Clinical evaluation of simultaneously applied monopolar radiofrequency and targeted pressure energy as a new method for noninvasive treatment of cellulite in postpubertal women

Fritz, Klaus; Sălăvăstru, Carmen; Gyurova, Magdalina

doi:10.1111/jocd.12525

Cited by 15 publications

(22 citation statements)

References 24 publications

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“…7 Treatments of cellulite aim to reduce skin laxity, improve the blood/lymphatic circulation and the metabolic rate, diminish the subdermal fat, and increase the density of connective tissue. 2,3,[8][9][10][11] In general, these changes are induced either by heating or mechanical stimulation of dermis and the underlying fat layer. Various noninvasive technologies such as ultrasound, laser, pressure waves, and radiofrequency (RF) are used to improve the appearance of the skin by inducing effects such as fat lipolysis/reduction, neocollagenesis, neoelastinogenesis, and neoangiogenesis.…”

Section: Introductionmentioning

confidence: 99%

“…Treatments of cellulite aim to reduce skin laxity, improve the blood/lymphatic circulation and the metabolic rate, diminish the subdermal fat, and increase the density of connective tissue . In general, these changes are induced either by heating or mechanical stimulation of dermis and the underlying fat layer.…”

Section: Introductionmentioning

confidence: 99%

“…Despite different mechanisms of action, RF‐induced heating of dermal and subdermal tissues and pressure energy have similar effects. It was recently reported that monopolar radiofrequency simultaneously applied with targeted pressure energy (TPE) is a viable new method for noninvasive treatment of cellulite and skin laxity in postpubertal women . While the RF field heats the dermal and subdermal tissues to primarily achieve remodeling of loose connective fibers and fat reduction, the TPE applies pressure to the treated area and, besides the connective tissue remodeling, it increases local metabolism and lymphatic drainage.…”

Section: Introductionmentioning

confidence: 99%

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Histological examination of skin tissue in the porcine animal model after simultaneous and consecutive application of monopolar radiofrequency and targeted pressure energy

Kinney

Kanakov

Yonkova

2019

J of Cosmetic Dermatology

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Background: The cosmetic appearance of skin is substantially influenced by the organization of connective fibers and underlying subcutaneous tissue. It has been previously documented that radiofrequency and pressure energies alone are able to improve skin appearance; however, detailed histological evaluation should be done to determine their synergistic effect. Aims: This histological study investigates the difference between simultaneous and consecutive application of monopolar radiofrequency with targeted pressure energy on porcine skin. Methods: In a total of four weekly abdominal treatments, simultaneous emission of the energies was applied to two pigs (12 minutes per session); additionally, two pigs were treated consecutively (12 + 12 minutes per session). The 5th pig served as a control subject. Biopsies were obtained at baseline, after the 4th treatment, and at 1-month follow-up. Primary outcomes were to document changes of dermal and hypodermal tissues. Results: In the treated subjects, the amount of collagen and elastin fibers increased significantly (P < .001). At follow-up, simultaneous application showed a significantly higher increase in collagen and elastin fibers (by 59% and 64%, respectively), when compared to consecutive. Thickness of the dermis increased more in the pigs treated simultaneously (+848.8 µm/50.17%; P < .001). Treated tissue also showed the upper part of dermis to be rich in blood vessels and better organized interlobular septa in hypodermis. No significant change was observed in the control subject. Conclusion: Simultaneous application produces significantly more profound changes, when compared to consecutive treatment. Further research is needed but our findings represent a new potential treatment of various skin conditions like cellulite or laxity. K E Y W O R D S collagen, dermis, elastin, radiofrequency, targeted pressure energy This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Histological examination of skin tissue in the porcine animal model after simultaneous and consecutive application of monopolar radiofrequency and targeted pressure energy

Kinney

Kanakov

Yonkova

2019

J of Cosmetic Dermatology

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“…The safety and efficacy of RF has been demonstrated in numerous animal and clinical trials. 1 , 8 – 10 , 12 , 27 , 28 However, to our knowledge, objective assessment of perfusion and lymphatic function of soft tissue have not been performed in aesthetic applications of RF. In the authors’ cumulative experience with RF, there have been infrequent complications related to burns or prolonged swelling/seromas indicative of perfusion or lymphatic compromise (1%–3%).…”

