Body contouring for fat and muscle in aesthetics: Review and debate

Murgia, Robert D.; Noell, Claire; Weiss, Margaret A.; Weiß, Robert

doi:10.1016/j.clindermatol.2021.08.009

Cited by 4 publications

(9 citation statements)

References 28 publications

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“…Treatments were conducted weekly using a non‐focused ultrasound with a 40 mm bell‐shaped sonotrode (MiniWave, Alma PrimeX, Alma Lasers, Figure 1) with mineral oil used between the applicator and the skin. The device delivers 100 kHz concentric acoustic‐guided waves with an intensity of up to 3 W/cm 2 in a continuous or pulsed fashion. Treatments were focused on the submental area, in which an automated current control allows resonance matching between applicator and skin.…”

Section: Methodsmentioning

confidence: 99%

“…Although liposuction remains the second most popular cosmetic surgery after breast augmentation, 1 it is associated with many significant risks, lengthy post‐surgical downtime, and may result in asymmetric results. This has led to the development of newer, non‐invasive modalities, including cryolipolysis, radiofrequency (RF), focused ultrasound, laser energy, and high‐intensity focused electromagnetic (HIFEM) technology 2,3 . These newer body contouring techniques have gained popularity due to their safety profile, minimal recovery time, and reduced cost.…”

Section: Introductionmentioning

confidence: 99%

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Successful treatment of submental fat using a non‐focused pulsed ultrasound

Somji¹,

Solomin²

2023

J of Cosmetic Dermatology

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BackgroundThe prevalence of non‐invasive aesthetic treatments is increasing, with patients demanding easier, safer, and more effective non‐invasive cosmetic procedures. Submental fat is usually addressed using liposuction, which is associated with significant adverse events and a long recovery. Although newer, non‐invasive submental fat treatments are gaining popularity, they are often complex, require frequent injections, or have adverse side effects.AimsAssess the safety and efficacy of vacuum‐assisted acoustic wave technology for treating submental.Patients/MethodsFourteen female patients underwent a total of three weekly 15‐min treatments using ultrasound with a 40 mm bell‐shaped sonotrode. Improvement in submental fat was assessed 3 months after the final treatment using questionnaires for the patients and physicians. Two blinded dermatologists rated each patient using the Clinician‐Reported Submental Fat Rating Scale (CR‐SMFRS) 5‐point scale.ResultsBoth physicians rated a significant improvement in all 14 patients. Furthermore, self‐evaluation of the 14 patients on a 1 to 5 satisfaction scale averaged 2.14, indicating that most patients were somewhat satisfied.ConclusionThis study demonstrates that a three‐treatment course with an acoustic wave ultrasound applicator with 1‐week intervals leads to a significant reduction in submental fat and can be used as a novel, efficient treatment paradigm.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successful treatment of submental fat using a non‐focused pulsed ultrasound

Somji¹,

Solomin²

2023

J of Cosmetic Dermatology

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“…Some investigators recommend limiting the treatment to patients with less than 2.5 cm of pinchable subcutaneous fat. 11,15,17,42 Results of this energy treatment are generally considered inferior to liposuction. 11,16,42 Some authors conclude that patients with body mass indices < 25 kg/m 2 are ideal candidates for this energy treatments, 20,42 but not liposuction.…”

Section: Proposed Mechanismmentioning

confidence: 99%

“…5,8,[11][12][13][14] Almost 20,000 pulses are delivered in a 30-minute treatment session. [15][16][17] The rectus abdominis, internal oblique, and external oblique muscles are targeted. 17 Muscle stimulation is intended to produce muscle hypertrophy without the need for exercise.…”

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confidence: 99%

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A Systematic Review of Electromagnetic Treatments for Body Contouring

Swanson

2022

Ann Plast Surg

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BackgroundEnergy-based treatments include ultrasound, lasers, cryolipolysis, and radiofrequency. The most recent energy treatment for noninvasive body contouring is electromagnetic treatments—a hot topic in plastic surgery today. A systematic review to assess efficacy and safety has not been published.MethodsAn electronic search was performed using PubMed to identify the literature describing electromagnetic treatments. Measurements from imaging studies were tabulated and compared.ResultsFourteen clinical studies were evaluated. Two studies included simultaneous radiofrequency treatments. In 11 studies, the Emsculpt device was used; in 2 studies, the Emsculpt-Neo device was used. One study included a sham group of patients. The usual protocol was 4 treatments given over a 2-week period. No complications were reported. Eight studies included abdominal measurement data obtained using magnetic resonance imaging, computed tomography, or ultrasound. Photographic results were typically modest. Photographs showing more dramatic results also showed unexplained reductions in untreated areas.Measurement variances were high. The mean reduction in fat thickness was 5.5 mm. The mean increment in muscle thickness was 2.2 mm. The mean decrease in muscle separation was 2.9 mm (P = 0.19). Early posttreatment ultrasound images in 1 study showed an echolucent muscle layer, compared with a more echodense layer at the baseline, consistent with tissue swelling after exercise. Almost all studies were authored by medical advisors for the device manufacturer.DiscussionMeasurement data show small reductions in fat thickness, occurring almost immediately after the treatments. Adipocyte removal without tissue swelling would be unique among energy-based treatments. Similarly, muscle hypertrophy is not known to occur acutely after exercise; muscle swelling likely accounts for an early increment in muscle thickness. Any improvement in the diastasis recti is likely fictitious.ConclusionsElectromagnetic treatments, either administered alone or in combination with radiofrequency, are safe. However, the evidence for efficacy is tenuous. Measured treatment effects are very small (<5 mm). Conflict of interest and publication bias are major factors in studies evaluating energy-based alternatives. The evidence-based physician may not be satisfied that an equivocal treatment benefit justifies the time and expense for patients.

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Cosmetic Enhancement Updates and Pitfalls in Patients of Color

Nelson

Bradley

et al. 2023

Dermatologic Clinics

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Body contouring for fat and muscle in aesthetics: Review and debate

Cited by 4 publications

References 28 publications

Successful treatment of submental fat using a non‐focused pulsed ultrasound

Successful treatment of submental fat using a non‐focused pulsed ultrasound

A Systematic Review of Electromagnetic Treatments for Body Contouring

Cosmetic Enhancement Updates and Pitfalls in Patients of Color

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