A novel nonfocused pulsed ultrasound technology for noninvasive circumference reduction.
adipose tissue
body contouring
circumference reduction
ultrasound
Journal
Dermatologic therapy
ISSN: 1529-8019
Titre abrégé: Dermatol Ther
Pays: United States
ID NLM: 9700070
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
received:
18
07
2021
accepted:
04
08
2021
pubmed:
17
8
2021
medline:
3
11
2021
entrez:
16
8
2021
Statut:
ppublish
Résumé
There is a continuously growing demand for circumference reduction and body shaping technologies, with an overwhelming preference for non-invasive, pain-free procedures. This paper presents a novel body contouring device which uses pulsed, vacuum-assisted non-focused ultrasound. To evaluate the clinical safety and efficacy of the vacuum-assisted acoustic wave technology for circumference reduction of the abdominal region. Eighteen healthy women with a body mass index under 25 underwent four 20-min fat reduction treatments in the abdominal region, at 1-week intervals. Efficacy was evaluated by the change in abdominal circumference up to 12 weeks post treatment relative to baseline and by comparison of before and after photos by two blinded evaluators. Subjects rated their satisfaction with the treatment procedure and outcomes. Safety was evaluated by adverse events, local skin reaction, and pain assessments. 1 week after the final session, the mean reductions in abdominal circumference measured 5.4 ± 2.6 cm. At 1 month after the last session, the cumulative reduction in circumference was 5.8 ± 3.2 cm. Measurements take at 3 months after the last treatment showed abdominal circumferences decrease of an average 5.2 ± 3.1 cm relative to baseline measures. All patients reported a painless procedure and there were no treatment-induced severe adverse events. Most patients reported a positive change in body contour, with all subjects saying they would highly recommend the treatment to others. Assessments performed by blinded evaluators ranked six cases as very to extremely improved and an additional seven cases as somewhat improved. No dramatic weight fluctuations were recorded. This study demonstrates that a four-treatment course with an acoustic wave ultrasound applicator with 1-week intervals, leads to a significant reduction in abdominal circumference, lasting up to at least 3 months with no pain or side effects reported.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e15101Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Alizadeh Z, Halabchi F, Mazaheri R, Abolhasani M, Tabesh M. Review of the mechanisms and effects of noninvasive body contouring devices on cellulite and subcutaneous fat. Int J Endocrinol Metab. 2016;14:1-11.
Nassab R. The evidence behind noninvasive body contouring devices. Aesthet Surg J. 2015;35:279-293.
Raphael BA, Wasserman DI. Getting to the bare bones: a comprehensive update of non-invasive treatments for body sculpting. Curr Dermatol Rep. 2013;2:144-149.
Zelickson BD, Burns AJ, Kilmer SL. Cryolipolysis for safe and effective inner thigh fat reduction. Lasers Surg Med. 2015;47:120-127.
Sasaki GH, Abelev N, Tevez-Ortiz A. Noninvasive selective cryolipolysis and reperfusion recovery for localized natural fat reduction and contouring. Aesthet Surg J. 2014;34:420-431.
Dierickx CC, Mazer JM, Sand M, Koenig S, Arigon V. Safety, tolerance, and patient satisfaction with noninvasive cryolipolysis. Dermatol Surg. 2013;39:1209-1216.
Coleman SR, Sachdeva K, Egbert BM, Preciado J, Allison J. Clinical efficacy of noninvasive cryolipolysis and its effects on peripheral nerves. Aesthet Plast Surg. 2009;33:482-488.
Bernstein D, Farberg AS, Khorasani H, Kriegel D. Noninvasive body contouring: literature review and summary of objective data. SKIN J Cutan Med. 2017;1:18-31.
Bass LS, Doherty ST. Safety and efficacy of a non-invasive 1060 nm diode laser for fat reduction of the abdomen. J Drug Dermatol. 2018;17(1):106-112.
Katz B, Doherty S. Safety and efficacy of a noninvasive 1,060-nm diode laser for fat reduction of the flanks. Dermatol Surg. 2018;44:388-396.
