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Published in: Aesthetic Plastic Surgery 5/2022

Open Access 01-06-2022 | Ultrasound | Original Article

Body Contouring Using a Combination of Pulsed Ultrasound and Unipolar Radio Frequency: A Prospective Pilot Study

Authors: Fernando Urdiales-Gálvez, Sandra Martín-Sánchez, Mónica Maíz-Jiménez, Esther Viruel-Ortega

Published in: Aesthetic Plastic Surgery | Issue 5/2022

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Abstract

Objective

To assess the efficacy and safety of a new non-invasive body contouring device in patients with localized fat in abdomen or in abdomen and hips. Additionally, we also evaluated the patient satisfaction with the procedure.

Methods

Prospective and non-randomized open label study. The patients underwent four sessions, separated by 1 week each, with the Alma PrimeX, a non-invasive body contouring device that combines pulsed non-focus ultrasound and a Unipolar radiofrequency. The primary end point was the mean change in fat tissue thickness, assessed by diagnostic ultrasound, from baseline to 3-months after the last treatment-session.

Results

Fifteen subjects were evaluated. As compared to pre-treatment thickness, Hodges-Lehmann median difference (95% CI) was − 85.3 (− 107.5 to − 62.0) mm, p = 0.0001; − 70.3 (− 95.0 to − 48.5) mm, p = 0.0001; − 100.0 (− 140.5 to − 49.5) mm, p = 0.0039; and − 71.8 (− 132.5 to − 23.0) mm, p = 0.0078 in infraumbilical, supraumbilical, right hip, and left hip, respectively. Pretreatment fat volume was significantly reduced from 32.9% to 31.2%, p = 0.0006. The median (interquartile range) degree of patient satisfaction was 4.0 (1.0–5.0), with 13 (86.7%) patients being “Highly satisfied” or “Satisfied” with the treatment results. The most common adverse event was discomfort, followed by erythema. All the adverse events were mild and were successfully resolved without treatment.

