Treatment of fibrous complications after surgical interventions

Objetivos: To help fellow plastic surgeons and cosmetologists increase their efficiency and improve the results of surgeries and aggressive hardware procedures using laser endolifting and regenerative medicine methods, based on personal experience. Currently, the plastic surgery and cosmetology market is overfilled with options to suit every patient need. Competition is fierce, but so are patient expectations for results. Today, plastic surgery patients don't want a noticeable scar after surgery, don't want to endure lengthy recovery, and aren't prepared for prolonged anesthesia. Introducción: For this reason, powerful devices are being developed to achieve results comparable to radical surgeries. However, complications still arise, leading to undesirable results and presenting a real challenge for treating physicians. The most common scar deformities are those following liposuction, SMAS lifting, and facial lipofilling. One treatment method for such complications is laser endolifting using a neodymium:YAG fiber laser with a wavelength of 1064 nm and a maximum power of 18 W. Materiales / método: The report presents 10 clinical cases of patients with fibrous changes after plastic surgery on the face and body, including orthognathic bimaxillary osteotomy, SMAS lifting, liposculpture, permanent lip filler injections, etc. These cases demonstrate treatment protocols and their results. A common feature of these protocols is the use of a neodymium fiber laser with a wavelength of 1064 nm and a maximum power of 18 W. Resultados: Thanks to the high-energy impact of the invasive neodymium laser, it was possible to destroy fibrous tissue at any depth, which helped achieve good and excellent results in all patients, which was confirmed by ultrasound. However, laser endolifting itself is a very complex and aggressive method, so after this procedure there was a period of rehabilitation and recovery. Conclusión: Fibrous complications are a very common cause of patient dissatisfaction with aesthetic surgeries and hardware procedures. Laser endolifting is an effective technique for individual fibrosis. Laser endolifting is an aggressive soft tissue treatment and therefore requires a recovery period with a simplified protocol. Inexperienced physicians and failure to adhere to the laser endolifting protocol can result in burns of varying degrees and locations.