1. What is Zerona?
Zerona is a patented low-level laser system specifically designed to contour the body by losing inches in circumference off specific body areas (arms, waist, hips, thighs) without any pain, downtime, needles or surgery.
2. What is the action mechanism behind Zerona?
The 635 nm wavelength of the Zerona is specifically absorbed by the mitochondria (the cell’s energy generator), temporarily weakening the structure of the cell membrane. This creates a temporary opening allowing for the fat contents to seep out from the fat cell into the interstitial pace from where it is processed by the lymphatic system.
3. Can all patients benefit?
To maximize the chances of every patient responding as significantly or better, four things are important to consider:
- The general health of the patient. As a rule, do not treat sick patients. Wait until their condition has improved.
- Hydration is critical. Make sure your patient drinks plenty of water (ideally at least 8 glasses of 8 oz of water) spread out throughout the day. Diuretics (coffee, alcohol, etc) should be discouraged.
- The lymphatic system should be mobilized. The patient should be encouraged to be active and walk for 30 minutes every day.
- Curva is a proprietary blend of supplements designed to assist the body in processing the liberated fat. Curva should be taken twice daily with meals.
4. What areas of the body can I treat?
Essentially all parts of the body where subcutaneous deposits of fat can be found may be treated with Zerona, especially those resistant to diet and exercise. Most patients start with treating their arms, waist, hips and thighs as these can be treated simultaneously with the 5 lasers of Zerona.
5. Once liberated, what happens to the fat?
Once liberated, triglycerides are absorbed by the lymphatic system where they are transported to lymph nodes. Macrophages (immune cells) release liposomal acid lipases (LAL) which break down the triglycerides into free fatty acids and glycerol. These are then small enough to enter the blood stream. Once in the blood stream, several things may occur:
- Some of the free fatty acids are readily available to be used as fuel by the body.
- What does not get consumed as energy will get to the liver where it will either be oxidized or re‐processed for storage. More research is underway to determine exactly how much gets oxidized versus re‐stored, but clinical evidence suggests that fat does indeed get oxidized (no visible or measurable redistribution of fat, either in the treated areas or at the systemic points).
6. What happens to cholesterol and triglyceride levels post Zerona?
A study was performed using Zerona to check cholesterol and triglyceride levels. None of the patients demonstrated a statistically elevation in their triglycerides and cholesterol levels. In fact, a statistically significant reduction in both low density lipids (LDL) and cholesterol levels was observed.
7. Is it safe?
Yes. Zerona works on the principle of photochemistry whereby laser light is used to accelerate naturally occurring processes within cells. The treatment is painless and normal activities can be resumed immediately.
8. When are measurements taken?
Measurements are taken:
- Before the first treatment
- At the end of the 6th treatment
- 1 week after the final treatment
9. When can patients start noticing results?
This depends on how effectively their lymphatic system processes the liberated fat. Age and lifestyle are but a few parameters that may influence the rate of improvement. The ideal patient should begin to notice a difference in how their clothes fit at the time of their 4th treatment.
10. Why does it not work as well on patients with previous liposuction?
Patients with previous liposuction have had their fat cells mechanically removed. Zerona works by emptying fat cells of their content, so Zerona will not be effective with patients that have only a few fat cells left. Liposuction also creates a lot of fibrotic tissue which further hampers results.
11. Why do you need a session every 2 days for a minimum of six treatments?
Clinical research shows that the pore created by the laser only remains open for 24 to 72 hours. To maintain the pore open over a period of time sufficient to get optimal results, treatments every 48 hours are considered optimal. A minimum of 6 treatments are required to keep the pore in the fat cells open long enough for the majority of triglycerides to seep out into the interstitial space.
12. Would more treatments lead to better results?
Yes, additional treatments will lead to improved results. An additional series of Zerona treatments can begin immediately after the first series. We also recommend additional treatments (see the Zerona guarantee) for patients (either because of a sluggish lymphatic system or poor lifestyle choices) that do not respond appropriately to the original series of 6.
13. What is Curva and why should it be used with Zerona?
Curva is a proprietary blend of supplements containing Niacin, L‐carnitine, Omegas 3&6, Ginkgo biloba and Green tea extract. Curva increases blood flow, promotes cell motility and facilitates the breakdown of fat. Curva has been specifically formulated to assist the body in processing the fat liberated by the Zerona treatment.
14. What can I do to optimize my Zerona results?
To optimize results, it is recommended that patients stay optimally hydrated, cut back on diuretics and that they mobilize their lymphatic system through gentle physical activity (daily 30 minute walk or mild exercise). We also recommend that patients wear a compression garment (Spanx or Armour) throughout the process.
15. Why should patients avoid alcohol during the Zerona process?
There are three main reasons why alcohol should be avoided with Zerona:
- Alcohol is a diuretic and it is critical that the body stays optimally hydrated throughout the treatment program.
- Alcohol also contains a lot of calories: a 5‐ounce glass of red wine packs 100 calories! This directly conflicts with the recommendations of the program which calls for a balanced diet and a healthy lifestyle.
- Third and most importantly, alcohol is processed as fat by the liver which directly restricts the body’s ability to process the newly liberated fat. Once liberated by Zerona, the fat that is not used up as energy to fuel the body’s normal metabolic needs fat is processed by the liver using enzymes. The total amount of fat being processed at any given time is limited by the amount of enzymes produced by the liver. Alcohol is processed as fat by the liver using the same enzymes. So, when the liver is busy processing alcohol, it is not able to process the fat liberated by Zerona. Hence more time/treatments are required to achieve results.
16. Is Zerona effective in treating obese patients?
Yes. However, many centers treating obesity will combine Zerona with a program of weight loss and exercise. Zerona will not significantly address their excess weight but will provide a circumferential reduction to the treated areas in a relatively (4 weeks) period of time. The significant improvement in body shape over a short period of time is used to motivate patients to comply with their diet and exercise program. Most physicians combining Zerona with a weight loss program prescribe 2 series of 6 treatments back to back (12 treatments total).
17. How does Zerona compare with other body slimming technologies?
Zerona is the only technology that has been clinically validated in peer-reviewed journals. Zerona is the only truly non-invasive device that safely achieves significant results over a short period of time.
18. Is there a risk of fat embolism?
No. Fatty embolism occurs when clumps of fat cells enter the bloodstream after trauma (typically from a long bone fracture). Zerona does not rupture fat cells. With Zerona, triglycerides are first processed by the lymphatic system where they are broken down by lipases into free fatty acid and glycerol before entering the blood stream, so there are no risks of fat embolisms with Zerona.
19. Can treatment begin on a patient who is currently menstruating?
Zerona does not have any effect on menstruation, so this is not a contraindication. However, a majority of women experience water retention during their period, which may negatively affect measurements. We recommend female patients begin their treatment one week after their menstruation cycle.
20. How is it different than liposuction?
Liposuction is an invasive procedure involving the mechanical removal of fat cells. By contrast, Zerona is completely non‐invasive and only affects fat cells temporarily. Zerona does not compete with liposuction; it is simply a body shaping option available to patients who do not wish to undergo a surgical procedure.
21. Can Zerona cause cancer?
No. Zerona uses low levels of light in the visible spectrum (635nm) to stimulate our cells to be more efficient and accelerate the rate of naturally occurring processes. Low-level light therapy has been evaluated for over 40 years and there has never been any indication that it may cause cancer. However, patients with cancer should not be treated. For more information, please refer to our list of contraindications.