September 27, 2021 4:22 am

Update on Noninvasive Body Contouring Techniques

Utis. 2018 April;one hundred and one(four):285-288  thai massage & cupping

Utis. 2018 April;one hundred and one(four):285-288
By Alexandra K. Rzepecki, BA Aaron S. Farberg, MD Peter W. Hashim, MD Gary Goldenberg, MD
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Noninvasive body contouring is the quickest growing area of beauty dermatology. It includes using specific era to optimize the definition, smoothness, and shape of the human body in a safe and effective way. There are presently 4 leading modalities used for noninvasive frame contouring: cryolipolysis, radiofrequency, high-depth targeted ultrasound, and laser therapy. This article offers a top level view of every modality.

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PRACTICE POINTS

There currently are four main modalities used for noninvasive frame contouring: cryolipolysis, radiofrequency, excessive-intensity targeted ultrasound, and laser remedy.
Devices utilising those 4 modalities were located to be safe and powerful in reducing subcutaneous fat tissue and improving pores and skin laxity.
Dermatologists utilizing body contouring remedies need to be acquainted with available devices to decide which remedy is appropriate for each affected person.
In nowadays’s society there is a ubiquitous pressure to shed pounds, lessen fat, and rejuvenate the skin that stems now not simplest from pix of idealized bodies within the media but additionally from our developing information of the unfavorable consequences of obesity. Along with diet and exercising, it has become popular to use noninvasive gadgets to gain these desires through body contouring—the optimization of the definition, smoothness, and form of the human physique.1 In fact, body contouring currently is the fastest-growing region of cosmetic dermatology.2

RELATED
Regenerative Medicine in Cosmetic Dermatology
Previously, body contouring typically worried invasive strategies (eg, liposuction) which can be related to numerous adverse effects, financial expenses, and lengthy downtime.3 More recently, a growing demand for more secure and much less painful methods for adipose tissue discount and skin tightening have brought about the development of numerous novel modalities for noninvasive body contouring. Although the results performed the usage of those new technology can be much less dramatic than invasive techniques and are not immediately, they do not bring the dangers and adverse effects which are related to surgical tactics and consequently are increasingly requested through beauty sufferers.Four,five New noninvasive techniques normally target the physical houses of fat, ensuing in an efflux of triglycerides from fats cells, inflicting either decreased size, necrosis, or apoptosis of adipocytes.Three,6 Of these modalities, bloodless-induced adipocyte apoptosis has been commercially available the longest and has been the maximum researched; however, different noninvasive frame contouring techniques were more and more explored by means of researchers for the reason that first reports of human adipose tissue explants exhibiting capabilities of apoptosis after heat harm have become to be had.7,eight

There presently are 4 main modalities used for noninvasive frame contouring: cryolipolysis, radiofrequency (RF), high-depth focused ultrasound (HIFU), and laser remedy (Table). Although no system has yet been time-honored because the gold preferred, investigators are working to determine which method is the most effective.Nine In this article, we provide a top level view of these techniques to assist dermatologists choose suitable modalities for their beauty patients.

Cryolipolysis
Cryolipolysis is precise in that it employs the principle that lipid-rich adipocytes are greater prone to freezing than surrounding water-wealthy cells, allowing selective apoptosis whilst preserving the adjoining systems. As macrophages digest the apoptotic adipocytes, patients experience a decrease in subcutaneous fat quantity over the following 2 to three months.10-13 Cryolipolysis has been gaining recognition for the reason that 2010, when it changed into first accepted by america Food and Drug Administration (FDA) for fats discount in the flank areas; it turned into later accredited for the abdomen in 2012, thighs in 2014, and submental area in 2015.14 Most these days, cryolipolysis become authorized for fat discount in the arms, lower back, and buttocks in 2016.

