Schumann oscillations, radio waves and ultrasound ... - Dermaviduals

Schumann oscillations, radio waves and 

ultrasound against fat stores 

The liporeduction method according to Dr. med. Jabs 

published in Ästhetische Dermatologie (mdm) 2011 (2), 26-32 

To remove "fat stores", "love handles", "saddlebags" and cellulite once and for all 

without diet, pain and efforts - these are the magical promises of the beauty industry. 

Reducing the body circumference through ultrasound in „fat burning mode", HIFU 

(high intensive focalized ultrasound) and cavitation techniques - all these methods 

pledge to permanently reduce fat cells and improve the body shape. What has been 

scientifically proven and which of these statements are only used for marketing purposes? 

Ultrasound and cavitation 

The HIFU technique originates in medicine 

and is used for kidney stone fragmentation for 

instance. Ultrasound creates high and low 

pressure waves (2 MHz, energy density 1,000- 

3,000 W/cm2) which oscillate the body tissue. 

Several sound probes are focused on a particular 

area of the subcutaneous fat tissue and 

the applied high ultrasound and pressure energies 

stretch the fat cells until the cell membranes 

crack and the cell content runs into the 

interstitium. There, the triglycerides and phospholipids 

are emulsified through ultrasound 

and then removed with the lymph fluid. Depending 

on the intensity of the ultrasound there 

even occur bleeding lesions in the fat tissue. 

The following healing process shrinks the tissue 

which results in a reduced body circumference. 

The procedure is painful and may lead to 

fibrotisations and lump formation in the lipid 

and connective tissue. The health authorities 

(FDA) in the United States have not approbated 

the HIFU technique for the treatment of 

fat tissue. The initially improved body shape 

may then end up with a lumpy and wavy skin 

appearance in the long run. In order to maintain 

the slimmed body shape on a long-term 

basis, a change in nutrition and an exercisebased 

fat burning is absolutely essential [1, 2, 

3]. 

Ultrasound cavitation methods use low frequency 

ultrasound (38-40 KHz, energy density 

up to 5 Watt/cm2). Cavitation is a physical 

process which uses oscillations in the fat tissue 

in order to generate gas bubbles which subsequently 

implode with high energy and high 

temperatures. Cavitation in technical applications 

leads to material fatigue and destruction, 

such as in propellers of ships [4,5]. The medical 

diagnosis aims at avoiding cavitation proc- 

esses. For this purpose, the ultrasonic power 

of the devices is limited. Particularly in the 

pregnancy management, it has to be ensured 

that cavitation processes in the tissue of the 

fetus are strictly ruled out. In the context of a 

fat cell reduction however, the cavitation processes 

in fat cells are provoked. The sound 

energy generated here is lower than with the 

HIFU method. As a result, the lipid cell membrane 

is stretched and becomes more permeable. 

This process can be visualized as a once 

overstretched balloon which then loses its 

capacity to keep inflated. Similarly, overstretched 

fat cells are no longer able to store 

triglycerides to the extent they used to. The 

number of fat cells in the human body is genetically 

determined. In other words, the body 

will not form new fat cells. After the cavitation 

treatment, the existent cells lose their capacity 

to store fat with the result that the body circumference 

shrinks. 

In medicine, the lipoclasia technique is a wellknown 

method to treat lipomas. Unlike fat cells, 

lipomas are characterized by a tough connective 

tissue capsule. As a consequence, lipomas 

are more difficult to cure than the fat 

stores in problem areas. In a small-scale study, 

lipomas have been treated with 38 kHz ultrasound. 

For instance, a 12 x 8 x 2.5 cm lipoma 

has been attended for 10 minutes with low 

frequency ultrasound. Subsequently, the tissue 

was analyzed with diagnostic ultrasound. The 

lipoma could be reduced by 0.3 cm in diameter 

and lipid pools could be observed within the 

lipoma, a fact which proved the release of 

triglycerides from the fat cells [6]. 

. 

It has to be mentioned though, that cavitation 

techniques alone are inadequate fat reduction 

methods in the long run. 

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The liporeduction method according to Dr. med. Jabs page 2 of 6 

Figure: Before cavitation 

Figure: After cavitation 

A lasting success only is ensured by a change 

in nutrition and exercise-based fat burning 

processes in the muscular tissue. 

