Patent ID: 11903909
Assignee: VITALY ALEXANDROVICH IGUMNOV
Field: Pharmaceuticals (Chemistry)
Classification: CPC A | IPC A

Claim 0:
1. A combined liposuction method, which method comprises carrying out a preoperative examination of the patient, planning an operation wherein one or more areas of the lower third of the face and neck of the patient from a number of such as the submental area of the neck, the lower jaw areas, the neck area from its submental area to the level of the cricoid cartilage and the neck area from its submental area to the level of the jugular notch, are determined as the liposuction areas constituting an operative field, wherein the contour boundaries of the operative field and at least one operative approach point are determined, performing uniform infiltration anesthesia of the adipose tissue to be removed in the liposuction areas, using an Nd:YAG laser radiation source with a wavelength of 1064 nm and a fiber optic light guide with a fiber thickness of 600 microns, wherein the first end of the fiber optic light guide is connected optically to the laser radiation source, and the second end of the fiber optic light guide is made with an emitting radiation surface and provides the possibility of insertion thereof into the adipose tissue to be removed through transcutaneous skin punctures, causing the destructive effect on the adipose tissue to be removed by Nd:YAG laser radiation with a wavelength of 1064 nm, which is supplied in a pulsed mode with a frequency of 50 Hz, with a pulse duration of 300 μs and a power of the predetermined value from the laser radiation source through the fiber optic light guide directly to the adipose tissue to be removed in the liposuction areas, for which purpose the second end of the fiber optic light guide is inserted into the adipose tissue to be removed through transcutaneous skin punctures at predetermined operative approach points and is continuously put forward by in and out movements within the volume of the adipose tissue to be removed to ensure uniform destruction of the adipose tissue over the entire area and depth of the treated area of liposuction, removal of the formed emulsified adipocyte fat detritus from the liposuction areas, at the end of the operation, surgical wounds are closed with aseptic dressings, compression dressings on the liposuction areas are applied, and the postoperative period is performed, while in the case where the operative field consists of the submental area of the neck, the value of the Nd:YAG laser radiation power with a wavelength of 1064 nm is set in the range from 8 W to 12 W, in the case where the operative field consists of the submental area of the neck and the lower jaw areas, the value of the Nd:YAG laser radiation power with a wavelength of 1064 nm is set in the range from 12 W to 14 W, in the case where the operative field consists of the submental area of the neck, the lower jaw areas, and the neck area from its submental area to the level of the cricoid cartilage, the Nd:YAG laser radiation power with a wavelength of 1064 nm is set in the range from 14 W to 15 W, in the case where the operative field consists of the submental area of the neck, the lower jaw areas, and the neck area from its submental area to the level of the jugular notch, the Nd:YAG laser radiation power with a wavelength of 1064 nm is set in the range from 15 W to 16 W, wherein after removal of the formed emulsified adipocyte fat detritus from the liposuction areas, the dermis is heated up to 39° C. by Nd:YAG laser radiation with a wavelength of 1064 nm, which is supplied from the laser radiation source to the field of liposuction through the fiber optic light guide, wherein for performing liposuction in the lower jaw areas, single operative approach point is determined in the area of the submental fold, and wherein the continuous in and out movements of the second end of the fiber optic light guide within the volume of the adipose tissue to be removed are performed by entering into the front surface of the lower jaw.