2026, Number 1
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Lat Am J Oral Maxillofac Surg 2026; 6 (1)
Laser-assisted lipolysis for the treatment of submental fat: case series
Suárez-Cornieles R, Huartaja-Muñoz J, Mogollón-Melendez A, Hernández-Artahona F, De Jesús-De Leca E, Sánchez-Ramírez C
Language: Spanish
References: 42
Page: 7-13
PDF size: 555.58 Kb.
ABSTRACT
Introduction: submental fat accumulation is a common
aesthetic concern that may compromise cervicofacial
harmony. Laser-assisted lipolysis (LAL) has emerged
as a minimally invasive alternative, based on selective
photothermal adipocyte disruption and concomitant
skin tightening.
Objective: to report the use of a
980 nm diode laser in the lipolysis of the submental
region through a case series.
Material and methods:
seven patients with localized submental fat deposits
underwent LAL using a 980 nm diode laser at 5 W.
Anthropometric facial measurements, standardized
photographs, and cervical ultrasound were performed
to assess submental fat pre-treatment, immediately
post-treatment, and three months later.
Results: with
a significance level of p ‹ 0.05, a significant reduction
was observed in the lobe-to-lobe distance (p = 0.01)
and an increase in the neck-to-chin measurement (p =
0.01), except for the cervicomental angle (p = 0.07).
Likewise, submental fat volume (p = 0.01) and right
(p = 0.04) and left commissural thickness (p = 0.00)
decreased significantly. No complications were reported,
and the satisfaction rate was 100%.
Conclusions: laserassisted
lipolysis using a 980-nm diode laser proved to
be an effective and safe minimally invasive approach for
submental fat reduction.
REFERENCES
Alsarraf R, Larrabee WF Jr, Anderson S, Murakami CS, JohnsonCM Jr. Measuring cosmetic facial plastic surgery outcomes: a pilotstudy. Arch Facial Plast Surg. 2001; 3 (3): 198-201. doi: 10.1001/archfaci.3.3.198.
Palm MD, Goldman MP. Laser lipolysis: current practices. Semin CutanMed Surg. 2009; 28 (4): 212-219. doi: 10.1016/j.sder.2009.10.002.
Koehler J. Complications of neck liposuction and submentoplasty. OralMaxillofac Surg Clin North Am. 2009; 21 (1): 43-VI. doi: 10.1016/j.coms.2008.10.008.
Shamban AT. Noninvasive submental fat compartment treatment.Plast Reconstr Surg Glob Open. 2016; 4 (12): e1155. doi: 10.1097/GOX.0000000000001155.
Goldman A, Gotkin RH. Laser-assisted liposuction. Clin Plast Surg.2009; 36 (2): 241-253, VII; discussion 255-260. doi: 10.1016/j.cps.2008.11.005.
Mandour S, El-Tatawy RA, Alborgy AF, Elghamry S. Efficacy and safetyof 1440-nm Nd:YAG laser on lower face and neck rejuvenation. LasersMed Sci. 2021; 36 (6): 1267-1274. doi: 10.1007/s10103-020-03177-x.
Pereira-Netto D, Montano-Pedroso JC, Aidar ALES, Marson WL,Ferreira LM. Laser-Assisted Liposuction (LAL) versus traditionalliposuction: systematic review. Aesthetic Plast Surg. 2018; 42 (2):376-383. doi: 10.1007/s00266-018-1085-2.
Goldman A. Submental Nd:Yag laser-assisted liposuction. Lasers SurgMed. 2006; 38 (3): 181-184. doi: 10.1002/lsm.20270.
Zelickson BD, Dressel TD. Discussion of laser-assisted liposuction.Lasers Surg Med. 2009; 41 (10): 709-713. doi: 10.1002/lsm.20842.