Radio frequency treatments 

Radio waves allow to heat specific areas of the 

skin and the subcutaneous fat tissue through 

electromagnetic energy. Diathermia leads to a 

warming of the tissue by stimulating the oscillations 

of water dipoles, and also causes a 

fluidizing of the cell membranes. During the 

monopolar radio frequency treatment, radio 

waves penetrate into the deeper skin layers 

until they are absorbed by the lipocytes in the 

hypodermis. The fatty tissue shows a high 

resistance to radio waves of 2,180 Ohm (compared 

to muscle fibers with a RF resistance of 

110 Ohm). The considerable resistance step 

between the different tissues causes a heating 

of the tissue with higher resistance. As a result, 

the cell membrane is damaged to the extent 

that the fat storing capacities of the lipocytes 

are considerably reduced. The physical properties 

of the cell membrane are modified by 

the radio waves. The cell membranes of the fat 

cells become more permeable and the content 

of the cells (triglycerides) is released into the 

interstitial fluid. In addition, the connective 

tissue is tightened by radio waves and both 

heat shock proteins and collagen synthesis are 

stimulated. This again causes the fatty tissue 

to shrink and tightens the connective tissue. 

radioSURG 2200 (Fa. Meyer-Haake GmbH, 

Ober-Mörlen) is a monopolar radio frequency 

unit for radio surgery; it generates differently 

modulated and unmodulated high frequency 

currents at a frequency of 2.2 MHz. Equipped 

with a specific RF cone electrode the device is 

used for radio frequency treatments of the skin 

and the subcutaneous fat tissue. 

Regarding the bi, tri or multipolar radio frequency 

techniques which also are used for fat 

cell reduction, the active electrodes and the 

antenna are integrated into a hand piece and 

connected against each other. The result is 

that the radio frequency field in parallel skin 

layers spreads with the same resistance. The 

skin layers warm up evenly, however, the temperature 

ranges required for fluidizing the lipid 

bilayers on the fatty cell membranes are insufficient. 

It should also be mentioned that hydrophilic 

actives cannot be used with bi and multipolar 

techniques as this would cause short 

circuits between the electrodes. This is the 

reason why only isolating oils and lipophilic 

substances are applied. Hence, the monopolar 

radio frequency technique to fluidize the fat cell 

membrane is more appropriate for the reduction 

of fat cells. 

The different physical fat cell reduction methods 

only are appropriate means to treat localized 

fat stores. Thus, adipose patients need 

to reduce their weight before the treatment. It 

is a widespread misapprehension though, that 

high tech magic is able to melt down weight, 

and that a slim body shape can be achieved 

for good without diets and efforts. Nevertheless, 

if both sport and diets are no longer successful, 

there exists indeed relief for problem 

zones with "saddlebags", "love handles" and 

cellulite. 

Now, the question arises why invariably 

women suffer from these "problem zones"? To 

illustrate this phenomenon, we need to go far 

back in the evolution of men. Up to the 7th 

month of pregnancy, male and female embryos 

show the same pattern of development. From 

the 7th month onwards the testosterone hormone 

takes effect in the male fetus. Hence, a 

tight and cross-linked connective tissue starts 

to develop. The estrogen influence causes the 

formation of an elastic connective tissue due to 

parallel collagen fibrils particularly in the ab- 

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dominal area, upper thighs and buttocks of the 

female fetus. During puberty, the subcutaneous 

fat tissue of women again modifies and 

fat cells start to accumulate in the loose connective 

tissue. If the fat cells swell due to a 

gain in weight, indentations and bumps will 

form on the skin surface, a condition which is 

called cellulite. 

The specific structure of the female connective 

tissue allows the considerable stretching of the 

skin during pregnancy. Thereby, room is made 

for the growing baby. In addition, specific hormone 

active fat tissue accumulates in the" 

problem zones". The so-called gender-specific 

fat stores are the reserve fund for bad times 

and have guaranteed the survival of mankind 

in prehistoric times. Today, we live in abundance 

and there is no need to be afraid of 

famines. The reserve fund has finally developed 

into a "problem zone". Diets cause fat 

reductions in every other body area except for 

the problem zones. The reserves are only 

tapped in extremities. Hence, "love handles", 

"saddlebags" and cellulite can only be fought 

with drastic measures. Nevertheless, the body 

will fight back with all available resources. 

Crash diets are well-known for their yoyo effect 

though. And wounds and sores automatically 

activate repair mechanisms. The HIFU method 

causes bleeding wounds in the fatty tissue, 

which subsequently heal but leave marks such 

as fibrotisation and indentations. The immediate 

effect is a reduced body circumference 

which makes the customers happy. The longterm 

effects, however, are indentations and an 

irregular body contour. 

Also all the other methods of fat cell reduction 

lack a long-term or permanent effect if the 

natural reactions of the body to the attacks on 

its energy reserves, the "fatty tissue" are not 

taken into consideration. 

