Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.
- Presentation
Body Contouring and Cellulite Update
Description
The presentation discusses advancements in body contouring and cellulite treatment, focusing on the impact of pharmaceutical injectables like GLP-1 receptor agonists (semaglutides), which promote weight loss and are becoming more accepted in aesthetic practices. It notes how these medications may influence the body contouring business by reducing the number of patients seeking traditional fat reduction methods like cryolipolysis, although some dermatologists report an influx of new candidates. The talk also covers the use of injected adipocytolysis with sodium deoxycholate, emphasizing the importance of treatment volume and its application for smaller fat areas rather than larger ones. Additionally, the effectiveness of aesthetic muscle stimulation devices, such as HIFEM and EMS, is examined, with recent studies suggesting potential benefits in muscle strength. The session transitions to cellulite treatments, explaining the underlying mechanisms causing dimples and the various techniques available, such as targeted subcision and the use of bio stimulators like calcium hydroxylapatite and poly-L-lactic acid. Although effective for treating dimples, the challenge remains to address skin laxity. The speaker highlights the need for a comprehensive approach to treatment, recognizing the varied patient needs and the evolving landscape of body contouring and cellulite management.
View moreConclusions
- Semaglutide has the potential to significantly influence the body contouring landscape due to its effectiveness in weight loss.
- Injected adipocytolysis with sodium deoxycholate is a viable option for localized fat reduction.
- Aesthetic muscle stimulation devices like HIFEM and EMS show promise for toning and strengthening specific body areas.
- Targeted verifiable subcision (TVS) provides a treatment option for cellulite dimples with satisfactory results.
- Energy-based devices, such as focused ultrasound, are effective for skin laxity.
- Rapid acoustic pulse (RAP) technology holds potential for cellulite treatment in the future.
- Biostimulators can effectively address issues of volume and laxity, but practitioners must understand their limitations.
- Combining different treatment modalities may enhance overall outcomes for body contouring and cellulite concerns.
- O'Neill ES, Wiegmann AL, Parrella N, Pittman T, Hood K, Kurlander D. Injectable Weight Loss Medications in Plastic Surgery: What We Know, Perioperative Considerations, and Recommendations for the Future. Plast Reconstr Surg Glob Open. 2024 Jan 24;12(1):e5516.
- Shridharani SM, Tisch GM, Kennedy ML. Injection Adipocytolysis for Body and Jawline Contouring: Real-World Experience and Treatment Considerations. Aesthet Surg J. 2023 Mar 15;43(4):470-483.
- Rambhia PH, Turner L, Ugonabo N, Chapas A. Muscle Stimulation for Aesthetic Body Shaping: A Comprehensive and Critical Review. Dermatol Surg. 2022 Oct 1;48(10):1076-1082.
- DiBernardo B, Chilukuri S, McCoy JD, Katz B, Goldberg DJ. High-Intensity Focused Electromagnetic Field With Synchronized Radiofrequency Achieves Superior Gluteal Muscle Contouring Than High-Intensity Focused Electromagnetic Field Procedure Alone. Aesthet Surg J Open Forum. 2023 Jan 10;5:ojac087.
- Ugonabo N, Rambhia PH, You J, Ibrahimi OA, Chapas A. Prospective study to assess the efficacy and safety of a noninvasive electro-muscular stimulation for improvement of muscle strength and muscle toning of the extremities. Lasers Surg Med. 2024 Jan;56(1):23-31.
- Hexsel D, Hexsel C. The role of skin tightening in improving cellulite. Dermatol Surg 2014;40(Suppl 12):S180-3.
- Cotofana S, Hexsel Avelar LE, Munia CG, Muniz M, Casabona G, Schenck TL, Green JB, Lachman N, Frank K. Calculating the Thickness of the Superficial Fatty Layer of the Body Using Age, Gender, and Body Mass Index. J Drugs Dermatol 2020 Jan;19(1):36-44D.
- Aguilera SB, McCarthy A, Khalifian S, Lorenc ZP, Goldie K, Chernoff WG. The Role of Calcium Hydroxylapatite (Radiesse) as a Regenerative Aesthetic Treatment: A Narrative Review. Aesthet Surg J. 2023 Sep 14;43(10):1063-1090.
- De Almeida AT, Figueredo V, da Cunha ALG, Casabona G, de Faria JRC, Alves EV, Sato M, Branco A, Guarnieri C, Palermo E. Consensus Recommendations for the Use of Hyperdiluted Calcium Hydroxyapatite (Radiesse) as a Face and Body Biostimulatory Agent. Plast Reconstr Surg Glob Open 2019;7(3):e2160.
- Durairaj K, Baker O, Yambao M, Linnemann-Heath J, Shirinyan A. Safety and Efficacy of Diluted Calcium Hydroxylapatite for the Treatment of Cellulite Dimpling on the Buttocks: Results from an Open-Label, Investigator-Initiated, Single-Center, Prospective Clinical Study. Aesthetic Plast Surg. 2024 Jan 22. doi: 10.1007/s00266-023-03815-z. Epub ahead of print.
- Palm M, Weinkle S, Cho Y, LaTowsky B, Prather H. A Randomized Study on PLLA Using Higher Dilution Volume and Immediate Use Following Reconstitution. J Drugs Dermatol 2021;20(7):760-766.
- Haddad A, Menezes A, Guarnieri C, Coimbra D, Ribeiro E, Sarubi J, Avelar LE, Del Nero MP, da Cunha MG, Mazzuco R, Kamamoto C, Cazerta C. Recommendations on the Use of Injectable Poly-L-Lactic Acid for Skin Laxity in Off-Face Areas. J Drugs Dermatol. 2019 Sep
- Tanzi E, Capelli CC, Robertson D, LaTowsky B, Balcom-Luker S, Jacob C, Ibrahim O, Kaminer MS. Improvement in Cellulite Appearance After a Single Treatment Visit With Acoustic Subcision: Long-Term Findings From a Multicenter Clinical Trial. Dermatol Surg. 2024 Feb.