Effectiveness of HIFU Therapy for Nonsurgical Facial and Body Contouring: A Systematic Review of Prospective and Experimental Studies.
Journal
Plastic and reconstructive surgery
ISSN: 1529-4242
Titre abrégé: Plast Reconstr Surg
Pays: United States
ID NLM: 1306050
Informations de publication
Date de publication:
01 03 2023
01 03 2023
Historique:
pubmed:
3
2
2023
medline:
3
3
2023
entrez:
2
2
2023
Statut:
ppublish
Résumé
Liposuction, the most common body sculpting surgical procedure known today is associated with the risk of numerous complications. A safer and more noninvasive approach involves the use of high-intensity focused ultrasonography (HIFU) lasers, which work by selectively damaging fat tissue through apoptosis or necrosis induction of fat cells. The authors' systematic review was designed to identify the effectiveness of HIFU for nonsurgical facial and body contouring. An exhaustive literature search was conducted of the PubMed/MEDLINE, Cochrane Central, Scopus, and EBSCO electronic databases for the period from November of 2005 to July of 2020. The full text of selected articles was reviewed for possible study inclusion, and articles fulfilling the inclusion criteria were recruited. Characteristics of the included studies were noted, and outcomes were assessed. Assessment of quality and risk of bias was performed for all the studies using the RevMan tool and the methodological index for nonrandomized studies. The initial search revealed a total of 4584 citations, of which only 11 were included in the present review: nine used HIFU for recontouring of the abdomen and only two used HIFU over the face and neck. Studies evaluated either the efficacy of HIFU or the safety of its use. The average total energy ranged from 140 to 248 J/cm 2 for the abdominal region and 0.3 to 1.2 J/cm 2 for the face and neck. The focal depth ranged from 1.1 to 1.8 cm. All the studies showed promising results with the use of HIFU. HIFU therapy is safe, effective, and minimally invasive, with predictable results when used for body and facial recontouring.
Sections du résumé
BACKGROUND
Liposuction, the most common body sculpting surgical procedure known today is associated with the risk of numerous complications. A safer and more noninvasive approach involves the use of high-intensity focused ultrasonography (HIFU) lasers, which work by selectively damaging fat tissue through apoptosis or necrosis induction of fat cells. The authors' systematic review was designed to identify the effectiveness of HIFU for nonsurgical facial and body contouring.
METHODS
An exhaustive literature search was conducted of the PubMed/MEDLINE, Cochrane Central, Scopus, and EBSCO electronic databases for the period from November of 2005 to July of 2020. The full text of selected articles was reviewed for possible study inclusion, and articles fulfilling the inclusion criteria were recruited. Characteristics of the included studies were noted, and outcomes were assessed. Assessment of quality and risk of bias was performed for all the studies using the RevMan tool and the methodological index for nonrandomized studies.
RESULTS
The initial search revealed a total of 4584 citations, of which only 11 were included in the present review: nine used HIFU for recontouring of the abdomen and only two used HIFU over the face and neck. Studies evaluated either the efficacy of HIFU or the safety of its use. The average total energy ranged from 140 to 248 J/cm 2 for the abdominal region and 0.3 to 1.2 J/cm 2 for the face and neck. The focal depth ranged from 1.1 to 1.8 cm. All the studies showed promising results with the use of HIFU.
CONCLUSION
HIFU therapy is safe, effective, and minimally invasive, with predictable results when used for body and facial recontouring.
Identifiants
pubmed: 36730550
doi: 10.1097/PRS.0000000000009912
pii: 00006534-202303000-00016
doi:
Types de publication
Systematic Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
533-544Informations de copyright
Copyright © 2022 by the American Society of Plastic Surgeons.
Références
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 non-invasive body sculpting. Plast Reconstr Surg. 2011;128:253–262.
Guth F, Bitencourt S, Bedinot C, Sinigaglia G, Tassinary JAF. Immediate effect and safety of HIFU single treatment for male subcutaneous fat reduction. J Cosmet Dermatol. 2017;17:385–389.
Gasperoni C, Gasperoni P. Subdermal liposuction: long-term experience. Clin Plast Surg. 2006;33:63–73, vi.
Goldman A, Gotkin RH. Laser-assisted liposuction. Clin Plast Surg. 2009;36:241–253, vii; discussion 255–260.
Katz B, McBean J. Laser-assisted lipolysis: a report on complications. J Cosmet Laser Ther. 2008;10:231–233.
Celik N. HIFU, laser and micro HIFU research and reports in focused ultrasounds for face remodelling. J Obes Weight Loss Ther. 2016;6:316.
Mulholland RS, Paul MD, Chalfoun C. Noninvasive body contouring with radiofrequency, ultrasound, cryolipolysis, and low-level laser therapy. Clin Plast Surg. 2011;38:503–520, vii.
Coleman WP, Coleman W, Weiss RA, Kenkel JM, Ad-El DD, Amir R. A multicenter controlled study to evaluate multiple treatments with nonthermal focused ultrasound for noninvasive fat reduction. Dermatol Surg. 2017;43:50–57.
Shemer A, Brawer S, Amichi B, Azhari H. Noninvasive lipoma size reduction using high-intensity focused ultrasound. Dermatol Surg. 2013;39:1446–1451.
