Abstract

Introduction: In Brazil, the use of subdermal laser technique is routinely associated with the use of anesthetics, mainly lidocaine used undiluted or in the form of Klein's tumescent solution. In our clinical practice, we chose to carry out most of the clinical care without using anesthetic substances, ensuring safety, relative comfort and excellent clinical results.

Objective: To describe the authors' clinical experience regarding the use of endolaser in Brazil for treating aesthetic conditions without the use of anesthetics.

Material and methods: This study is characterized by exploratory research presented through a narrative review, to highlight the foundations and criteria for the treatment of aesthetic dysfunctions using endolaser technique without the use of anesthetics. In addition to the bibliographical review, data relating to the authors' clinical experience using this technique were added to this study.

Results: We identified that using endolaser with low powers, pulsed mode with T.On of 50 ms and T.Off of 50 ms, controlled local energy accumulation, monitoring skin temperature by thermographic imaging and associating it with the tolerance and discomfort reported by the patient during treatment, makes the use of the endolaser without anesthetics viable and safe.

Conclusion: We concluded that using endolaser without anesthetics for treating aesthetic dysfunctions is viable, safe and effective, but requires attention to the use of lower dosimetric power and energy levels, and also to monitoring skin temperature during the procedure.

Keywords

  • endolaser
  • endolift
  • anesthetic
  • lidocaine
  • Klein's solution.