This page contains a Flash digital edition of a book.
PROMOTION


SHOCKWAVE THERAPY TO TREAT CELLULITE


Pablo Naranjo García discusses cellulite treatment of a unique instance with high energy radial shockwave therapy from Zimmer MedizinSysteme (ZWave®).


ABSTRACT


In this case study of a unique instance, the effects of non-invasive generated shockwaves onto the skin and the underlying fat tissue of a cellulite-afflicted, 52-year-old


woman were investigated. The treatment was applied at the lateral thighs once per week for a period of 10 weeks. Diagnostic high-resolution ultrasound (Esaote 25 Gold® device with 15–18 MHz linear probe), thermography


(Thermo-Cell) and photography (Canon® camera) were performed before and after treatment. Changes to the subcutaneous fat were demonstrated using ultrasonography and thermography.


C


DR PABLO NARANJO GARCÍA is Director of Master on Aesthetic Medicine at URJC University, Professor of Anatomy at URJC University, Vice-President of the Spanish Medical Aesthetic Laser Association (AEMLE).


Contact information: www.elitelaser.es


56 ❚ June 2012 | prime-journal.com


ELLULITE IS A c ommo n t opogr aphic al alteration in which the skin acquires an orange-peel or


mattress appearance. In this condition, alterations occur to the adipose tissue and microcirculation that result from blood and lymphatic disturbances causing fibrosclerosis of the connective tissue. It is considered a non-inflammatory, degenerative phenomenon that provokes alterations to the hypodermis producing irregular undulations on the skin overlying affected areas. Cellulite is certainly not a serious condition from the medical point of view, but it does represent the most widespread and least tolerated aesthetic complaint among women. The condition is well-known as a result of intense publicity campaigns in the mass media and cosmetics industry, targeted at increasing the market for cosmetic creams, electro-medical equipment, and therapeutic fantasies that often lack a scientific basis, although they do sometimes improve the aesthetic


aspect of the problem. A few treatments supported by some evidence are available today, such as mechanical therapy with suction, bipolar


radiofrequency,


carboxytherapy, mesotherapy, and recommendation of exercise and weight-loss, for example. Shockwaves applied locally to the skin with cellulite may be an effective non-invasive therapy combined with any of the other treatments.


r “Cellulite


epresents the most


widespread and least tolerated aesthetic complaint among women.





High Energy Radial Shockwave Therapy (HERST) Shockwaves transmit mechanical energy from the place of generation to distant areas. They display a single, mainly positive pressure pulse of large amplitude that is followed by comparatively small tensile wave components1


. When using


shockwaves for therapy, effects that make the pressure pulse even steeper as a result of non-linearities in the propagation medium, as well as phenomena such as refraction and diffraction at acoustic interfaces, must be taken into consideration. The fact that shockwaves selectively effect acoustical interfaces


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84