Improvement in arm and post‐partum abdominal and flank subcutaneous fat deposits and skin laxity using a bipolar radiofrequency, infrared, vacuum and mechanical massage device

Brightman, Lori; Weiss, Elliot; Chapas, Anne; Karen, Julie; Hale, Elizabeth K.; Bernstein, Leonard; Geronemus, Roy G.

doi:10.1002/lsm.20872

Cited by 77 publications

(57 citation statements)

References 26 publications

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“…A study performed by Brightman et al [19] demonstrated the benefits of the combination of IR, bipolar RF, vacuum, and mechanical massage. Its efficacy and safety when evaluated on upper arms, abdominal and flank circumferences showed significant reduction in circumference and improvement in the appearance of the arms and abdomen.…”

Section: Upper Arm Neck and Jaw Linementioning

confidence: 97%

Bipolar Radiofrequency

Eckhouse¹,

Önder²,

Fritz³

2014

Radiofrequency in Cosmetic Dermatology

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Bipolar radiofrequency (RF) utilizes symmetric and closely placed electrodes to pass RF current through a defined volume of tissue. The approach has benefits over monopolar and unipolar RF in its control. To optimize these, the electrodes and the RF parameters must be designed and operated in a manner that heats the desired target. The applications of bipolar RF are wide and range from medical applications such as treatment of acne to aesthetic applications in the skin and subcutaneous tissue. This chapter reviews the clinical literature on application of bipolar RF on various aesthetic indications.All radiofrequency (RF) treatments rely on the passage of current between a positive and negative electrode. In 'monopolar' RF, a single electrode is placed at the target site and a distant return electrode is placed on a distant body site. In contrast, bipolar RF applies two electrodes in close proximity at a fixed distance from each other. By placing the electrodes close together, the current is limited to the tissue between the electrodes, allowing greater control over the size of the treated volume, but usually at the cost of depth of penetration which monopolar RF allows. Further, in contrast to monopolar RF, the electrodes of bipolar RF are generally symmetric, which allows symmetrical treatment. Additional advantages of bipolar RF are reduced energy loss, due to the proximity of the electrodes, and reduced energy density at the treatment area, with subsequent reduction in the risk of overheating and burning of the skin below the return electrode [1]. The features of bipolar RF have also allowed the development of fractional bipolar RF technology, in which a matrix of electrodes creates microfoci of epidermal ablation with underlying dermal heating in a manner conceptually sim-

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Section: Upper Arm Neck and Jaw Linementioning

confidence: 97%

Bipolar Radiofrequency

Eckhouse¹,

Önder²,

Fritz³

2014

Radiofrequency in Cosmetic Dermatology

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“…For the indications of temporary improvement in the appearance of cellulite or circumference reduction, heating must be deeper. Vacuum can be used to assist in folding skin between electrodes and thereby to increase the penetration depth [20,21].…”

Section: Noninvasive Radiofrequencymentioning

confidence: 99%

Basic Radiofrequency: Physics and Safety and Application to Aesthetic Medicine

Duncan¹,

Kreindel²

2014

Radiofrequency in Cosmetic Dermatology

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This chapter summarizes the basic science of radiofrequency (RF) and its application in aesthetic medicine. The main parameters of RF including RF frequency, waveform, power, pulse duration, and penetration depth are described, and its application for treatment is analyzed. Monopolar and bipolar devices are described in detail for different clinical applications. The effect of RF electrode geometry on tissue heating is shown, and tissue-specific electrical parameters are summarized. The chapter discusses which RF parameters are required to reach therapeutic temperatures for tissue ablation, coagulation, or subnecrotic heating. RF parameters used for noninvasive, minimally invasive, and fractional treatment are compared. Finally, the chapter explains the main safety concerns associated with RF treatments and details the most common causes of adverse events.The term radiofrequency (RF) was first introduced with the invention of radio and was applied to electromagnetic radiation or current ranging from 3 kHz to 300 GHz. Since then, the field of medicine has used the relatively narrow band of this spectrum from 200 kHz to 40 MHz in many different applications. The main advantage of RF energy in medicine is a low or negligible reaction of nerves to high-frequency alternating current (AC) in comparison to lower frequencies.William T. Bovie invented the first electrosurgical device while working at Harvard [1]. This device was used by Dr. Harvey Williams Cushing on October 1, 1926, at Peter Bent Brigham Hospital in Boston, Mass., to remove a tissue mass from a patient's head [2]. Since then, RF electrosurgical devices have become one of the most useful surgical instruments. Recently, RF has experienced a resurgence in aesthetic medicine with applications for ablative and nonablative applications. RF energy has become an

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“…The IR and RF act synergically, promoting heating in the target tissue, collagen remodeling, and improvement of the adipose tissue metabolic rate. The negative pressure vacuum massage improves circulation and also allows the treatment of both the super fi cial and deep dermal layers [ 3 ] . A recent study has showed the effects of this device on the reduction of cellulite severity and body circumference measures in the buttocks [ 17 ] .…”

Section: Lasers and Lights And Combinationsmentioning

confidence: 99%

Cellulite

Hexsel

Mazzuco²

2013

Update in Cosmetic Dermatology

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Elements that seem to be involved in cellulite's appearance are: adipocyte • hypertrophy, connective tissue abnormalities, fi brous septa, and hormonal in fl uences.A new cellulite severity scale (CSS) and classi fi cation was recently devel-• oped. The CSS considers relevant morphological aspects, such as the number of evident depressions, depth of depressions, aspect of raised areas, grade of laxity, fl accidity or sagging skin, and the previous cellulite scale. Diagnosis is mainly clinical although magnetic resonance imaging, laser • Doppler fl owmetry, thermography, and ultrasound can be used for research purposes.A series of treatments can treat or improve the appearance of cellulite, such • as topical products, oral supplements, devices (mechanical massage, lasers, light sources, radiofrequency, and other technologies), and surgical procedures (Subcision ® and liposuction).

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Improvement in arm and post‐partum abdominal and flank subcutaneous fat deposits and skin laxity using a bipolar radiofrequency, infrared, vacuum and mechanical massage device

Abstract: This study demonstrates with statistical significance, sustainable reduction in circumference and improvement in appearance of arms and abdomen following treatment with Velashape.

Cited by 77 publications

References 26 publications

Bipolar Radiofrequency

Bipolar Radiofrequency

Basic Radiofrequency: Physics and Safety and Application to Aesthetic Medicine

Cellulite

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