Express weight loss: ultrasound cavitation, dermotonia, electromyostimulation

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A set of procedures to combat local fat deposits, cellulite, sagging skin and restore muscle tone.


Igor Antonyuk, surgeon, laser therapist, consultant at the Academy of Scientific Beauty Ukraine


One of the common reasons for visiting a cosmetologist is dissatisfaction with one’s own figure. Clients want to see a pronounced result, and often in a short period of time: for an event, date, holiday, etc. In the best case, 3-4 weeks are allocated for body correction, and the cosmetologist needs to make every effort to ensure that the client is satisfied. At the same time, do not forget about the safety and comfort of the procedures.

Given the lack of time, clients need to be offered a set of procedures that can combat local fat deposits, cellulite, sagging skin and restore muscle tone.

To combat cellulite and fat deposits, cavitation ultrasound with a frequency of 38-41 kHz can be used. In cosmetology, ultrasonic waves with different frequencies are used, which differ in penetration depth, have different points of application and, accordingly, have different indications. To combat pronounced local fat deposits and advanced forms of cellulite, cavitation ultrasound is ideal.

Acoustic waves with a frequency of 38-41 KHz have a high penetration depth (about 6-7 cm) and exert variable pressure on tissues, primarily on the aquatic environment, causing “stratification” of the liquid and the formation of cavitation cavities directly in the fat cell and intercellular space. When bubbles collapse, kinetic energy is released. The hydrodynamic shock damages the cell membranes of adipocytes. The membranes of the most fat-filled cells are damaged first of all due to their greatest tension. At the same time, other cells and tissues (muscle fibrils, epidermal cells, vascular endothelium, etc.) are not damaged by cavitation, since they are relatively strong and have a sufficient elasticity coefficient. When used correctly, this technique is safe and effective. The reduction in volume is about 1-1.5 cm, with the result being higher in the middle of the course of procedures.

Given the high power and penetration depth of ultrasonic waves, it is necessary to strictly adhere to the procedure protocol. Areas to be treated: anterior abdominal wall, lateral abdominal wall, outer thigh, inner shoulder. During the procedure, a contact gel is used (preferably anti-cellulite), as there is a sonophoresis effect. A fold of skin and fat is formed and processed with a nozzle. It is strictly forbidden to direct the nozzle to the organs of the chest and abdominal cavity, lymph nodes and areas with superficially located bone formations.

The procedure is comfortable, the client feels vibration and warmth in the treated area, as well as a slight ringing in the ears. The procedure takes 20-45 minutes and depends on the severity of the process and the number of areas being treated. The number of procedures will also depend on this - on average 6-8, with an interval of 5-6 days. Before the procedure, you must follow a drinking regime, drink up to 2 liters of water before and after the procedure. An increase in the amount of fluid in the tissues will intensify the cavitation processes and will contribute to the rapid removal of decay products from the body.

Once again, it is necessary to recall that cavitation ultrasound is used in areas of the body where there is a pronounced fold of skin and fat. After the procedure, triglycerides are released from adipocytes and blood lipid levels increase, which, in turn, puts stress on the liver and kidneys. To level out these manifestations, lymphatic drainage techniques are indicated: pressotherapy, vacuum or manual lymphatic drainage. The cavitation procedure is always offered in combination with a course of massage and lymphatic drainage.

Dermotony is a universal vacuum method of figure correction, which causes a powerful increase in blood circulation in the skin and subcutaneous fat and has both a therapeutic and aesthetic effect. This is a whole philosophy that considers the structure and functioning of the skin as an integral part of the whole organism. For dermotonia, a device is used that creates negative pressure from 100 to 800 mbar/cubic meter. mm and has 3 operating modes: constant, pulsating and hyperpulsating vacuum.

The pulsating vacuum affects tensor receptors (stretch receptors), which promotes dilation of blood vessels and myogenic relaxation. This effect is aimed at strengthening the vascular wall, eliminating congestion, and has an indirect, reflex effect on internal organs and systems.

The suction effect of a constant vacuum and the mechanical effect of the manipulator eliminates local and deep circulatory disturbances and increases the flow of arterial blood. The hypervascularization effect saturates tissues with oxygen, enhances metabolism in adipocytes and activates the process of eliminating triglycerides from adipose tissue. The combination of constant vacuum and the mechanical, rotational effect of the manipulator has a powerful defibrosing effect and allows you to treat all stages of cellulite.

