Lipoma removal through laser lipolysis - Is it safe?

Large topic. I started using the 1440 laser many years ago for lipomas because I thought it was a nice idea to avoid cutting them out. The 1440 laser is the SmartLipo machine and I had one for liposuction. I took a lot of lipomas out, but some recurred, and there was the risk of numbness along the extremities because the laser generates a damaging degree of energy and that put the cutaneous sensory nerves at risk. So decided it wasn't worth it. You could not know for sure if there was retained lipoma without removing them in their entirety. The only way to do this is to accept the tradeoff of a very small incision, basically a poke with a #11 blade, retracting the edges, dissecting between the capsule and skin, resulting in the small incision opening up like a fish mouth and then either extruding or grasping and dissecting the lipoma out with blunt scissors dissection. You can usually limit the incision to 3/8" or less.
I have taken up to 80 lipomas out in a day, but 35-45 is usually the limit for most patients who have the multiple lipoma syndrome. The incisions are closed in two layers with an absorbable dermal suture and a pull-out nylon suture, and steristrips.
So I highly recommend against using a 1440 laser for lipoma removal for the reasons above. Just make sure you find a plastic surgeon who will commit to using very small incisions, working around the lipoma and patiently removing it intact if it is small enough, or removing enough of it close to the surface, so it is debulked enough for the rest to slide out the incision. Pinching below it while grasping it with a clamp and wiggling it around will usually result in lipomas much larger than you would imagine in being delivered. No need ever for a large incision.

Laser lipolysis, specifically using a 1,444 nm Nd:YAG laser, is an emerging technique for the minimally invasive removal of lipomas. This method offers potential benefits such as reduced scarring and quicker recovery times compared to traditional surgical excision. However, as with any medical procedure, there are considerations regarding its safety and efficacy.

Safety: The 2022 study you mentioned by Piccolo suggests that this technique can be safe and effective for lipoma removal. However, it is essential to ensure that the procedure is performed by a qualified and experienced practitioner. Safety can also depend on individual health factors, so a thorough consultation with a specialist is advisable.

Finding a Provider in Orlando: To find a practitioner in Orlando who offers this technique, you can start by consulting with dermatologists or plastic surgeons who specialize in laser treatments. They may either offer this service or refer you to a colleague who does. Additionally, you might consider contacting reputable medical centers or clinics that focus on dermatological or cosmetic procedures.

Consultation: Before proceeding, it is critical to have a detailed consultation to discuss your specific case, including the number and size of lipomas, your medical history, and any concerns you might have. This will help determine if laser lipolysis is an appropriate option for you.

Overall, while laser lipolysis presents an innovative approach to lipoma removal, ensuring the procedure's safety and success involves careful selection of a qualified provider and a personalized treatment plan.