The maximum famous cryolipolysis tool applies suction to the treatment area and vacuums the tissue between 2 cooling panels for 30 to 60 minutes.Nine Clinical studies investigating the safety and efficacy of cryolipolysis have mentioned a high diploma of affected person satisfaction with the system and best minimum facet effects.Four,6,15,16 Common complications of cryolipolysis include erythema, swelling, and sensitivity at the remedy website online accompanied by using a lesser prevalence of pain, tingling, and bruising, all of which usually clear up within a few weeks of remedy.6 With the elimination of adipocytes, there was concern concerning elevations in blood lipid levels and liver enzymes; however, these laboratory values were pronounced to stay inside ordinary limits throughout and after cryolipolysis.17,18 Of notice, sufferers should be cautioned of the danger of paradoxical adipose hyperplasia, an extraordinary side effect of cryolipolysis in which a massive, demarcated, soft fat mass develops on the remedy site 2 to 3 months after remedy, with an anticipated occurrence of one in 20,000.19 However, the occurrence of paradoxical adipose hyperplasia may be underestimated, as a single exercise said an incidence of zero.47% in 422 cryolipolysis treatments.20 This complication has now not been related to any of the heat-brought on fats discount modalities.

Cryolipolysis has been observed to be secure for all pores and skin sorts with out a mentioned pigmentary adjustments.16 It must no longer be done in sufferers with cold-caused situations (eg, cryoglobulinemia, cold urticaria) or in people with excessive varicose veins or atopic dermatitis.21,22 Patients benefitting most from this procedure are those who require only small or slight amounts of adipose tissue and cellulite elimination with separate fats bulges.12,17 Interestingly, cryolipolysis additionally has been used off label to treat pseudogynecomastia in male sufferers.23

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Copyright © 2021 Frontline Medical Communications Inc., Parsippany, NJ, USA. All rights reserved. Unauthorized use prohibited. The information supplied is for instructional functions most effective. Use of this Web site is challenge to the clinical disclaimer.

By Alexandra K. Rzepecki, BA Aaron S. Farberg, MD Peter W. Hashim, MD Gary Goldenberg, MD
Author and Disclosure Information

Noninvasive body contouring is the quickest growing area of beauty dermatology. It includes using specific era to optimize the definition, smoothness, and shape of the human body in a safe and effective way. There are presently 4 leading modalities used for noninvasive frame contouring: cryolipolysis, radiofrequency, high-depth targeted ultrasound, and laser therapy. This article offers a top level view of every modality.

PDF DOWNLOAD
PRACTICE POINTS

There currently are four main modalities used for noninvasive frame contouring: cryolipolysis, radiofrequency, excessive-intensity targeted ultrasound, and laser remedy.
Devices utilising those 4 modalities were located to be safe and powerful in reducing subcutaneous fat tissue and improving pores and skin laxity.
Dermatologists utilizing body contouring remedies need to be acquainted with available devices to decide which remedy is appropriate for each affected person.
In nowadays’s society there is a ubiquitous pressure to shed pounds, lessen fat, and rejuvenate the skin that stems now not simplest from pix of idealized bodies within the media but additionally from our developing information of the unfavorable consequences of obesity. Along with diet and exercising, it has become popular to use noninvasive gadgets to gain these desires through body contouring—the optimization of the definition, smoothness, and form of the human physique.1 In fact, body contouring currently is the fastest-growing region of cosmetic dermatology.2

RELATED
Regenerative Medicine in Cosmetic Dermatology
Previously, body contouring typically worried invasive strategies (eg, liposuction) which can be related to numerous adverse effects, financial expenses, and lengthy downtime.3 More recently, a growing demand for more secure and much less painful methods for adipose tissue discount and skin tightening have brought about the development of numerous novel modalities for noninvasive body contouring. Although the results performed the usage of those new technology can be much less dramatic than invasive techniques and are not immediately, they do not bring the dangers and adverse effects which are related to surgical tactics and consequently are increasingly requested through beauty sufferers.Four,five New noninvasive techniques normally target the physical houses of fat, ensuing in an efflux of triglycerides from fats cells, inflicting either decreased size, necrosis, or apoptosis of adipocytes.Three,6 Of these modalities, bloodless-induced adipocyte apoptosis has been commercially available the longest and has been the maximum researched; however, different noninvasive frame contouring techniques were more and more explored by means of researchers for the reason that first reports of human adipose tissue explants exhibiting capabilities of apoptosis after heat harm have become to be had.7,eight

There presently are 4 main modalities used for noninvasive frame contouring: cryolipolysis, radiofrequency (RF), high-depth focused ultrasound (HIFU), and laser remedy (Table). Although no system has yet been time-honored because the gold preferred, investigators are working to determine which method is the most effective.Nine In this article, we provide a top level view of these techniques to assist dermatologists choose suitable modalities for their beauty patients.