Bhojwani A. Addressing the “double chin:” trends in submentalcontouring. J Dermat Cosmetol. 2016; 1 (1): 3-4. doi: 10.15406/jdc.2016.01.00002
Gallaga-Towns JED, Martínez-Garza LI. Liposucción facial: ¿Láserdiodo vs. ultrasonido vs. radiofrecuencia? Ciencia Latina. 2024; 8(1): 5475-5496. doi: 10.37811/cl_rcm.v8i1.9904
World Medical Association. Finland: Wma helsinki declaration –ethical principles for medical research in human subjects. Availableat: https://www.wma.net/es/policies-post/declaracion-de-helsinki-dela-amm-principios-eticos-para-las-investigaciones-medicas-en-sereshumanos/
World Health Organization. Body mass index (BMI). Available at:https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/body-mass-index
Weinberger T. Angle classification. Am J Orthod Dentofacial Orthop.1993; 103 (4): 26-30. doi: 10.1016/S0889-5406(05)80388-9.
Pérez A, Rujano-Salinas A, Bennett L, Muñoz R, Moreno-GarcesP, Huartaja J, et al. Effect of photobiomodulation on the control ofedema and pain after third molar surgery: double-blinded randomizedclinical trial. J Oral Maxillofac Surg. 2025; 83 (9): 1122-1131. doi:10.1016/j.joms.2025.05.010.
Hu ML, Ayton LN, Jolly JK. The clinical use of vernier acuity: resolutionof the visual cortex is more than meets the eye. Front Neurosci. 2021;15: 714843. doi: 10.3389/fnins.2021.714843.
Gao Y, Tang X, Liu B, Qiu L. Application of ultrasound for quantitativeassessment of body fat mass. Clin Nutr ESPEN. 2025; 67: 635-644.doi: 10.1016/j.clnesp.2025.03.175.
Davies RJ. Buffering the pain of local anaesthetics: a systematic review.Emerg Med (Fremantle). 2003; 15 (1): 81-88. doi: 10.1046/j.1442-2026.2003.00413.x.
Valizadeh N, Jalaly NY, Zarghampour M, Barikbin B, HaghighatkhahHR. Evaluation of safety and efficacy of 980-nm diode laser-assistedlipolysis versus traditional liposuction for submental rejuvenation: arandomized clinical trial. J Cosmet Laser Ther. 2016; 18 (1): 41-45.doi: 10.3109/14764172.2015.1039041.
Modena DAO, de Melo Yamamoto AP, da Silva TBF. Endolift® is anon-surgical treatment for skin tissue conditions. Is there evidencefor its application? Lasers Med Sci. 2025; 40 (1): 22. doi: 10.1007/s10103-025-04288-z.
Jebb AT, Ng V, Tay L. A review of key Likert scale developmentadvances: 1995-2019. Front Psychol. 2021; 12: 637547. doi:10.3389/fpsyg.2021.637547.
Khoury JG, Saluja R, Keel D, Detwiler S, Goldman MP. Histologicevaluation of interstitial lipolysis comparing a 1064, 1320 and 2100nm laser in an ex vivo model. Lasers Surg Med. 2008; 40 (6): 402-6.doi: 10.1002/lsm.20649.
Prado A, Andrades P, Danilla S, Leniz P, Castillo P, Gaete F. Aprospective, randomized, double-blind, controlled clinical trialcomparing laser-assisted lipoplasty with suction-assisted lipoplasty.Plast Reconstr Surg. 2006; 118 (4): 1032-1045. doi: 10.1097/01.prs.0000232428.37926.48.
Praveen A. Photobiomodulation therapy. JADA Foundational Science.2025; 4(1): 1-26. doi: 10.1016/j.jfscie.2025.100045.
Badin AZ, Moraes LM, Gondek L, Chiaratti MG, Canta L. Laserlipolysis: flaccidity under control. Aesthetic Plast Surg. 2002; 26 (5):335-339. doi: 10.1007/s00266-002-1510-3.
Kim KH, Geronemus RG. Laser lipolysis using a novel 1,064 nmNd:YAG Laser. Dermatol Surg. 2006; 32 (2): 241-48.
Badin AZ, Gondek LB, Garcia MJ, Valle LC, Flizikowski FB, de NoronhaL. Analysis of laser lipolysis effects on human tissue samples obtainedfrom liposuction. Aesthetic Plast Surg. 2005; 29 (4): 281-286. doi:10.1007/s00266-004-0102-9.