With due regard to the physiology and pathophysiology 

of the fat metabolism, the liporeduction 

method according to Dr. Jabs has 

been developed. 

A combination of a change in nutrition following 

the insulin food combining according to Dr. 

Pape [7], fat burning through exercising, lymph 

drainage using the Schumann-3D-plate ® , the 

emptying of fat cells and modified cell membranes 

through appropriate physical techniques 

und membrane modifying preparations 

achieves a long-term degradation of fat stores 

in problem zones, an improved body contour 

and a reduction of cellulite. 

Change of nutrition 

The nutrients ingested with food are metabolized 

or, in other words, "burned" with the help 

of the inhaled oxygen in order to generate 

energy. Instead of an open flame, the burning 

process occurs in the body cells in form of 

various well-organized chemical reactions. If 

the nutrient supply is higher than the consumption, 

the surplus energy is stored in form 

of fat in the fat tissue. 

The fat tissue serves not only as storage depot, 

as a matter of fact it also is an endocrinal 

and hormone sensitive organ that controls the 

storage and release of energy. In this system, 

the insulin monitors the blood sugar level but 

also the fat storage. With high insulin level, fat 

is stored in the depots, with low insulin level, 

the fat cells are "opened" and the released 

triglycerides are used to generate energy. 

Nevertheless, the insulin food combining is not 

a lopsided crash diet but rather implies that the 

supply of food is adapted to the respective 

insulin level. 

In the morning, mainly carbohydrates are 

ingested. The carbohydrates are then made 

available in the liver in order to produce shortterm 

energy. Top level athletes can be stated 

here as an example with their spaghetti parties 

where they eat enormous amounts of carbohydrates 

in order to quickly fill up their energy 

stores before the start of their competitions. 

At noon, a balanced diet is eaten. 

In the evenings, only salads, soups and proteins 

are ingested but no carbohydrates. 

Insulin is released from the pancreas. If the 

meals do not contain carbohydrates or only a 

small amount of carbohydrates, the insulin 

level decreases. Hence, the fatty cells are 

emptied and the triglycerides are used to generate 

energy. The insulin food combining according 

to Dr. Pape is also known with the 

slogan "slim down while you sleep". The basic 

idea is that the energy needs for cardiac activity 

and the balanced body temperature, for 

instance, is covered by the fatty cells when the 

insulin level is low. The result is that the fatty 

cells shrink, the body circumference reduces 

and the body weight is decreasing. 

Exercise 

The released fat is needed to generate energy 

in the muscular system. This means that fat 

only is degraded by muscular activity. Weight 

reduction or a reduction of fat depots without 



physical effort is simply an illusion and basically 

impossible due to physiological reasons. 

At most, it could result in a relocation of the 

fatty tissue. In order to lose weight on a long 

term base and empty the fat depots, it is necessary 

to exercise at a moderate pace. This 

can be done in form of a fast walk which accelerates 

the heart frequency or by jogging or 

walking. Also a treatment on the Schumann- 

3D-plate ® activates the muscles and causes an 

increased lymph flow. 

Schumann-3D-plate ® 

The Schumann-3D-plate ® is a newly developed 

biodynamic energy system (BDES) that imitates 

the natural movement sequences without 

applying stimulation currents and chemical 

substances (CoW Health Technologies, 

Gomaringen). The device does not involve the 

typical unnatural "hard" movements that occur 

in the majority of traditional vibration plates and 

are a strain for the joints. The finely tuned 

three dimensional and rhythmic oscillation 

pulses of the Schumann-3D-plate ® use the 

Schumann resonance frequency and have a 

holistic effect on the metabolism and the cellular 

system of the body. 

Figure: Schumann-3D-plate ® 

Professor Otto W. Schumann, physician, discovered 

electromagnetic resonance frequencies 

which have a positive effect on the human 

body and activate the metabolism. The Schumann-3D-plate 

® treatment supports the transport 

of triglycerides released from the emptied 

fatty cells to the liver in the lymph flow, activates 

the fat metabolism in the fat tissue, 

stimulates fat degrading enzymes and hormones 

and induces the muscular system to 

burn fats. A 5 minute treatment on the Schu- 

mann-3D-plate ® has the same fat burning effect 

as a 30 minute walk. 

Low frequency ultrasound (cavitation) 

Unlike the HIFU method, the low frequency 

ultrasound does not cause micro lesions in the 

fatty tissue in order to induce repair mechanisms. 