Cryolipolysis
Cryolipolysis is precise in that it employs the principle that lipid-rich adipocytes are greater prone to freezing than surrounding water-wealthy cells, allowing selective apoptosis whilst preserving the adjoining systems. As macrophages digest the apoptotic adipocytes, patients experience a decrease in subcutaneous fat quantity over the following 2 to three months.10-13 Cryolipolysis has been gaining recognition for the reason that 2010, when it changed into first accepted by america Food and Drug Administration (FDA) for fats discount in the flank areas; it turned into later accredited for the abdomen in 2012, thighs in 2014, and submental area in 2015.14 Most these days, cryolipolysis become authorized for fat discount in the arms, lower back, and buttocks in 2016.

The maximum famous cryolipolysis tool applies suction to the treatment area and vacuums the tissue between 2 cooling panels for 30 to 60 minutes.Nine Clinical studies investigating the safety and efficacy of cryolipolysis have mentioned a high diploma of affected person satisfaction with the system and best minimum facet effects.Four,6,15,16 Common complications of cryolipolysis include erythema, swelling, and sensitivity at the remedy website online accompanied by using a lesser prevalence of pain, tingling, and bruising, all of which usually clear up within a few weeks of remedy.6 With the elimination of adipocytes, there was concern concerning elevations in blood lipid levels and liver enzymes; however, these laboratory values were pronounced to stay inside ordinary limits throughout and after cryolipolysis.17,18 Of notice, sufferers should be cautioned of the danger of paradoxical adipose hyperplasia, an extraordinary side effect of cryolipolysis in which a massive, demarcated, soft fat mass develops on the remedy site 2 to 3 months after remedy, with an anticipated occurrence of one in 20,000.19 However, the occurrence of paradoxical adipose hyperplasia may be underestimated, as a single exercise said an incidence of zero.47% in 422 cryolipolysis treatments.20 This complication has now not been related to any of the heat-brought on fats discount modalities.

Cryolipolysis has been observed to be secure for all pores and skin sorts with out a mentioned pigmentary adjustments.16 It must no longer be done in sufferers with cold-caused situations (eg, cryoglobulinemia, cold urticaria) or in people with excessive varicose veins or atopic dermatitis.21,22 Patients benefitting most from this procedure are those who require only small or slight amounts of adipose tissue and cellulite elimination with separate fats bulges.12,17 Interestingly, cryolipolysis additionally has been used off label to treat pseudogynecomastia in male sufferers.23

To keep analyzing this text …

Log In
or

Register for Free

Join the pinnacle clinical aid for physicians today. Free membership!

Pages123
References
NEXT ARTICLE:
Microneedling stepped forward zits scars in small look at of patients with darker skin
AESTHETIC DERMATOLOGY
THIS PUBLICATION
About Us
Advertise
Contact Us
Corporate Management
Customer Service
Editorial Advisory Board
Editorial Staff
Information for Authors
Subscribe to Cutis
Subscribe to Dermatology News
Facebook
Instagram
Twitter
SPECIALTY FOCUS
Acne
Actinic Keratosis
Atopic Dermatitis
Psoriasis
TOP SECTIONS
Aesthetic Dermatology
Commentary
Dermpath Diagnosis
For Residents
Law & Medicine
Make the Diagnosis
Photo Challenge
Product Review
HIGHLIGHTED FROM THIS SITE AND NETWORK
Contact MD-IQ
Contact ClinicalEdge
MedJob Network
PTMG
Privacy Policy

Do Not Sell My Personal Information

Terms of Use

Editorial Policy

Cookie Policy

Ad Policy

Medscape Customer Support

Frequently Asked Questions

 

Advertise with MDedge

See greater with MDedge! See our Other Publications

MDedge: Keeping You Informed. Saving You Time.

Copyright © 2021 Frontline Medical Communications Inc., Parsippany, NJ, USA. All rights reserved. Unauthorized use prohibited. The information supplied is for instructional functions most effective. Use of this Web site is challenge to the clinical disclaimer.

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