Conclusions

Combine therapy of a Pulsed non-focus ultrasound and Unipolar radiofrequency using the non-invasive device Alma PrimeX was an effective and safe treatment for reducing fat tissue thickness in abdomen and hips in patients with localized fat. Patients’ satisfaction with the procedure was high.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literature
1.
go back to reference Mazzoni D, Lin MJ, Dubin DP, Khorasani H (2019) Review of non-invasive body contouring devices for fat reduction, skin tightening and muscle definition. Australas J Dermatol 60(4):278–283CrossRef Mazzoni D, Lin MJ, Dubin DP, Khorasani H (2019) Review of non-invasive body contouring devices for fat reduction, skin tightening and muscle definition. Australas J Dermatol 60(4):278–283CrossRef
2.
go back to reference Lee NY, Robinson DM (2017) Noninvasive body contouring. Semin Cutan Med Surg 36(4):170–178CrossRef Lee NY, Robinson DM (2017) Noninvasive body contouring. Semin Cutan Med Surg 36(4):170–178CrossRef
3.
go back to reference Rzepecki AK, Farberg AS, Hashim PW, Goldenberg G (2018) Update on noninvasive body contouring techniques. Cutis 101(4):285–288PubMed Rzepecki AK, Farberg AS, Hashim PW, Goldenberg G (2018) Update on noninvasive body contouring techniques. Cutis 101(4):285–288PubMed
5.
go back to reference Kennedy J, Verne S, Griffith R, Falto-Aizpurua L, Nouri K (2015) Non-invasive subcutaneous fat reduction: a review. J Eur Acad Dermatol Venereol 29(9):1679–1688CrossRef Kennedy J, Verne S, Griffith R, Falto-Aizpurua L, Nouri K (2015) Non-invasive subcutaneous fat reduction: a review. J Eur Acad Dermatol Venereol 29(9):1679–1688CrossRef
6.
8.
go back to reference Narins RS, Tope WD, Pope K, Ross EV (2006) Overtreatment effects associated with a radiofrequency tissue-tightening device: rare, preventable, and correctable with subcision and autologous fat transfer. Dermatol Surg 32(1):115–124CrossRef Narins RS, Tope WD, Pope K, Ross EV (2006) Overtreatment effects associated with a radiofrequency tissue-tightening device: rare, preventable, and correctable with subcision and autologous fat transfer. Dermatol Surg 32(1):115–124CrossRef
9.
go back to reference Araújo AR, Soares VP, Silva FS, Moreira Tda S (2015) Radiofrequency for the treatment of skin laxity: mith or truth. An Bras Dermatol 90(5):707–721CrossRef Araújo AR, Soares VP, Silva FS, Moreira Tda S (2015) Radiofrequency for the treatment of skin laxity: mith or truth. An Bras Dermatol 90(5):707–721CrossRef
10.
go back to reference Weiss RA (2013) Noninvasive radio frequency for skin tightening and body contouring. Semin Cutan Med Surg 32(1):9–17PubMed Weiss RA (2013) Noninvasive radio frequency for skin tightening and body contouring. Semin Cutan Med Surg 32(1):9–17PubMed
11.
go back to reference Weiss R, Weiss M, Beasley K, Vrba J, Bernardy J (2013) Operator independent focused high frequency ISM band for fat reduction: porcine model. Lasers Surg Med 45(4):235–239CrossRef Weiss R, Weiss M, Beasley K, Vrba J, Bernardy J (2013) Operator independent focused high frequency ISM band for fat reduction: porcine model. Lasers Surg Med 45(4):235–239CrossRef
12.
go back to reference Chilukuri S, Mueller G (2016) “Hands-Free” noninvasive body contouring devices: review of effectiveness and patient satisfaction. J Drugs Dermatol 15(11):1402–1406PubMed Chilukuri S, Mueller G (2016) “Hands-Free” noninvasive body contouring devices: review of effectiveness and patient satisfaction. J Drugs Dermatol 15(11):1402–1406PubMed
13.
go back to reference Garcia O Jr, Schafer M (2013) The effects of nonfocused external ultrasound on tissue temperature and adipocyte morphology. Aesthet Surg J 33(1):117–127CrossRef Garcia O Jr, Schafer M (2013) The effects of nonfocused external ultrasound on tissue temperature and adipocyte morphology. Aesthet Surg J 33(1):117–127CrossRef
14.
go back to reference Levi A, Amitai DB, Lapidoth M (2017) A novel transcutaneous, non-focused ultrasound energy delivering device is able to induce subcutaneous adipose tissue destruction in an animal model. Lasers Surg Med 49(1):110–121CrossRef Levi A, Amitai DB, Lapidoth M (2017) A novel transcutaneous, non-focused ultrasound energy delivering device is able to induce subcutaneous adipose tissue destruction in an animal model. Lasers Surg Med 49(1):110–121CrossRef
15.
go back to reference Luo W, Zhou X, Gong X, Zheng M, Zhang J, Guo X (2007) Study of sequential histopathologic changes, apoptosis, and cell proliferation in rabbit livers after high-intensity focused ultrasound ablation. J Ultrasound Med 26(4):477–485CrossRef Luo W, Zhou X, Gong X, Zheng M, Zhang J, Guo X (2007) Study of sequential histopathologic changes, apoptosis, and cell proliferation in rabbit livers after high-intensity focused ultrasound ablation. J Ultrasound Med 26(4):477–485CrossRef
