User:Eng.motasem-Bahbahani/sandbox

Cavitation Ultrasound for Body Reshaping:

Keywords: Body Sculpting – Cellulite – Fat Zones - Location of Fat Deposits – Treatments - Laser Assisted Lipolysis - Ultrasound Assisted Liposuction – Ultrasound Definition - Ultrasonic Lipolysis - Ultrasonic Cavitation – Protocols – Results - Contraindications

•	Ultrasonic cavitation is a non-invasive technique for volume reduction treatments Offers sub-dermal body shaping. •	1. Body Sculpting -	 Increasingly sedentary lifestyles and over-consumption are fuelling the growth in body sculpting treatments -	 Fat is stored primarily as triglycerides inside adipocyte cells, located between the muscles and the skin -	 Number of fat cells is the same regardless of a person’s weight, but size of cell can vary considerably •	2. Cellulite -	Cellulite is the appearance of dimpled skin, often referred to as “cottage cheese” or “orange peel”. -	 Cellulite affects most women over the age of 20 and appears in grades from 0-4. -	 Slender people can also have cellulite, because we all have a fat layer just below the surface of the skin. •	3. Typical Excess Fat Zones A key indication for body contouring is the presence of undesirable excessive fat areas, not an overall BMI indicating obesity. These areas typically arise in the: -	 Outer thigh (saddle bags) -	 Upper arm (bingo wings) -	 Abdomen (love handles, spare tyre) -	 Chin / Jowls (double chin) •	4. Location of Fat Deposits -	 Inside arm -	Abdomen -	 Hips -	Saddlebags -	 Buttocks -	 Thigh -	 Neck A simple low-calorie diet is often not enough to treat these zones. •	5. Treatments There are several approaches to improve the common issue of excess weight: -	Diet and exercise -	 Invasive techniques such as Liposuction (can be laser or ultrasound assisted) -	 Non-invasive techniques such as Ultrasound Cavitation •	6. Laser Assisted Lipolysis -	Invasive technique consisting of the insertion of a laser fiber optic in the subcutaneous layer -	 Needs a surgical and sterile environment -	 Not as dramatic as Liposuction but uses local anesthetic and good for treatment of small regions -	 Often requires some form of aspiration to get fast results •	7. Ultrasound Assisted Liposuction -	 Invasive technique, commonly known as VASER liposuction -	 Consists of insertion of an ultrasound cannula in the sub-cutaneous layer -	 The ultrasound liquefies the fat cells, improving the ease of liposuction, minimizing side effects -	 Technique needs a surgical and sterile environment, but GA not always needed -	Convenient especially for the removal of high volumes of fat. •	8. What is Ultrasound? Ultrasound consists of sound waves at a frequency greater than that which we can hear •	9. Ultrasonic Lipolysis -	 Ultrasonic Lipolysis is is a NON-INVASIVE technique Can achieve volume reduction of tissue -	. Ultrasound cavitation causes the formation of micro-bubbles. When these bubbles collapse, they effect fat cell walls and allow triglycerides to pass out of the cell. •	10.Ultrasonic Cavitation -	 Cavitation is the process of bubble formation (pockets of steam) -	These bubbles are formed in the water in the interstitial areas. -	 When the bubbles collapse, they emit shock waves and a microjet of water, capable of selectively damaging the membranes of fat cells (adipocytes). -	 This allows transport of triglycerides out of the cell. -	11. After treatment, excess liquid and lymphatic fluids are drained and expelled via the urinary system. -	 Expect a significant increase in diuresis following treatment (continuing to next day). -	 A change in smell and color of urine may be observed after the first sessions, especially in patients with a considerable percentage of body fat. -	The fat which has been released is absorbed and metabolised by the lymphatic, liver and kidney systems. -	 This process can continue for 2-3 months. •	12.Protocol -	 Need 7 - 12 sessions, each lasting a maximum of 20 minutes per area. -	Clients must be well hydrated prior to treatment (recommend they drink 1 liter of water) -	Take body measurements / photographs before treatment -	 Apply ultrasound gel to the area. -	 Start treatment at approx 30% power. Increase to 70-80% on fatter areas; 50% on thinner areas -	 Move handpiece gently without lingering on the same area. -	 Treatment interval is 1-2 weeks •	13. Slimming & Drainage Modes -	Slimming mode works at 38-40kHz -	Drainage mode works at 36.5 – 41.5kHz -	Slimming mode gives a better cavitation effect (i.e. better fat transfer out of cell) -	 Drainage mode causes more vibration of the tissue, helping to promote circulation and lymph drainage On large areas, -	 do first treatments using slimming mode, then follow with drainage •	14. Results -	Results should be visible from the first treatment, showing a significant reduction in centimeters. -	 A further final measurement should be taken three months after the last treatment, since the remodeling of the dissolved fat continues naturally within the body as the macrophages expel the contents of the broken down cells. -	 Some clients will not see satisfactory results. If no change is seen after 3-4 treatments, consider stopping treatment. -	 Best results seen on Abdomen - Bottom crease - Inner Thigh. •	15. Contraindicated Areas, The Cavitation Ultrasound should not be used on the following areas: -	 Underarms -	 Behind the knees (popliteal) -	 Groin / Testicles -	 Female genital organs -	 Hands -	 Neck -	 Face -	 Head -	 Over any bony areas •	16. Contraindications -	Cardiac patients and those with pacemakers -	 Pregnancy -	 Clients with vascular diseases -	 Clients with thrombosis and / or thrombophlebitis -	 Clients being treated with anticoagulants -	 Clients who have undergone a transplant -	Clients with large metal implants -	Diabetics -	 Epileptics -	 Broken skin in the treatment area •	17. Any Questions?

Eng. Motasem Bahbahani