Hyperpulsating mode with a frequency of 3-5 Hz is intended for atonic and sagging skin. It has a tonic effect on muscle fibers and the dermal layers of the skin, stimulates the production of fibrous substances - collagen and elastin, increases skin firmness and elasticity and improves skin texture.

The treatment program has several stages and at each of them there is a certain mode and vacuum strength.

If we talk about the use of vacuum massage after ultrasound exposure, then it is necessary to carry out a full-fledged dermotonia procedure. Although it is possible to use only some stages. The massage stage provides an additional mechanical effect on adipose tissue, restoration of arterial circulation and a reduction in fibrotic manifestations. The use of a lymphatic drainage complex is mandatory. It includes initial stimulation of the regional lymph nodes in a pulsating mode, direct lymphatic drainage in a constant vacuum mode, low intensity, combined with slow, smooth movements, and final stimulation of the lymphatic collectors. This accelerates the removal of decay products, toxic substances, and excess fluid from tissues and, thereby, eliminates stagnation, normalizes the circulation of lymph and intercellular fluid and activates metabolic processes in tissues, has a powerful decongestant, detoxification and diuretic effect.

The technique is universal, suitable for men and women, has a wide range of indications for body correction, rehabilitation after surgery, restoration of skin turgor, while it has a minimum of contraindications and the absence of any serious complications. Vacuum massage is carried out 2-3 times a week, a course of 12-15 procedures.

The methods described above are primarily designed to influence and eliminate problems in the subcutaneous fat and skin. Don't forget about the muscle frame. Muscle toning plays an important role in regaining your figure. The best option is myostimulation, which allows you to cover the main muscle groups. Despite the fact that the technique has been actively used over the past 60-70 years, and the influence of currents on the human body has been studied quite well, doctors and scientists are trying to improve it and make its use safe and more effective. Triactif technology involves the simultaneous use of three techniques that complement each other.

Currents for myostimulation are a large group of electrical currents that affect muscle fibers, fat cells, and nerve fibers. Thermal heating enhances microcirculation and metabolic processes in tissues; currents for electroporation ensure the conduction of the active components of the contact gel into the tissue. Plates are applied to the body - thermoelements, which are heated to a temperature of 50 ° C. The device has 10 plates, each the size of an A4 sheet, that is, they can completely cover not the largest large body. The van't Hoff effect states that with an increase in temperature by 10 degrees, the rate of chemical reactions increases by 2-4 times, respectively, an increase in temperature in tissues by 3-4 degrees helps to increase metabolic processes by 25-30%. The plates contain electrodes that supply current to the muscles. At the same time, about 60-70% of muscle mass is worked out. During active contraction, muscles need energy, which occurs during the metabolism of blood glucose. This energy reserve is enough for approximately 30 minutes of physical activity. Subsequently, the supplier of energy material is adipose tissue. When triglycerides are broken down, a sufficient number of ATP molecules are formed, which are so necessary for the contraction of myofibrils.

Electroporation is the use of modulated currents that change the membrane potential, which leads to the opening of temporary channels through which the active components of the contact gel penetrate into the cell. The duration of the procedure is 45 minutes, of which 40 minutes are thermal heating and myostimulation, 5 minutes are thermal heating and electroporation. For ease of operation, various types of currents are grouped into programs. During the procedure, the body is sequentially affected by 6 types of currents, which have different points of application and different susceptibility. During the procedure, all parameters of thermal heating and current strength are adjusted separately on each plate. The technique has advanced so much that, in addition to excellent results in body correction, it gives the client new pleasant sensations and positive emotions.

Myostimulation is a universal procedure and is suitable for men and women, athletes and people leading a sedentary lifestyle, thin and overweight people. The course is 12-15 procedures, 3 times a week.

When using hardware methods for body correction, you need to explain to the client that you should not completely “rely” on progress in medicine and technology and hope for a good result while continuing to lead a sedentary lifestyle and eat high-calorie foods. Our clients are also required to put in some effort. In order to get faster and more pronounced results, convince them to follow a few simple rules. This:

  • exercise and dietary restrictions;
  • correct purpose and application of techniques;
  • a certain sequence and complementarity of physical influences;
  • mandatory use of home care.

First published: Cosmetologist No. 4, 2016

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