Commentary on: Abdominal Subcutaneous Mass After Laser-Assisted Lipolysis and Immediate Multiple Treatments with a Dual-Wavelength Laser, Vacuum, and Massage Device

No one can question the benefit that properly administered light- and energy-based therapies provide aesthetic patients. A “pioneer” forwarding aesthetic technology is often subject to resistance and close scrutiny by their colleagues, and rightfully so. However, if not for such visionaries, we may be without the benefit of advances such as non-invasive body contouring, laser hair removal, photo-rejuvenation, and photodynamic therapy, to name a few. Ablative skin resurfacing, the rave of the 1990s has evolved. Microabalation delivery is now available that when performed correctly, may shorten the initial recovery. Acceptance of technological advances progresses from their initial presentation based on patient results, feedback, manufactures' product evolution, and most important, peer reviewed articles.The surgeon has an “artistic license” when treatment is not conforming to published stands. In this situation, the physician has an obligation to keep patient safety at the forefront, regardless of a potential benefit. Clinical studies often utilize an independent review board to insure patient safe protocols. Whenever I consider a procedure that is not corroborated by peer reviewed articles as I explore new technology, the wisdom of my mentors, Drs. Robert Chase and Donald Laub echo in my mind. Be true to the basic principles of surgery and wound healing. Historically, this translates into ensuring adequate blood flow to a flap, minimizing skin tension and trauma to the surgical area, optimizing hemostasis, providing adequate immobilization when appropriate, personally examining the patient after surgery, and thoroughly investigating any unexpected outcomes.In the light- and energy-based therapy venue, there are no such basic principles to fall back on when combining technologies. It seems as though every day there are new energy sources, delivery systems, and protocols, which seem promising. The aesthetic provider has an expanded arsenal of evolving options that, while efficacious in a confirmed format via peer reviewed …