16.
go back to reference Minkis K, Alam M (2014) Ultrasound skin tightening. Dermatol Clin 32(1):71–77CrossRef Minkis K, Alam M (2014) Ultrasound skin tightening. Dermatol Clin 32(1):71–77CrossRef
17.
go back to reference Canela VC, Crivelaro CN, Ferla LZ, Canela VC, Crivelaro CN, Ferla LZ, Pelozo GM, Azevedo J, Liebano RE et al (2018) Synergistic effects of combined therapy: nonfocused ultrasound plus Aussie current for noninvasive body contouring. Clin Cosmet Investig Dermatol 11:203–212CrossRef Canela VC, Crivelaro CN, Ferla LZ, Canela VC, Crivelaro CN, Ferla LZ, Pelozo GM, Azevedo J, Liebano RE et al (2018) Synergistic effects of combined therapy: nonfocused ultrasound plus Aussie current for noninvasive body contouring. Clin Cosmet Investig Dermatol 11:203–212CrossRef
18.
go back to reference Alizadeh Z, Halabchi F, Mazaheri R, Abolhasani M, Tabesh M (2016) Review of the mechanisms and effects of noninvasive body contouring devices on cellulite and subcutaneous fat. Int J Endocrinol Metab 14(4):e36727CrossRef Alizadeh Z, Halabchi F, Mazaheri R, Abolhasani M, Tabesh M (2016) Review of the mechanisms and effects of noninvasive body contouring devices on cellulite and subcutaneous fat. Int J Endocrinol Metab 14(4):e36727CrossRef
19.
go back to reference Gonçalves WL, Graceli JB, Santos RL, Cicilini MA, Bissoli NS, Abreu GR et al (2009) Ultrasound lipoclasia on subcutaneous adipose tissue to produce acute hyperglycemia and enhance acute inflammatory response in healthy female rats. Dermatol Surg 35(11):1741–1745CrossRef Gonçalves WL, Graceli JB, Santos RL, Cicilini MA, Bissoli NS, Abreu GR et al (2009) Ultrasound lipoclasia on subcutaneous adipose tissue to produce acute hyperglycemia and enhance acute inflammatory response in healthy female rats. Dermatol Surg 35(11):1741–1745CrossRef
21.
go back to reference Zelickson BD, Kist D, Bernstein E, Brown DB, Ksenzenko S, Burns J et al (2004) Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device: a pilot study. Arch Dermatol 140(2):204–209CrossRef Zelickson BD, Kist D, Bernstein E, Brown DB, Ksenzenko S, Burns J et al (2004) Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device: a pilot study. Arch Dermatol 140(2):204–209CrossRef
22.
go back to reference Elsaie ML (2009) Cutaneous remodeling and photorejuvenation using radiofrequency devices. Indian J Dermatol 54(3):201–205CrossRef Elsaie ML (2009) Cutaneous remodeling and photorejuvenation using radiofrequency devices. Indian J Dermatol 54(3):201–205CrossRef
23.
go back to reference Manuskiatti W, Wachirakaphan C, Lektrakul N, Varothai S (2009) Circumference reduction and cellulite treatment with a TriPollar radiofrequency device: a pilot study. J Eur Acad Dermatol Venereol 23(7):820–827CrossRef Manuskiatti W, Wachirakaphan C, Lektrakul N, Varothai S (2009) Circumference reduction and cellulite treatment with a TriPollar radiofrequency device: a pilot study. J Eur Acad Dermatol Venereol 23(7):820–827CrossRef
24.
go back to reference Fritz K, Salavastru C (2017) Long-term follow-up on patients treated for abdominal fat using a selective contactless radiofrequency device. J Cosmet Dermatol 16(4):471–475CrossRef Fritz K, Salavastru C (2017) Long-term follow-up on patients treated for abdominal fat using a selective contactless radiofrequency device. J Cosmet Dermatol 16(4):471–475CrossRef
25.
go back to reference Boisnic S, Divaris M, Nelson AA, Gharavi NM, Lask GP (2014) A clinical and biological evaluation of a novel, noninvasive radiofrequency device for the long-term reduction of adipose tissue. Lasers Surg Med 46(2):94–103CrossRef Boisnic S, Divaris M, Nelson AA, Gharavi NM, Lask GP (2014) A clinical and biological evaluation of a novel, noninvasive radiofrequency device for the long-term reduction of adipose tissue. Lasers Surg Med 46(2):94–103CrossRef
26.
go back to reference Harth Y (2015) Painless, safe, and efficacious noninvasive skin tightening, body contouring, and cellulite reduction using multisource 3DEEP radiofrequency. J Cosmet Dermatol 14(1):70–75CrossRef Harth Y (2015) Painless, safe, and efficacious noninvasive skin tightening, body contouring, and cellulite reduction using multisource 3DEEP radiofrequency. J Cosmet Dermatol 14(1):70–75CrossRef
Metadata
Title
Body Contouring Using a Combination of Pulsed Ultrasound and Unipolar Radio Frequency: A Prospective Pilot Study
Authors
Fernando Urdiales-Gálvez
Sandra Martín-Sánchez
Mónica Maíz-Jiménez
Esther Viruel-Ortega
Publication date
01-06-2022
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 5/2022
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-022-02919-2

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