Cellulite and Focused Extracorporeal Shockwave Therapy for Non-Invasive Body Contouring: a Randomized Trial

Knobloch, Karsten; Joest, Beatrice; Kramer, Robert S.; Vogt, Peter M.

doi:10.1007/s13555-013-0039-5

Cited by 43 publications

(49 citation statements)

References 19 publications

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“…In addition, the procedure has been used for curing lesions and wounds. Nowadays, the device is being used for body contouring and treating cellulite (66, 67). …”

Section: Resultsmentioning

confidence: 99%

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Review of the Mechanisms and Effects of Noninvasive Body Contouring Devices on Cellulite and Subcutaneous Fat

Alizadeh

Halabchi

Mazaheri

et al. 2016

Int J Endocrinol Metab

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ContextToday, different kinds of non-invasive body contouring modalities, including cryolipolysis, radiofrequency (RF), low-level laser therapy (LLLT), and high-intensity focused ultrasound (HIFU) are available for reducing the volume of subcutaneous adipose tissue or cellulite. Each procedure has distinct mechanisms for stimulating apoptosis or necrosis adipose tissue. In addition to the mentioned techniques, some investigations are underway for analyzing the efficacy of other techniques such as whole body vibration (WBV) and extracorporeal shockwave therapy (ESWT). In the present review the mechanisms, effects and side effects of the mentioned methods have been discussed. The effect of these devices on cellulite or subcutaneous fat reduction has been assessed.Evidence AcquisitionWe searched pubmed, google scholar and the cochrane databases for systemic reviews, review articles, meta-analysis and randomized clinical trials up to February 2015. The keywords were subcutaneous fat, cellulite, obesity, noninvasive body contouring, cryolipolysis, RF, LLLT, HIFU, ESWT and WBV with full names and abbreviations.ResultsWe included seven reviews and 66 original articles in the present narrative review. Most of them were applied on normal weight or overweight participants (body mass index < 30 kg/m2) in both genders with broad range of ages (18 to 50 years on average). In the original articles, the numbers of included methods were: 10 HIFU, 13 RF, 22 cryolipolysis, 11 LLLT, 5 ESWT and 4 WBV therapies. Six of the articles evaluated combination therapies and seven compared the effects of different devices.ConclusionsSome of the noninvasive body contouring devices in animal and human studies such as cryolipolysis, RF, LLLT and HIFU showed statistical significant effects on body contouring, removing unwanted fat and cellulite in some body areas. However, the clinical effects are mild to moderate, for example 2 - 4 cm circumference reduction as a sign of subcutaneous fat reduction during total treatment sessions. Overall, there is no definitive noninvasive treatment method for cellulite. Additionally, due to the methodological differences in the existing evidence, comparing the techniques is difficult.

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“…In addition, the procedure has been used for curing lesions and wounds. Nowadays, the device is being used for body contouring and treating cellulite (66, 67). …”

Section: Resultsmentioning

confidence: 99%

“…Daily gluteal strength trainings were prescribed for both groups. The results showed significant improvement in skin appearance and cellulite severity scale, but no effect on thigh circumference was reported (67). …”

Section: Resultsmentioning

confidence: 99%

Review of the Mechanisms and Effects of Noninvasive Body Contouring Devices on Cellulite and Subcutaneous Fat

Alizadeh

Halabchi

Mazaheri

et al. 2016

Int J Endocrinol Metab

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“…29,40 Some ESWT devices generate pressure waves that fulfill the characteristics set out by this physical definition of real shock waves, whereas others do not 29,40,41. Among those ESWT devices that do not produce real shock waves is the electromagnetic Duolith ® device (Storz Medical)41 that has recently been introduced into ESWT for cellulite 16. Another device that was used in several studies for treating cellulite is the D-Actor ® 200 (Storz Medical) 15,17,22.…”

Section: Discussionmentioning

confidence: 99%

Predictability of the individual clinical outcome of extracorporeal shock wave therapy for cellulite

Schlaudraff¹,

Kiessling²,

Császár³

et al. 2014

CCID

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BackgroundExtracorporeal shock wave therapy has been successfully introduced for the treatment of cellulite in recent years. However, it is still unknown whether the individual clinical outcome of cellulite treatment with extracorporeal shock wave therapy can be predicted by the patient’s individual cellulite grade at baseline, individual patient age, body mass index (BMI), weight, and/or height.MethodsFourteen Caucasian females with cellulite were enrolled in a prospective, single-center, randomized, open-label Phase II study. The mean (± standard error of the mean) cellulite grade at baseline was 2.5±0.09 and mean BMI was 22.8±1.17. All patients were treated with radial extracorporeal shock waves using the Swiss DolorClast® device (Electro Medical Systems, S.A., Nyon, Switzerland). Patients were treated unilaterally with 2 weekly treatments for 4 weeks on a randomly selected side (left or right), totaling eight treatments on the selected side. Treatment was performed at 3.5–4.0 bar, with 15,000 impulses per session applied at 15 Hz. Impulses were homogeneously distributed over the posterior thigh and buttock area (resulting in 7,500 impulses per area). Treatment success was evaluated after the last treatment and 4 weeks later by clinical examination, photographic documentation, contact thermography, and patient satisfaction questionnaires.ResultsThe mean cellulite grade improved from 2.5±0.09 at baseline to 1.57±0.18 after the last treatment (ie, mean δ-1 was 0.93 cellulite grades) and 1.68±0.16 at follow-up (ie, mean δ-2 was 0.82 cellulite grades). Compared with baseline, no patient’s condition worsened, the treatment was well tolerated, and no unwanted side effects were observed. No statistically significant (ie, P<0.05) correlation was found between individual values for δ-1 and δ-2 and cellulite grade at baseline, BMI, weight, height, or age.ConclusionRadial shock wave therapy is a safe and effective treatment option for cellulite. The individual clinical outcome cannot be predicted by the patient’s individual cellulite grade at baseline, BMI, weight, height, or age.

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“…Several studies have demonstrated improvement in cellulite appearance or grade after 6–8 weekly sessions 42–44…”

Section: Treatment Optionsmentioning

confidence: 99%

Cellulite: a review with a focus on subcision

Friedmann¹,

Vick²,

Mishra³

2017

CCID

108

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Cellulite and Focused Extracorporeal Shockwave Therapy for Non-Invasive Body Contouring: a Randomized Trial

Cited by 43 publications

References 19 publications

Review of the Mechanisms and Effects of Noninvasive Body Contouring Devices on Cellulite and Subcutaneous Fat

Review of the Mechanisms and Effects of Noninvasive Body Contouring Devices on Cellulite and Subcutaneous Fat

Predictability of the individual clinical outcome of extracorporeal shock wave therapy for cellulite

Cellulite: a review with a focus on subcision

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