying cold-sensitive su10abcutaneous fat cells. It has become a popular technique for treating problem fat areas such as belly fat and "love handles."

Paradoxical adipose hyperplasia has been reported as a rare adverse event after cryolipolysis. In this condition, the treated area becomes larger rather than smaller in the weeks after the procedure, leaving a "painless, visibly enlarged, firm, well-demarcated mass" under the skin. Based on data from the manufacturer of the cryolipolysis equipment, PAH has been estimated to occur in 1 out of every 4,000 treatment cycles, for an incidence of 0.025 percent.

The authors describe their experience with 11 patients with PAH. Six patients underwent cryolipolysis at the authors' clinic and five were referred from other practices. The authors note that their experience of 15 PAH events in six patients represents a much higher incidence: 0.72 percent, or about 1 out of every 138 cryolipolysis treatments.

The good news is that PAH was successfully treated in all cases. Most patients needed liposuction only; one patient had liposuction combined with an abdominoplasty ("tummy tuck") procedure. Dr. Rodríguez-Feliz recommend the use of a power-assisted liposuction technique. All patients achieved good cosmetic results and were very satisfied with their final appearance.

However, the patients had to wait several months for treatment. That time is needed for the fat in the area of PAH to soften; otherwise, there is a risk that PAH could recur. In some cases, more than one liposuction treatment was needed.

How to get rid of jowls

By: Medically reviewed by Deborah Weatherspoon, Ph.D., R.N., CRNA — Written by Jennifer Huizen
Source: Medical News Today

In humans, jowls are excess or saggy skin on the neck, just below the jawline and chin. Almost everyone develops at least minor jowls as they age and their skin becomes less elastic.

Several factors, including heredity, stress, repetitive facial habits, and lifestyle choices, can cause more pronounced jowls at almost any age.

In this article, learn about exercises and treatments to get rid of jowls, as well as how to help prevent them.34a

The biggest cause of jowls is aging.

Though several factors are known to increase the likelihood and severity of jowls, their ultimate cause is aging.

As the skin ages, it starts to lose some of the compounds that help keep its shape, specifically fat and the connective tissue proteins elastin and collagen.

The skin also tends to become drier and thinner, making it more difficult to maintain its form. As the skin becomes less resilient and full, it becomes more vulnerable to gravity and slowly begins to sag.

Sagging skin around the cheeks and mouth falls to the area around the chin and jawline, creating jowls.

Risk factors for jowls include:

history of sunburn
excessive or chronic alcohol use
chronic or severe dehydration
chronic or severe stress
diets low in antioxidants, healthful fats, and other essential nutrients
habits or expressions that overuse the cheek, mouth, and jaw muscles, such as frowning, chewing gum, and talking on the cell phone for a long time
skin allergens, ranging from air pollution to cosmetics
poor skin hygiene
lack of exercise
cleansing the skin too aggressively
physical trauma or injury to the facial and jaw muscles and skin
a family history of jowls
extreme or rapid weight loss
severe or chronic illness

Effectiveness of nonsurgical treatments for knee osteoarthritis ranked

By: American Academy of Orthopaedic Surgeons
Source: Science Daily

An estimated 45 percent of people are at risk of developing knee osteoarthritis (OA) in their lifetime. According to a network meta-analysis research article published in the May 1, 2018 issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), the nonsteroidal anti-inflammatory drug (NSAID) naproxen was ranked most effective in individual knee OA treatment for improving both pain and function, and is considered a relatively safe and low-cost treatment method.

Nonsurgical treatments for knee OA supported by previous research evidence include strength training, low-impact aerobic exercises, NSAIDs, and weight loss in individuals with a body mass index over 25. This new research analyzed data from multiple trials to determine the relative effectiveness of various nonsurgical treatments for knee OA. The treatments that were compared and ranked included acetaminophen; ibuprofen; intra-articular (IA) or joint injections of cortisone; platelet-rich plasma (PRP); hyaluronic acid (HA); several NSAIDs, such as naproxen, celecoxib, and diclofenac; and both 33oral and IA placebo.

"This is the first comprehensive mixed-comparison analysis comparing best-evidence scientific research and excluding lower quality studies that can bias the outcomes," said lead author and orthopaedic surgeon David Jevsevar, MD, MBA. "Using a statistical ranking technique, we worked to provide evidence regarding which of the most common NSAIDs are most likely to decrease pain and improve function, and we attempted to fill in the gaps in evidence for more inconclusive treatments such as HA, PRP, and corticosteroids."

Authors analyzed 53 randomized controlled trials that examined knee OA treatments for at least 28 days and included a minimum of 30 participants per study group. Knee OA treatments were ranked on a scale of one to five, with one being the most effective. They found the following:

For pain reduction, cortisone injections provided the greatest short-term (4 to 6 weeks) pain relief, followed by ibuprofen, PRP injections, naproxen, and celecoxib.
Naproxen ranked the highest for probability for improving function, followed by diclofenac, celecoxib, ibuprofen, and PRP injections.
Naproxen was ranked the most effective individual knee OA treatment for improving both pain and function followed by cortisone injections, PRP injections, ibuprofen and celecoxib.
HA injections did not achieve a rank in the top five treatments for pain, function, or combined pain and function. An analysis of 12 articles also found that results with HA are not significantly different from those with IA placebo for treatment of knee OA.

"Because knee OA has both a high disease burden and high treatment costs, additional prospective studies using similar outcomes, timelines, and measures of clinically important changes are needed," explained Dr. Jevsevar. "While the information in this analysis is helpful to physicians, patients also can benefit from these findings and use it with their doctors to weigh all possible treatment options."

Although the use of NSAIDs for arthritic conditions such as knee OA has potential risks, including heart attack and stroke, existing evidence indicates that naproxen has less potential for adverse cardiovascular events.

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