Page 20 - BCMS ONline directory

COSMETIC MEDICINE

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Treatment Energy Source Mechanism of Action Efficacy Side Effects
CoolSculpting® Cryolipolysis Cold induced inflammatory Fat thickness reduction Erythema,
reaction to cause apoptosis of 14%-25.5% bruising, swelling,
of adipocytes decreased sensation

SculpSure® 1060nm laser Increases temperature to Fat thickness reduction Mild tenderness
disrupt adipocyte structure of 21%-24%

Zerona® 635nm laser Transitory pore in cell 3-9 inch fat thickness Thermal skin injury
membrane opening allows reduction
fat to leak out

UltraShape® Ultrasound Mechanical motion to produce 2-4cm circumferential Bruising
cellular membrane disruption fat reduction

Thermage® Monopolar Deep heat fat cells, connective Improvement scores of Erythema,
radiofrequency tissue, and dermal fibers 30-70% for cellulite with minor swelling
modest fat thickness
reduction

Velashape® Bipolar Mechanically manipulate fat 5.4cm ± 0.7cm Erythema,
radiofrequency, and thermally injure the dermis circumference fat reduction, minor swelling
infrared light, 40% cellulite improvement
and vacuum

ulate fat and thermally injure the dermis . It is FDA-approved for 4) Coleman SR, Sachdeva K, Egbert BM, Preciado J, Allison J.
9
®
cellulite and thigh and abdominal fat reduction. Velashape has been (2009) Clinical efficacy of noninvasive cryolipolysis and its ef-
found to have an overall mean circumference reduction of 5.4cm fects on peripheral nerves. Aesthetic Plast Surg. 33:482-488
± 0.7cm when the abdomen, buttock and thighs were treated over 5) Shek SY, Chan NPY, Chan HH. (2012) Non-invasive cryolipol-
five weeks . ysis for body contouring in Chinese – A first commercial expe-
10
rience. Lasers Surg Med. 44:125-130
Noninvasive fat reduction is an attractive therapy to enhance
6) Klein KB, Zelickson B, Riopelle JG, et al. (2009) Noninvasive
specific areas that would benefit from body contouring. All of the
cryolipolysis for subcutaneous fat reduction does not affect
technologies described above have been proven to be safe with
serum lipid levels or liver function tests. Lasers Surg Med;
minimal side effects. However, it is crucial to not only choose the
41(10): 785–90.
correct patients that would benefit from these modalities, but also 7) Decorato, J. W., Chen, B., & Sierra, R. (2017). Subcutaneous adi-
educate patients that there will only be a modest improvement in pose tissue response to a non-invasive hyperthermic treatment
body contour. using a 1,060 nm laser. Lasers In Surgery And Medicine, 49(5),
480–489.
References 8) Afrooz, P. N., Pozner, J. N., & Dibernardo, B. E. (2014). Non-
1) National, S., & Bank, D. (2018). Cosmetic Surgery National Data invasive and Minimally Invasive Techniques in Body Contouring.
Bank Statistics. Aesthetic Surgery Journal, 38(suppl_3), 1–24. Clin Plastic Surg 41, 789–804.
https://doi.org/10.1093/asj/sjy132 9) Mulholland, R. S., Frcs, C., Paul, M. D., & Chalfoun, C. (2011).
2) Avram MM, Harry RS. (2009) Cryolipolysis for subcutaneous Noninvasive Body Contouring with Radiofrequency, Ultra-
fat layer reduction. Lasers Surg Med; 41(10):703–8. sound, Laser Therapy, and low level laser therapy. Clin Plastic
3) Dover J, Burns J, Coleman S, et al. (2009) A prospective clinical Surg 38, 503-520.
study of non-invasive cryolipolysis for subcutaneous fat layer 10)Winter ML. (2009) Post-pregnancy body contouring using a
reduction: Interim report of available subject data. Lasers Surg combined radiofrequency, infrared light and tissue manipulation
Med. 41:43. device. J Cosmet Laser Ther; 11(4):229–35.

20 San Antonio Medicine • July 2019