Section: Discussionmentioning

confidence: 99%

Aesthetic Applications of Radiofrequency: Lymphatic and Perfusion Assessment

Dayan

Theodorou²,

Rohrich

2020

Plastic and Reconstructive Surgery - Global Open

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Background: The use of radiofrequency in aesthetics has increased in popularity since the early 2000s. To date, there have been limited studies investigating the effect of thermal energy secondary to radiofrequency treatment. The purpose of this study was to evaluate perfusion and lymphatic assessment tools pre and post bipolar and fractional radiofrequency treatment. Methods: A retrospective IRB-approved study was conducted between January 2019 and April 2019. Patients who were independently deemed appropriate candidates for radiofrequency soft tissue remodeling were evaluated. Diagnostic perfusion and lymphatic imaging obtained were reviewed using indocyanine green (SPY, Stryker) and optical coherence tomography (Vivosight OCT). Results: A total of 63 patients were treated during the study period, of which 37 had diagnostic perfusion and lymphatic imaging. Average patient age was 47 (STD 12), 95% (35/37) of patients were women, and no patients were active smokers. In total, 27% (10/37) of patients were post-surgical patients with recurrent laxity, 32% (12/37) did not have enough skin laxity to justify traditional excisions procedures, and 41% (15/37) may have been candidates for excisional procedures but were willing to accept more moderate results to avoid excisions surgery. Indocyanine green perfusion and lymphatic assessment for bipolar and fractional radiofrequency, as well as optical coherence tomography pre and post radiofrequency, did not show compromise from thermal injury. Conclusions: This study supports safety of radiofrequency in terms of preservation of tissue perfusion and lymphatic drainage. This correlated to our low clinical incidence of burns, prolonged swelling, or tissue ischemia.

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“…Estudos mostram que os tratamentos com a RF é uma técnica eficaz que melhora a flacidez e a elasticidade da pele, promove a contração dos septos de tecido adiposo, e assim contribui para um melhor aspecto do FEG (TAVARES et al, 2016, FABRIZZIO et al, 2017,SARTORI, 2017,FRITZ,SALAVASTRU, GYUROVA, 2018.…”

Section: Introductionunclassified

A Utilização da Radiofrequência no Tratamento Fibro Edema Gelóide: Uma Revisão de Literatura

Souza

Morais

Sousa³

et al. 2018

IDonline

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Resumo: Objetivo: revisar a literatura sobre a eficácia da radiofrequência no tratamento do fibroedema gelóide. Metodologia: trata-se de uma revisão bibliográfica mediante a busca de artigos científicos nas plataformas Scielo e PubMed, publicados entre os anos de 2008 a 2018. Como descritores utilizou-se em inglês: "treatment" and "esthetic" or "treatmentradiofrequency" and "radiofrequencyand celulite"e o marcador boleano and.E em português: fisioterapia, celulite e radiação eletromagnética. Após aplicar filtros de pesquisa e os critérios de inclusão foram selecionados os artigos que serviram de base para a realização deste estudo. Resultados: Foram encontrados seis artigos nos meses de abril e maio, os quais foram organizados em um quadro. A literatura evidenciou eficácia da utilização da radiofrequência e melhora significativa do aspecto do fibro edema gelóide. Considerações Finais: A utilização de radiofrequência mostra-se eficaz e uma técnica promissora na terapêutica do fibro edema gelóide.Palavras-chave: Estética. Tratamento. Celulite. Fisioterapia. Radiação Eletromagnética. The use of Radiofrequency in the Treatment of Cellulitis:A Literature Review Abstract: Objective: Review the literature about the efficiency of the radiofrequency on treatment the cellulitis. Methodology: it is a bibliographical review through the search of scientific articles on the platforms Scielo and PubMed, published between the years of 2008 to 2018. As descriptors has been used English: "treatment" and "esthetic" or "treatment radio frequency" and "radiofrequencyand cellulite "And the Boolean marker and.E in Portuguese: physiotherapy, cellulite and electromagnetic radiation. After applying search filters and the inclusion criteria, the articles that served as basis for the study were selected. Results: It was found six articles collected during the months April and May, which were organized in a framework. The literature evidenced the efficiency of the usage of the radiofrequency and significant improvement in the aspect of the cellulitis. Final Considerations:The usage of the radiofrequency shows efficiency and it is a promising technique in the therapy of the cellulitis.

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Clinical evaluation of simultaneously applied monopolar radiofrequency and targeted pressure energy as a new method for noninvasive treatment of cellulite in postpubertal women

Cited by 15 publications

References 24 publications

Histological examination of skin tissue in the porcine animal model after simultaneous and consecutive application of monopolar radiofrequency and targeted pressure energy

Histological examination of skin tissue in the porcine animal model after simultaneous and consecutive application of monopolar radiofrequency and targeted pressure energy

Aesthetic Applications of Radiofrequency: Lymphatic and Perfusion Assessment

A Utilização da Radiofrequência no Tratamento Fibro Edema Gelóide: Uma Revisão de Literatura

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