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Background: Central obesity or increased intra abdominal fat is associated with a statistically higher risk of heart disease, hypertension, insulin resistance, and diabetes mellitus type 2. Purpose: This study was conducted to investigate and compare the effectiveness of tripollar radiofrequency lipolysis (RF), ultrasound (US) cavitation and their combination on subcutaneous fat thickness and waist circumference (WC) in patients with abdominal adiposity. Subjects: Thirty patients suffering from localized fat deposits at the abdominal area aged from 25-50 years old assigned randomly into three equal groups: Group (A) consisted of 10 patients with mean age and BMI were 38.7±6.63 years and 33.55±1.31 kg/m2 respectively. Group (B) consisted of 10 patients with mean age and BMI were 34.3±7.76 years and 33.57±1.57kg/m2. Group (C) consisted of 10 patients with mean age and BMI were 34.3±7.76 years and 32.99±3.73 kg/m2. Methods: Group (A) received US cavitation (AC 220 Volt. 40 KHz) twice weekly for 10 sessions. Group (B) received tripollar RF (AC 220 Volt .1MHZ. 50 Watts) twice weekly for 10 sessions. Group (C) received combination therapy (both tripollar RF and US cavitation) twice weekly for 10 sessions. Patients in all groups were assessed using ultrasonography and tape measurement before treatment then after treatment after 10 sessions to measure abdominal subcutaneous fat thickness and WC. Results: Showed that there was statistical significant difference between pre and post treatment within each group (A, B and C) for abdominal subcutaneous fat thickness and WC. But there was a non-statistical significant difference among the three groups post treatment. Conclusion: There is no statistical significant difference among tripollar RF, US cavitation and their combination in management of abdominal adiposity.

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