Kwon TR, Im S, Jang YJ, et al. Improved methods for evaluating pre-clinical and histological effects of subcutaneous fat reduction using high-intensity focused ultrasound in a porcine model. Skin Res Technol. 2017;23:194–201.
Fatemi A. High-intensity focused ultrasound effectively reduces adipose tissue. Semin Cutan Med Surg. 2009;28:257–262.
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.
Hoffmann TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687–g1687.
Moher D, Chan AW. SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials). Moher D, Altman DG, Schulz KF, Simera I, Wager E, eds. In: Guidelines for Reporting Health Research: A User’s Manual. Chichester, UK: John Wiley & Sons; 2014:56–67.
Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. Ann Intern Med. 2010;152:726–732.
Review Manager (RevMan) (computer program). Version 5.4. London: The Cochrane Collaboration, 2020.
Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non‐randomized studies (MINORS): development and validation of a new instrument. ANZ J Surg. 2003;73:712–716.
Sterne JA, Hernán MA, Reeves BC, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016;355:i4919.
Gadsden E, Aguilar MT, Smoller BR, Jewell ML. Evaluation of a novel high-intensity focused ultrasound device for ablating subcutaneous adipose tissue for noninvasive body contouring: safety studies in human volunteers. Aesthet Surg J. 2011;31:401–410.
Jewell ML, Weiss RA, Baxter RA, et al. Safety and tolerability of high-intensity focused ultrasonography for noninvasive body sculpting: 24-week data from a randomized, sham-controlled study. Aesthet Surg J. 2012;32:868–876.
Solish N, Lin X, Axford‐Gatley RA, Strangman NM, Kane M. A randomized, single‐blind, postmarketing study of multiple energy levels of high‐intensity focused ultrasound for noninvasive body sculpting. Dermatol Surg. 2012;38:58–67.
Robinson DM, Kaminer MS, Baumann L, et al. High-intensity focused ultrasound for the reduction of subcutaneous adipose tissue using multiple treatment techniques. Dermatol Surg. 2014;40:641–651.
Shek SY, Yeung CK, Chan JC, Chan HH. Efficacy of high‐intensity focused ultrasonography for noninvasive body sculpting in Chinese patients. Lasers Surg Med. 2014;46:263–269.
Shome D, Vadera S, Ram MS, Khare S, Kapoor R. Use of micro-focused ultrasound for skin tightening of mid and lower face. Plast Reconstr Surg Glob Open. 2019;7:e2498.
Hong JY, Ko EJ, Choi SY, et al. Efficacy and safety of high-intensity focused ultrasound for noninvasive abdominal subcutaneous fat reduction. Dermatol Surg. 2020;46:213–219.
Aşiran Serdar Z, Aktaş Karabay E, Tatliparmak A, Aksoy B. Efficacy of high-intensity focused ultrasound in facial and neck rejuvenation. J Cosmet Dermatol. 2020;19:353–358.
Ascher B. Safety and efficacy of UltraShape Contour I treatments to improve the appearance of body contours: multiple treatments in shorter intervals. Aesthet Surg J. 2010;30:217–224.
Fonseca VM, Campos PS, Certo TF, et al. Efficacy and safety of noninvasive focused ultrasound for treatment of subcutaneous adiposity in healthy women. J Cosmet Laser Ther. 2018;20:341–350.
Katz B, Bard R, Goldfarb R, Shiloh A, Kenolova D. Ultrasound assessment of subcutaneous abdominal fat thickness after treatments with a high-intensity focused electromagnetic field device: a multicenter study. Dermatol Surg. 2019;45:1542–1548.
Moreno‐Moraga J, Valero‐Altés T, Riquelme AM, Isarria‐Marcosy MI, De La Torre JR. Body contouring by non‐invasive transdermal focused ultrasound. Lasers Surg Med. 2007;39:315–323.
Shek S, Yu C, Yeung CK, Kono T, Chan HH. The use of focused ultrasound for non‐invasive body contouring in Asians. Lasers Surg Med. 2009;41:751–759.
Shek SY, Yeung CK, Chan JC, Chan HH. The efficacy of a combination non‐thermal focused ultrasound and radiofrequency device for noninvasive body contouring in Asians. Lasers Surg Med. 2016;48:203–207.
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.
Tonucci LB, Mourão DM, Ribeiro AQ, Bressan J. Noninvasive body contouring: biological and aesthetic effects of low-frequency, low-intensity ultrasound device. Aesthetic Plast Surg. 2014;38:959–967.
Wilkerson EC, Bloom BS, Goldberg DJ. Clinical study to evaluate the performance of a noninvasive focused ultrasound device for thigh fat and circumference reduction compared to control. J Cosmet Dermatol. 2018;17:157–161.
Shome D, Khare S, Kapoor R. Efficacy of botulinum toxin in treating Asian Indian patients with masseter hypertrophy: a 4-year follow-up study. Plast Reconstr Surg. 2019;144:390e–396e.
Shome D, Vadera S, Kapoor R. Reply: efficacy of botulinum toxin in treating Asian Indian patients with masseter hypertrophy: a 4-year follow-up study. Plast Reconstr Surg. 2020;145:1105e–1106e.
Shome D, Vadera S, Khare S, et al. Aging and the Indian face: an analytical study of aging in the Asian Indian face. Plast Reconstr Surg Glob Open. 2020;8:e2580.
Baxter RA. Controlled results with abdominoplasty. Aesthetic Plast Surg. 2001;25:357–364.