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  1. Body sculpting, also known as body contouring, refers to a wide range of non-surgical and surgical procedures designed to reshape and improve the appearance of the body. This process can eliminate excess fat, tighten skin, and enhance muscle definition to achieve a more toned and defined physique.

    • Abstract
    • Methods
    • Mechanical Suction
    • Mechanical Suction and Thermal Energy
    • Mechanical Suction Summary
    • External Radiofrequency
    • Radiofrequency Summary
    • External Ultrasound
    • External Ultrasound Summary
    • Cryolipolysis

    Liposuction has become one of the leading cosmetic surgical procedures worldwide. In 2013, the International Society for Aesthetic Plastic Surgery reported that more than 1.6 million liposuction procedures had been performed globally, making it the second most common cosmetic procedure after breast augmentation.1 According to the 2013 American Soci...

    A search for relevant studies was undertaken using Medline. The medical subject heading terms used for the search included body contouring, mechanical suction, SmoothShape, Endermologie, TriActive, VelaSmooth, external radiofrequency, VelaShape, Thermage, Accent, TiteFX, high-frequency focused ultrasound, UltraShape, Liposonix, cryolipolysis, Cools...

    Endermologie

    Endermologie (LPG Systems, Valence, France) was developed in France by Louis Paul Guitay in the 1970s (Figure 1). He suffered soft tissue injuries in a road traffic accident, and the resultant scars were treated with manual massage. Louis Paul Guitay developed a device that mimicked this manual massaging. The device was originally used for scars that resulted from trauma and burns; however, users noted that it also improved the appearance of cellulite and altered fat distribution. The most re...

    TriActive

    These devices were based on the earlier endermology devices and incorporated an additional thermal energy component into the treatment. The TriActive device (Cynosure, Westford, MA) uses a low-energy diode laser with contact cooling, suction, and massage. The main indication for this device has been in the management of cellulite. A prospective, randomized, comparative study was performed in 20 patients to determine the efficacy of the TriActive and VelaSmooth (Syneron Candela, Irvine, CA) de...

    SmoothShapes

    Kulick10 evaluated the SmoothShapes device (Cynosure), which is dual-wavelength laser-suction and massage device (Figure 2). The series included 20 patients who underwent 2 treatment sessions on the lateral thigh area per week for 4 weeks. The investigators used 3-dimensional imaging technology to evaluate improvements in skin contour, such as cellulite, and volume reduction. Patients were evaluated 1, 3, and 6 months after treatment. Three-dimensional image analyses showed a 76% improvement...

    Treatment with Endermologie alone resulted in only modest improvements in a proportion of patients. The treatment requires a number of regular sessions to achieve this marginal improvement. The device with mechanical suction and thermal energy, commercially known as TriActive, has been shown to somewhat improve the appearance of cellulite and to re...

    Radiofrequency devices are currently the most popular noninvasive body contouring devices used in practice. These devices apply volumetric bulk heat to the epidermis and dermis. There are both immediate and delayed sequelae of this volumetric heating. The immediate change is denaturation of the collagen fibrils with shortening of the fibril lengths...

    Radiofrequency has been used in body contouring both internally and externally. The mechanism of action relies on volumetric heating of the skin and subcutaneous tissues. The devices can be classified as monopolar (Thermage and Accent) or bipolar (VelaSmooth and VelaShape). Bipolar devices generally require more frequent treatments, and a literatur...

    The use of ultrasound for lipolysis was pioneered by Zocchi,26 who used an invasive internal device. Noninvasive ultrasound can be broadly classified into 2 mechanisms: low-intensity/low-frequency nonthermal ultrasound and high-intensity focused ultrasound (HIFU). Low-intensity/low-frequency ultrasound devices are available; however, there is no ev...

    There are 2 main external ultrasound devices used in body contouring. The UltraShape device relies on nonthermal ultrasonic waves to cause cavitation in the adipose tissues. There are a number of studies in which this device has been shown to be safe and effective in the reduction of fat layers. However, there was a study in which no benefit of usi...

    The concept of cold-induced fat destruction comes from reports of infants that sustained “popsicle panniculitis.” This clinical entity arises when prolonged contact with a popsicle results in an area of focal lipoatrophy. However, the exact mechanism underlying the selective destruction of adipocytes by cooling is not fully understood. Fat or adipo...

    • Reza Nassab
    • 2015
  2. Nov 23, 2022 · These four nonsurgical body treatments do everything from muscle building, fat reduction, lymphatic massage and pelvic floor strengthening.

  3. In the present narrative review, 11 body contouring methods, including cryolipolysis, high-intensity focused ultrasound (HIFU), shockwave, low-level laser therapy (LLLT), radiofrequency (RF), capacitive resistive electrical transfer (TECAR), high-intensity-focused electromagnetic (HIFEM), electromyostimulation (EMS), carboxytherapy, mesotherapy ...

  4. The demand for body contouring is rapidly increasing, and interest in noninvasive approaches has also grown. The author reviewed the evidence base behind the currently available devices and methods for nonsurgical body contouring.

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  6. Dec 7, 2022 · Non-invasive body contouring describes non-surgical procedures that do not remove any tissue (fat or skin) from the body. It is different from a surgical body contouring procedure, like...