Presidential Greeting - American Society for Laser Medicine and ...

#131
RADIAL ACOUSTIC WAVES FOR THE
TREATMENT OF CELLULITE: A DOUBLE
BLINDED RANDOMIZED PROSPECTIVE STUDY
VERUM VERSUS PLACEBO
Katharina Russe-Wilflingseder, Elisabeth Russe
Plastische Chirurgie und Laserzentrum, Innsbruck, Austria
Background: Acoustic wave treatment is a new approach to
improve the appearance of cellulite. Pulses are penetrating into
the tissue leading to stimulation of tissue metabolism and blood
circulation, inducing a natural repair process with cell activation
and stem cells proliferation. It is related to extracorporeal shock
wave treatment, which showed evidence of collagen remodeling
within the dermis and of stimulating microcirculation in fatty
tissue and is concluded to have a fibrosclerosis-preventing effect.
In our previous controlled clinical study we could show the clinical
efficacy of acoustic waves for treating cellulite.
Study: Double blinded randomized prospective study was
performed to assess the efficacy of AWT by combining superficial
and deeper penetrating radial waves within one treatment
session. Fifteen females included: 11 verum, 4 placebo; BMI 22.7
SD 1.7; age 42.5 SD 7.6; 8 treatments with D-Actor 200; 10.500
pulses (1/3 deep, 2/3 superficial AW) applied per side (upper-leg
and buttock) using maximal tolerated pressure (DI 1.4–3 bar,
D20S 3–5 bar) at 12 Hz. Documentation and evaluation was done
before, 1 week after 7 treatment and at week 4 and 12 after last
treatment with 3D imaging system, patient’s questionnaire,
weight control, measurement of circumference of upper leg and
standardized photography.
Results: Comparing verum versus placebo results were
significant different at baseline and 2nd follow-up shown by 3D
measurements in Sq P ¼ 0.006 (root mean square height) and Sz
P ¼ 0.021 (maximum height). Patient’s questionnaire revealed
improvement in number and depth of dimples, skin firmness and
texture, little change or no change in shape of treated area and
reduction of circumference of the upper leg Patients’ average
rating of treatment success stated for the verum a constant
improvement at all follow-ups, for the placebo not.
Conclusion: The study could prove the efficacy of superficial and
deep radial acoustic waves in treating cellulite. No side effects
were seen.
#132
American Society for Laser Medicine and Surgery Abstracts 41
BODY SCULPTING WITH ACOUSTIC WAVE
THERAPY: RANDOMIZED, CONTROLLED, STUDY
ON 14 SUBJECTS
Maurice Adatto, R. Adatto-Neilson, P. Novak,
A. Krotz, G. Haller
Skinpulse Dermatology & Laser Center, Geneva, Switzerland;
Storz Medical, Tagerwilen, Switzerland
Background: Reduction of localized adiposities by non-invasive
means is a very frequent request among the female and male
population. The areas most frequently requested for loss of volume
are abdomen, saddle bags, flanks, love handles, inner thighs and
inner knees. Acoustic Wave Therapy 1 (AWT 1 ) is a non-invasive
technique using mechanical sound waves. Its efficacy in
improving cellulite appearance and increasing skin elasticity has
been demonstrated in previous studies. The objective of this study
is to demonstrate the efficacy and safety of AWT 1 , combining two
different mechanical waves during the same session, in volume
reduction of saddle bags in women. To demonstrate this we used
clinical evaluation by comparing before and after pictures as well
as standard measurement plus an objective measurement method
using an ultrasound imaging system.
Study: Treatment was performed on the saddle bags areas of 14
female patients, with the CELLACTOR 1 SC1 (Storz Medical AG,
Tägerwilen, Switzerland). This device includes two applicators,
the C-ACTOR and D-ACTOR. The D-ACTOR is a vibrating
massage system that operates by compressed air to perform pulse
activation therapy on target muscles and tissues with acoustic
radial waves. The C-ACTOR is a high intensity system with
acoustic planar waves. Within 4 weeks, eight AWT 1 treatment
sessions have been performed with both applicators. With the
D-ACTOR 3000 pulses at energy intensity between 3 and 4 bar
have been applied to each saddle bag area. With the C-ACTOR
1500 pulses were used at energy between 0.45 and 1.24 mJ/mm 2
depending on sensitivity of the patient. Follow-up visits were
performed at 1, 4 and 12 weeks after the last treatment.
Results: Measurements with the ultrasound system clearly
demonstrate a significant diminution in the subcutaneous fat
layer thickness with an average of 1.3 mm (11.8%) at 1 FU and
2.2 mm (19.7%) at 2 FU. The averaged circumference has been
reduced from 59.6 cm in the beginning to 58.3 cm at 1 FU and to
57.2 cm at 2 FU. This is a reduction by 1.3 and 2.4 cm. Patients
satisfaction after eight treatments was very good to excellent for 9
of the 14 patients. There were no significant side effects observed
except some minor bruising in two patients. This study, although
performed on a small number of patients, tends to show the
safety and efficacy of AWT 1 in treating localized fat areas in
a non-invasive way. There is also an additional benefit for
patients in reducing the cellulite aspect at the same time by
using AWT 1 .
#133
REDUCTION IN ADIPOSE TISSUE VOLUME
USING A NEW HIGH POWER RADIOFREQUENCY
TECHNOLOGY COMBINED WITH INFRARED
LIGHT AND MECHANICAL MANIPULATION FOR
BODY CONTOURING
Maurice Adatto, Boris Vaynberg, Ruthie Amir
Skinpulse Dermatology & Laser Center Geneva, Switzerland;
Syneron Medical, Yokneam Illit, Israel
Background: A growing patient demand for a youthful skin
appearance with a favorable body shape has led to the recent
development of new non-invasive body contouring techniques. We
have previously demonstrated that the combination of bi-polar
radiofrequency and optical energies with tissue manipulation is
an efficient reshaping modality. Here, we investigated the
efficiency of a new high power version of this combined
technology, in terms of adipose tissue reduction and skin
tightening.
Study: Twelve patients received one treatment per week over 6
weeks in their abdomen/flank areas and were followed-up to 3month
post-completion of the treatment protocol. This new device
has an increased power in the bipolar RF as this parameter seems
to be the most important issue for volume reduction. Patient
circumferences were measured and baselines to post-treatments
comparisons were made. Diagnostic US measurements were used
to evaluate the reduction in adipose tissue volume. Improvement
in skin tightening was evaluated using a cutometer device.
Results: We observed a gradual decline in patient circumferences
from baseline to post six treatments. The overall body shaping
effect was accompanied with improvement in skin tightening and