IntroductionTo evaluate the effects of shock wave therapy on the fibrous septa of cellulite in Brazilian womenMethodsThe sample consisted of 20 women with gluteal cellulite (grade III) evaluated through protocols and ultrasound examinations before and after treatment. The volunteers were randomly distributed into treatment group (TG) and control group (CG). TG received shock wave therapy, while CG volunteers received vibratory massage. The shock wave parameters were: intensity of 3.5 bar, frequency of 21 Hz, and 1500 pulses per application. Both groups underwent 6 treatment sessions, 1 per week, of 30 minutes each.ResultsData were analysed by the SPSS software, with a significance level of 5% and a 95% confidence interval. TG presented a significant reduction of septa in the right gluteus (<i>p</i> = 0.001) and left gluteus (<i>p</i> = 0.000). Only the right gluteus revealed fat layer reduction (<i>p</i> = 0.043). There was no reduction in CG for these variables (<i>p</i> > 0.05). In the intergroup comparison, only the septum thickness measurement of the left gluteus showed some reduction, generating a significant value (<i>p</i> = 0.008). Although no change in the other variables was observed in any of the groups (<i>p</i> > 0.05), the participants reported improvement in quality of life.ConclusionsThe shock wave protocol applied in this study significantly reduced the fat layer and cellulite septa.

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Background: A new technology called Tecar therapy, widely used in the orthopaedic area, has been studied in aesthetics in order to treat skin flaccidity. The equipment allows the association of radiofrequency with manual therapy. This study is an experimental research that aims to analyse the effects of the Tecar therapy associated with manual therapy on skin flaccidity of the gluteal region. Methods:Volunteers were individuals aged between 21 and 54, who presented skin flaccidity in the gluteal region. The sessions/applicationsoccurred once a week, totalling four applications with the TR THERAPY ELITE-6000 BTLTMdevice pre-set underthe following parameters: 500 KHz frequency, 100% duty cycle and 80% power, capacitive mode, in an area corresponding to twelve quarters measuring 7 cm² each, during60 minutes. Results:The evaluations were carried out in all the sessionsand included metric verification, photographic recording with subsequent photo submission to the AutoCAD software, and photogrammetric analysis. At the end of treatment, the volunteers answered anadaptedquestionnaire of satisfaction and a global aesthetic improvement scale form (GAIS). The results regarding AutoCAD, metric measurement, and photogrammetry did not present significant statistical differences. Conclusion:Although the statistical results were not satisfactorydespite its limitations regarding sample size,and possiblydue to the subjective analysis of the resources used as the evaluation methods. Still, the volunteers reported improvement in the texture and firmness of the skin in the treated region, indicating their satisfaction with the performed treatment.

Introduction:The pressurized intradermotherapy is a needle-free technology whose function is the release of medicated or cosmetological actives in the skin and the subcutaneous tissue using mechanical force, gaspressure, and shockwaves, allowing the treatment of different aesthetic changes. Objective: To investigate the effects of intradermotherapy with a pressurized injection system in thetreatment of localised abdominal fat in women. Method: The sample consisted of 30 women with localized adiposity in the abdominal region, evaluated before and after treatment through evaluation protocols and ultrasound examinations. The volunteers were randomly distributed in to two subgroups: Pressurized intradermotherapy group (G01), to which were an adipolytic substance, a combination of different drugs, was applied, and the control group (CG), which received an injectable saline solution only. Both groups underwent four biweekly treatment sessions. Results: The fat layer analysis 60 days after the initial application showed a significant reduction of the measurements in the comparison between groups G01 and GC; the plicometry showed a significant difference on the right side (p = 0.04) and the left side (p = 0.04); in the supraumbilical (p = 0.001) and infra umbilical (p = 0.03) perimetries. Two months after the beginning of treatment, the ultrasound examination two showed a significant reduction on the sides: right (p = 0.03) and left (p = 0.03); however, no differences in weight were found (p>0.05). Conclusion:The treated group presented a significant fat layer reduction after the treatment with the pressurised intradermotherapy protocol, with better results after the fourth application.

Introduction: Microneedling has been used to treat different human connective tissue disorders, promoting an increase in the permeation of active ingredients, to favour local vascularization and collagen production. Objective: To investigate the effects of microneedling associated with the permeation of cosmetological actives (drug delivery) on facial rejuvenation. Method: This was a controlled clinical trial, in which 30 volunteers with facial aging were recruited and distributed into 2 groups. G1 was treated with microneedling with associated saline and G2 received microneedling with associated drug delivery (with growth factors) in the entire facial region (full face). Both groups received two treatment sessions with an interval of 30 days between them. For result evaluation, photos were clinically analysed before and after the interventions, the facial symmetry was verified through the measurement of angles and measurement of the facial region, and a histological analysis of the eyelid region of two patients who underwent surgery blepharoplasty was carried out. Results: Both groups presented satisfactory clinical results in the photographs’ visual analysis. In the evaluation of facial symmetry, G2 showed an improvement in the measurements of the paralateronasal L-projection, nasolabial F-crease, right and left lateral palpebral crease, with p<0.01. In the histological analysis, G2 showed higher collagen and elastin increase than G1, with greater predominance of better-quality collagen (type I) when drug delivery was performed. Conclusion: The association of microneedling with growth factors promotes a greater production of collagen fibres and connective tissue reorganization, compared to microneedling with no cosmetological assets.