Woodhall KE, Saluja R, Khoury J, Goldman MP. A comparison of threeseparate clinical studies evaluating the safety and efficacy of laserassistedlipolysis using 1,064, 1,320 nm, and a combined 1,064/1,320nm multiplex device. Lasers Surg Med. 2009; 41 (10): 774-778. doi:10.1002/lsm.20859.
Sasaki GH. Quantification of human abdominal tissue tightening andcontraction after component treatments with 1064-nm/1320-nmlaser-assisted lipolysis: clinical implications. Aesthet Surg J. 2010; 30(2): 239-245. doi: 10.1177/1090820X10369373.
McBean JC, Katz BE. A pilot study of the efficacy of a 1,064 and1,320 nm sequentially firing Nd:YAG laser device for lipolysis and skintightening. Lasers Surg Med. 2009; 41 (10): 779-784. doi: 10.1002/lsm.20858.
Weiss RA, Beasley K. Laser-assisted liposuction using a novel blendof lipid- and water-selective wavelengths. Lasers Surg Med. 2009; 41(10): 760-766. doi: 10.1002/lsm.20804.
Seckel BR, Doherty ST, Childs JJ, Smirnov MZ, Cohen RH, AltshulerGB. The role of laser tunnels in laser-assisted lipolysis. Lasers SurgMed. 2009; 41 (10): 728-737. doi: 10.1002/lsm.20867.
Nilforoushzadeh MA, Heidari-Kharaji M, Fakhim T, Hanifnia A, NouriM, Roohaninasab M. Endolift laser for jowl fat reduction: clinicalevaluation and biometric measurement. Lasers Med Sci. 2022; 37(5): 2397-2401. doi: 10.1007/s10103-021-03494-9.
Dias L, Almeida D, Petry CB. Submentonial fat reduction with 1470nmdiode laser and Endolifting® technique: case report. J DermatolCosmetol. 2023; 7 (3): 104-107. doi: 10.15406/jdc.2023.07.00245.
Rodrigues FM, Khachikian LC, Previato N, Moleiro D. Eficácia do usoda tecnologia laser subdérmico 1470nm em gordura submentonianaapresentacaode casos clínicos. Aesth Orofacial Sci. 2024; 5 (1):21-29. doi: 10.51670/aos.v5i1.196.
Fakhouri TM, El Tal AK, Abrou AE, Mehregan DA, Barone F. Laserassistedlipolysis: a review. Dermatol Surg. 2012; 38 (2): 155-|69.doi: 10.1111/j.1524-4725.2011.02168.x.
Reynaud JP, Skibinski M, Wassmer B, Rochon P, Mordon S. Lipolysisusing a 980-nm diode laser: a retrospective analysis of 534procedures. Aesthetic Plast Surg. 2009; 33 (1): 28-36. doi: 10.1007/s00266-008-9262-3.
Quintero M, Suárez O. Efectividad de la técnica endoláser con plataformadiodo 980 nm en la ritidosis grado I y II. RILMED. 2023; 3 (1): 14-28.
Salas-Apaza JA, Franco JVA, Meza N, Madrid E, Loézar C, GaregnaniL. Minimal clinically important difference: The basics. Medwave.2021; 21 (3): e8149. doi: 10.5867/medwave.2021.03.8149.
Castillo N, Suárez Ó. Efectividad del láser diodo 1470 nm en eltratamiento de la lipodistrofia en brazos. RILMED. 2024; 4 (1): 28-41.
Mashkevich G, Wang J, Rawnsley J, Keller GS. The utility of ultrasoundin the evaluation of submental fullness in aging necks. Arch FacialPlast Surg. 2009; 11 (4): 240-245. doi: 10.1001/archfacial.2009.47.
Teimourian S. Suction lipectomy of the face and neck. Facial PlastSurg. 1986; 4 (1): 35-43. doi: 10.1055/s-2008-1064821.