Dr. Kotlus discusses the 3 options for nonsurgical fat reduction including Zerona, Liposonix, and Coolsculpting. These are offered at Allure Medical Spa in Michigan and one of the doctors can discuss these with you during a consultation to determine if you are a candidate.

You can read more about these procedures here. 

Zerona^® is a cold laser (meaning it doesn’t emit heat) to cause little openings in fat cells.  Scientists have proven that when tissues are exposed to this laser for several minutes, fat cell walls actually become leaky.  

Without dieting, Zerona^® can cause modest size reduction. When the laser is used 3 times a week for 2 weeks, without diet or exercise change; the average person can lose an inch off the waist, an inch of the hips and nearly an inch off each thigh (so an accumulative 3.5” total). ^1,2,3

This treatment can be more effective if you go into a negative calorie balance, (eating fewer calories and healthier food choices).  

Here is what we did at Allure:  One male and one female were placed on a diet consisting of low fats and no refined or simple sugars, while eating lean protein, vegetables and fiber filled foods which actually burn up to 30% of the energy they contain to digest.  They did not reduce portion size, count calories or change any exercise pattern. 

The man had his abdomen treated 6 times in two weeks.  His weight was down over 16 lbs., and he lost 5 inches around his upper abdomen and 4 inches around his lower abdomen. 

 The woman lost 8 lbs in two weeks. (women have a lower metabolism, and generally don’t have the same results) and lost 9 1/2” total between the waist, hips and thighs.

1:  Low-level laser assisted lipoplasty appearance of fat demonstrated on MRI on abdominal tissue. Am Journal of Cosmetic Surgery.  Vol 18, No3.   2001.  pp131-140

2:  Low-level laser assisted.. Am Journal of Cosmetic Surgery.  Vol 21, No 4. 2004.  pp191-199

3:  Low-level laser therapy as an Non Invasive approach for body contouring.  A randomized, controlled study.  Lasers in Surgery and Medicine.  41:799-809 (2009).

Excess armpit sweating (axillary hyperhidrosis) is a condition that can interfere with daily living and social interactions.  In the past, treatments have included invasive thoracic surgery or painful Botox injections.  There is a new treatment that uses a laser to heat the sweat glands found inside the skin.  This laser treatment can provide relief for many who suffer from this condition. 

A recent description of the laser armpit sweating treatment was published by Dr. Brett Kotlus in the Journal of Cosmetic and Laser Therapy, linked here. The treatment is done under local anesthesia and takes approximately 30 minutes. 

Earlier this month, Dr. Kotlus spoke in Seoul, Korea to a group of plastic surgeons about minimally invasive techniques for eyelid and facial rejuvenation.  Dr. Kotlus uses an approach that tailors the treatment to a patient's specific needs.  For example, certain people would benefit from BOTOX alone, while others may require volume corrections with fillers or fat transfer.  Other cases may require surgical procedures such as fat repositioning or an eyelid lift.  He explains that a combination treatment often works best.  Dual-depth fractional laser resurfacing is the latest wrinkle-eraser on the scene that can also be combined with fillers, BOTOX or Dysport, and surgery. In Asia, there is enormous interest in less-invasive cosmetic procedures. 

Dr. Kotlus also lectured at the American Academy of Facial Plastic and Reconstructive Surgery fall meeting in Boston last week, describing how intense pulsed light and photodynamic therapy can benefit people experiencing facial redness, brown spots, sun damage, large pores, and pre-cancerous spots. Along with Florida cosmetic surgeon John Martin M.D., Dr. Kotlus shared his experience with photofacial treatments, particularly in those who have already undergone facial plastic surgery.