The alternating high and low pressure 

of sound waves in the range between 38-40 

KHz only causes the fatty cell membranes to 

oscillate. The thus overstretched membrane 

fluidizes the lipid bilayer and the stored triglycerides 

can escape. The resonance stress 

damages the membrane with the result that the 

storage capacity of the fat cells is considerably 

reduced ("the balloon has been overstretched 

and is no longer able to hold the air"). The 

triglycerides are emulsified with membrane 

components such as phospholipids and then 

released into the lymph flow. Appropriate 

preparations can intensify the emulsification. 

A liposomal formulation with phosphatidylcholine, 

green tea extract, which contains caffeine 

and stimulates the fat metabolism, and 

butcher's broom, which activates the blood 

flow, is used in combination with the liporeduction 

method. The removal of the emulsified 

fats in the lymph flow is supported by the 

drainage effect of the Schumann-3D-plate ® . It 

also oscillates large groups of muscles which 

stimulates the fat burning process in the muscular 

system. 

The liporeduction method according to Dr. 

med. Jabs 

The treatment starts with a detailed analysis 

of the nutrition and a measurement of the 

body constitution (B.I.A. = Bioelectrical impedance 

analysis). Adipose patients should 

proceed with a weight reduction based on insulin 

food combining and an exercise program. 

Localized fat stores in problem zones and cellulite 

areas are tested for their acuteness with 

the Thermo-Cell-Test ® (liquid crystal foils for 

thermographic applications). 

Subsequently, the fat deposits are treated with 

low frequency ultrasound (BODYFORMA, 

Fa. Forever Hairfree GmbH, Moers). 

A specific ultrasound gel containing a mixture 

of liposomal green tea extract, butcher's 

broom extract and NMF complex (Fa. KOKO 

GmbH & Co.KG, Leichlingen) is used during 

the therapy. The respective body parts are 

treated with ultrasound for about 30 minutes. 

The ultrasound device Megason (ESM- 

4500MO, Medical CE 1023, SensorData 

GmbH, Lüdenscheid) works in a frequency 

range of 32-43 kHz. This frequency spectrum 



causes a resonance of the membranes of differently 

sized fat cells. The 38 mm ultrasonic 

probe also is equipped with integrated infrared 

LEDs. 

Figure: Bodyforma ultrasound device 

Figure: Megason ultrasound device 

The infrared light additionally activates the 

flavonoids and polyphenols of the green tea 

extract. Green tea stimulates the fat metabolism 

and the thermogenesis. After that, a 15 

minute radio frequency treatment (Fa. 

Meyer-Haake GmbH, Wehrheim) will follow. 

Finally, the Schumann-3D-plate ® is used for 

the lymph drainage and muscular stimulation. 

(CoW Health Technologies, Gomaringen). 

Figure: Schumann-3D-plate ® - use in horizontal 

position 

The customers are handed out a specific cellulite 

cream (liposomal green tea, butcher's 

broom, NMF mixed into a dermaviduals ® 

membrane cream) for the skin care at home. 

They are also recommended to stimulate the 

fat metabolism by massaging the problem 

zones with a brush before they apply the 

cream at home. 

Also the change of nutrition according to the 

insulin food combining is discussed and individually 

adapted, if necessary. A daily exercise 

program rounds off the liporeduction method 

according to Dr. med. Jabs. The specific 

treatment of subcutaneous fat in due consideration 

of physiological and pathophysiological 

mechanisms in the human body can 

achieve a long term reduction. 

References: 

1. Teitelbaum SA et al. Noninvasive body 

contouring by focused ultrasound: safety 

and efficiancy of the Contour I device in a 

multicenter, controlled, clinical study. Plast 

Reconstr Surg 2007; 120: 779-789. 

2. Mareno-Moraga J et al. Body contouring 

by non-invasive transdermal focused 

ultrasound. Lasers Surg Med 2007; 39: 

315-23. 

3. O´Brien Jr WD et al. Ultrasound-Biophysics 

mechanisms. Prog Biophys Mol 

Bio 2007; 93: 212-255. 

4. Kodama T. et al. Transfection effect of 

microbubbles on cells in superposed 

ultrasound waves and behavior of 

cavitation bubble. Ultrasound Med Biol 

2006; 32: 905-14. 

5. Wu J et al. Ultrasound, cavitation bubbles 

and their interaction with cells. Adv Drug 

Deliv Rev 2008; 60: 1103-16. 

6. Verari S. et al: The use of stable cavitation 

in non-invasive treatment of localized 

lipomas. Journal of Plastic Dermatology 

2009; 5,2: 4-5. 



7. Pape D. Schlank im Schlaf. (2006) Graefe 

und Unzer Verlag. 

Dr. Hans-Ulrich Jabs

Schumann oscillations, radio waves and ultrasound ... - Dermaviduals

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