Cellulite Treatment Evaluation

Arbeitsgruppe IV Cellulitebehandlung mit der Lipolyse

Dr. Patrick Treacy (IRL) Medical Director of Ailesbury Clinic Plastic Surgery Speaker:

“ An Evaluation of Cellulite” the past, present and future Dr. P. Treacy M.D. Medical Director Ailesbury Clinic Dublin Ireland

What is Cellulite? ,[object Object]

[object Object],The History of the term ‘Cellulite’

[object Object],[object Object],The Concept of Cellulite Grows

Fat Layer of Skin ,[object Object],[object Object]

[object Object],The Physiology of Cellulite

What happens during Cellulite? ,[object Object],[object Object],[object Object]

What causes the ‘Dimpling’ of Skin ? ,[object Object],[object Object]

So what exactly is Cellulite? ,[object Object],[object Object],[object Object]

1. HEREDITY 2. HORMONAL - premenstrual syndrome, puberty, pregnancy, menopause, hormonal treatment 3. VENOUS and LYMPHATIC stasis 4. NUTRITION insufficient water intake - excess of sugars, fats 5. LACK of EXERCISE - sedentary occupation 6. NERVOUS SYSTEM - stress What are the Causes of Cellulite?

GYNOID HYDROLIPODYSTROPHY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],The Different Grades of Cellulite

The Physiology of Stages 1 & 2 ,[object Object],[object Object]

The Physiology of Stages 3 & 4 ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],The Medical Evaluation of Cellulite begins

[object Object],The Medical Investigation of Cellulite ,[object Object]

[object Object],[object Object],[object Object],[object Object],The Medical Concept of Cellulite

[object Object],The World Market for Cellulite products

[object Object],The Growing Market for Cellulite Products 135 million Europeans are overweight 50 million Europeans suffer from obesity This is an increase of 25% in ten years

Body Wrapping ,[object Object],[object Object]

[object Object],Cellasene ® March, 1999, on CNBC-TV, Rexall's CEO claimed 3 clinical trials demonstrated a 90% success rate Results would not be submitted to scientific journals because they did not want to reveal the amounts of each ingredient in its formula. Under pressure tests showed no controls or validity Lis-Balchin M. Parallel placebo-controlled clinical study of a mixture of herbs sold as a remedy for cellulite . Phytotherapy Research 13:627-629, 1999. showed no effect with Cellasene

[object Object],Relax-A-Cizor, claimed to reduce girth by delivering electric shocks to the muscles. 410,000 units were sold for $200 to $400 before FDA obtained an injunction in 1970 to prohibit sales because of its potentially harmful effects which included abnormal heart rhythms, miscarriages , and worsening of hernias, ulcers, and epilepsy. FDA. Electrical Muscle Stimulators and Iontophoresis Devices. Import Alert #89-01, revised 3/17/97. Electrical Stimulation Devices and Iontophoresis

[object Object],The introduction of Endermologie ® The manufacturer got approval for "temporarily improving the appearance of cellulite”

[object Object],Endermologie ® ,[object Object]

[object Object],[object Object],Endermologie ®

[object Object],[object Object],[object Object],The clinical evidence for Endermologie ® ?

[object Object],[object Object],Medical evidence for Endermologie®

[object Object],Shaper or Velasmooth ® ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lipodissolve ®

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Advantages of Lipodissolve ®

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Advantages of Lipodissolve ®

Lipodissolve ® versus Liposuction 1 . More even pleasing contour is achieved 2 . Final adjustments can be made at the end 3 . No general anaesthetic required . 4 . Minimal bleeding and bruising 5 . Effective control of pain during/after the procedure 6 . Short recovery time following the procedure . 7 . Rapid return to work and normal activities . 8 . Tiny puncture points. No stitches . 9 . No hospital stay required 10 . Substantially lower cost

[object Object],[object Object],[object Object],[object Object],[object Object],Post Lipodissolve ® Procedure

The Bottom Line The amount of fat in the body is determined by an individuals eating and exercise habits The distribution of fat in the body is determined by heredity Endermology can temporarily help dimpling but it does not remove fat Only Liposuction and PPC can permanently remove fat

[object Object],The Treatment of Cellulite Liposuction Endomologie Lymphatic Drainage Ultrasound Diet

ELOS technology ,[object Object],[object Object]

The Vela Idea ,[object Object]

VelaSmooth ,[object Object],[object Object],[object Object]

Cellulite Treatment Fat clusters growing in chambers of connective tissue (septae) create cellulite phenomena Vela treatment destroys the fat by acceleration of metabolic process Improved skin appearance after 5-10 sessions

Vacuum pinches the skin and attaches it to the rotating electrodes

Mechanism of Increasing Blood Supply ,[object Object],[object Object]

Heating Scheme for Deep Hyperthermia ,[object Object],[object Object],IR Lamp Parabolic reflector Infrared filter RF electrodes

Hyperthermia Effect on Metabolism ,[object Object],[object Object]

Oxygen Transport Coefficients in Water Hyperthermia increases diffusivity of oxygen and decreases skin viscosity delivering more oxygen from capillaries to mitochondrion 4.88x10 -5 0.467 60 3.99x10 -5 0.547 50 3.24x10 -5 0.653 40 1.97x10 -5 1.002 20 Diffusivity of O 2 [cm 2 /s] Viscosity of H 2 O [centipoises] Temperature O C

Hyperthermia Effect on Rate of Metabolism ,[object Object],[object Object],[object Object],[object Object]

Treatment Philosophy ,[object Object],[object Object]

Treatment Schedule ,[object Object],[object Object],[object Object],[object Object]

Typical improvement curve (based on C. Lee M.D. data) Strong effect Saturating effect Moderate effect

Treatment Indication ,[object Object],[object Object],[object Object]

Cellulite Treatment ,[object Object],[object Object]

Dr. M. Kulick, USA Cellulite treatment

G.Boey M.D.,Canada Cellulite treatment

Non-proportional Fat Distribution ,[object Object],[object Object]

Treatment of Anchor Zones ,[object Object],[object Object]

Before After Body Contouring H. Akai, M.D. Tokyo, Japan

Treatment of Post Liposuction Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Dr. A. Del Giglio, Italy , Post Liposuction Treatment

Cellulite Treatment Evaluation

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