Fig. 3.

Operative technique

(A) Multiple puncture points. Typically, three small punctures were used, but, random selection was possible. Adequate multiple punctures aided the method. Punctures were made with an 18-gauge needle at the anterior, posterior, proximal region, and border of each axilla. (B) Lipolysis was performed using an neodymium: yttrium-aluminum-garnet laser on the axilla. Laser exposures were 300 to 500 J for each square depending on the preoperative evaluation results.