Duncan DI. Commentary on: clinical evaluation of the safety and efficacy of a 1060-nm diode laser for noninvasive fat reduction of the abdomen. Aesthet Surg J. 2021;41. https://doi.org/10.1093/asj/sjab062
Petti C, Stoneburner J. Clinical study to assess the 1,060 nm diode laser for the treatment of post-liposuction deformities. Lasers Surg Med. 2019;51:785-789.
Bani D, Li AQ, Freschi G, Russo G. Histological and ultrastructural effects of ultrasound-induced cavitation on human skin adipose tissue. Plast Reconstr Surg. 2013;1(6):1-10.
Fatemi A, Kane MAC. High-intensity focused ultrasound effectively reduces waist circumference by ablating adipose tissue from the abdomen and flanks: a retrospective case series. Aesthet Plast Surg. 2010;34:577-582.
Jewell ML, Solish NJ, Desilets CS. Noninvasive body sculpting technologies with an emphasis on high-intensity focused ultrasound. Aesthet Plast Surg. 2011;35:901-912.
Coleman KM, Coleman WP, Benchetrit A. Non-invasive, external ultrasonic lipolysis. Semin Cutan Med Surg. 2009;28:263-267.
Jewell ML, Baxter RA, Cox SE, et al. Randomized sham-controlled trial to evaluate the safety and effectiveness of a high-intensity focused ultrasound device for noninvasive body sculpting. Plast Reconstr Surg. 2011;128:253-262.
Garcia O, Schafer M. The effects of nonfocused external ultrasound on tissue temperature and adipocyte morphology. Aesthet Surg J. 2013;33:117-127.
Milanese C, Cavedon V, Piscitelli F, Zancanaro C. Effect of low-intensity, low-frequency ultrasound treatment on anthropometry, subcutaneous adipose tissue, and body composition of young normal weight females. J Cosmet Dermatol. 2014;13:202-207.
Zhou B, Leung BYK, Sun L. The effects of low-intensity ultrasound on fat reduction of rat model. Biomed Res Int. 2017;2017:4701481.
Miller DL, Smith NB, Bailey MR, Czarnota GJ, Hynynen K, Makin IR. Overview of therapeutic ultrasound applications and safety considerations. J Ultrasound Med. 2012;31:623-634.
Kapoor R, Shome D, Ranjan A. Use of a novel combined radiofrequency and ultrasound device for lipolysis, skin tightening and cellulite treatment. J Cosmet Laser Ther. 2017;19:266-274.
Shek SYN, Yeung CK, Chan JCY, Chan HHL. Efficacy of high-intensity focused ultrasonography for noninvasive body sculpting in Chinese patients. Lasers Surg Med. 2014;46:263-269.
Jewell ML, Desilets C, Smoller BR. Evaluation of a novel high-intensity focused ultrasound device: preclinical studies in a porcine model. Aesthet Surg J. 2011;31:429-434.
Teitelbaum SA, Burns JL, Kubota J, et al. Noninvasive body contouring by focused ultrasound: safety and efficacy of the contour I device in a multicenter, controlled, clinical study. Plast Reconstr Surg. 2007;120:779-789.
Moreno-Moraga J, Valero-Altés T, Martínez Riquelme A, Isarria-Marcosy MI, De La Torre JR. Body contouring by non-invasive transdermal focused ultrasound. Lasers Surg Med. 2007;39:315-323.
Baldi A, Savoia A, Forenza AM, Vannini F, Albero F, Marino MP. Noninvasive body contouring by low frequency ultrasound: a clinical study. Open Reconstr Cosmet Surg. 2010;3(1):11-16.
Krueger N, Mai SV, Luebberding S, Sadick NS. Cryolipolysis for noninvasive body contouring: clinical efficacy and patient satisfaction. Clin Cosmet Investig Dermatol. 2014;7:201-205.
Duncan DI, Kim THM, Temaat R. A prospective study analyzing the application of radiofrequency energy and high-voltage, ultrashort pulse duration electrical fields on the quantitative reduction of adipose tissue. J Cosmet Laser Ther. 2016;18:257-267.