The effectiveness of anticellulite treatment using tripolar radiofrequency monitored by classic and high‐frequency ultrasound

Mlosek, Robert Krzysztof; Woźniak, W; Malinowska, Sylwia; Lewandowski, Marcin; Nowicki, Andrzej

doi:10.1111/j.1468-3083.2011.04148.x

Cited by 35 publications

(41 citation statements)

References 21 publications

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“…Not all studies contained information on how long the tempera- to the intensities used, but these vary with the patient's feedback and with the equipment used. 3,4,15,16,18,[20][21][22] As for the total number of sessions, they ranged from 1 to 36, this being an estimate (article refers to home application 2-3 times a week for 3 months). As for the interval between sessions, two articles refer to a 2-week interval and eight articles refer to a 1-week interval.…”

Section: Resultsmentioning

confidence: 99%

Effects of radiofrequency on adipose tissue: A systematic review with meta‐analysis

Vale

Pereira

Morais

et al. 2018

J of Cosmetic Dermatology

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Section: Resultsmentioning

confidence: 99%

Effects of radiofrequency on adipose tissue: A systematic review with meta‐analysis

Vale

Pereira

Morais

et al. 2018

J of Cosmetic Dermatology

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“…Subcutaneous tissue thickness is a more simple parameter that may be assessed by classical US and has shown correlation with the grade of cellulite [46] and its decrease occurred together with clinical improvement in other studies [52,53]. We believe that those parameters may be useful in future cellulite studies but should not be used alone.…”

Section: Psoriasismentioning

confidence: 94%

“…Besides, other studies have found no correlation between dermis thickness and cellulite severity [46] or cellulite improvement [49]. Even so, some treatments have been suggested to be affective based on skin thickness reduction and increased echogenicity [51,52], but without significant correlation between patients satisfaction grade or clinical evaluation in one of them [51]. Regarding dermal echogenicity, a study has detected a grade effect with a marked decreased echogenicity of the superficial and deep dermis in more severe cellulite skin especially from the age of 30 [46].…”

Section: Cellulitementioning

confidence: 98%

“…This result suggests that subcutaneous thickness may be an interesting parameter to be evaluated in cellulite trials. Indeed, some studies have demonstrated a correlation between a decrease in this feature and clinical improvement [52,53] and also a correlation with the grade of cellulite [46]. For the subcutaneous tissue thickness measurement, the classical US seems more proper because of its higher penetration depth [52].…”

Section: Cellulitementioning

confidence: 98%

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Ultrasound and dermatology: basic principles and main applications in dermatologic research

Bagatin

Caetano

Soares

2013

Expert Review of Dermatology

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Ultrasound imaging has been increasingly used in dermatologic research over the past four decades. This paper aims to review its use as a disease severity and treatment efficacy assessment tool, with emphasis on the past five years. Quantitative parameters such as skin thickness, overall echogenicity, echogenicity distribution, dermal-subcutaneous interface length or area are used. The authors review skin aging, cellulite, striae, fillers, scleroderma, hypertrophic scar, wounds and psoriasis studies, and discuss correlation between sonographic findings and clinical assessment and/or validated scores. Data are still insufficient to support ultrasound imaging use as an unique efficacy assessment method in a trial, but favor that it is a valuable adjuvant assessment tool that brings objectiveness to subjective clinical assessment. Further studies and technology improvement will expand its applications in dermatology. KEYWORDS: dermatology • lipodystrophy • localized scleroderma • psoriasis • scars • skin aging • systemic scleroderma • ultrasonography • ultrasound biomicroscopy • wound healingUltrasonography has been used in medicine for more than 50 years and is one of the most frequently applied diagnostic tools. It is a noninvasive and non-ionizing method with a relatively low cost when compared with computed tomography and scintigraphic scanning techniques [1]. Alexander and Miller were the pioneers in the use of ultrasound (US) in dermatology since 1979 [2]. They demonstrated a15 MHz one-dimensional (A-scan) US equipment that measured the skin thickness with similar accuracy to the radiological techniquethe most accurate non-invasive method so far. Three years later its reproducibility and validation was shown, although the skin thickness determined in vitro was found to be greater than when in vivo determinations were made, probably due to the release of in vivo tension within the dermis [3].The 20 MHz bidimensional (B-scan) US units were first available in the 1980s, thanks to the emergence of mechanical transducers that enabled the cross-sectional imaging of the skin [4]. From then on, studies have evaluated its application in a range of skin conditions with different aims: disease severity and treatment response evaluation, adjunct diagnostic tool, tumor dimensions assessment and other uses. This paper reviews the state of art of US imaging in dermatologic research, focusing on its role as a disease severity and/or treatment efficacy assessment tool, with emphasis on the most frequently reported applications over the past five years. The use of US as a diagnostic tool or for tumor dimension assessment is not discussed here. ConceptsUS is a mechanically propagated wave with frequency above 20 kHz -the upper frequency limit of human hearing [5]. US transducers are made out of piezoelectric materials that generate acoustic energy when a voltage is applied to them. The US beam is transferred as a pulse from the transducer to the adjacent fluid or tissue and propagates as a wave, which can be reflected or refract...

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“…1064 nm Nd:YAG laser appear to improve mild to moderate cellulite also [23]. Radiofrequency is able to reduce cellulite in a randomized trial [24]. A combination of radial ESWT and cryolipolysis has been included in this metanalysis showing a substantial fat thickness reduction of 3 cm and a circumference reduction by 4.5 cm in a cohort trial from Italy [25].…”

Section: Combination Therapymentioning

confidence: 96%

Extracorporeal shock wave therapy (ESWT) for the treatment of cellulite – A current metaanalysis

Knobloch¹,

Kraemer²

2015

International Journal of Surgery

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This metanalysis identified eleven published clinical studies on ESWT in cellulite with five randomized-controlled trials among them. There is growing evidence that both, radial as well as focused ESWT and the combination of both are able to improve the degree of cellulite. Typically, six to eight treatments once or twice a week have been studied. Long-term follow-up data beyond one year are lacking as well as details on potential combination therapies in cellulite such as with low level laser therapy (LLLT), cryolipolysis and others.

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The effectiveness of anticellulite treatment using tripolar radiofrequency monitored by classic and high‐frequency ultrasound

Abstract: Radiofrequency enables cellulite reduction. A crucial aspect is proper monitoring of the progress of such therapy, which ultrasound allows.

Cited by 35 publications

References 21 publications

Effects of radiofrequency on adipose tissue: A systematic review with meta‐analysis

Effects of radiofrequency on adipose tissue: A systematic review with meta‐analysis

Ultrasound and dermatology: basic principles and main applications in dermatologic research

Extracorporeal shock wave therapy (ESWT) for the treatment of cellulite – A current metaanalysis

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