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A Prospective Study Determining Patient Satisfaction with Combined Cryolipolysis and Shockwave Therapy Treatment for Noninvasive Body Contouring

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  • Non-Surgical Aesthetic
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Abstract

Background

With an increased interest in nonsurgical and minimally invasive body fat reduction and body contouring procedures with limited side effects and downtime, cryolipolysis has emerged as a compelling and safe alternative to surgical fat removal methods. A massage of the treated areas generally follows cryolipolysis treatment to improve blood circulation and increase apoptotic fat cells' removal. In this study, following cryolipolysis, we used shockwave therapy instead of massage to enhance the results of the body contouring treatment and improve the patient’s comfort. We then assessed patients’ comfort and satisfaction using the combination of cryolipolysis and shockwave therapy in reducing fat volume.

Methods

We conducted a prospective study of 30 patients who underwent at least one cryolipolysis therapy cycle followed by shockwave treatment. Subjects were given a posttreatment questionnaire to assess the patient’s comfort and satisfaction degree with the combination of cryolipolysis and shockwave therapy for fat reduction. Answers were recorded on a five-point Likert-style scale, entered into a database and were analyzed.

Results

We found an overall high satisfaction rate for most patients when treated with shockwave therapy after cryolipolysis treatment. The majority of patients described the discomfort associated with treatment as minimal or tolerable (76.7%) and were prepared to recommend cryolipolysis treatment followed by shockwave therapy to friends (68.9%). Overall, 76.7% of patients found the combination therapy comfortable, 68.3% were satisfied with the results, 57.7% said the results met their expectations.

Conclusion

The most important aspects of body contouring methods is a patient’s safety, comfort, satisfaction and self-image improvement. In this study, we report a high level of patient satisfaction when using a combination of fat reduction procedures of cryolipolysis followed by shockwave therapy. The majority of cases report being satisfied or extremely satisfied with the treatment and found this body contouring combination method comfortable. Cryolipolysis combined with shockwave treatment appears to be a safe and efficient way of reducing the size of localized and stubborn fat deposits for subjects who desire nonsurgical localized fat reduction.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266.

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References

  1. Ugalmugale S, Swain R (2020) Body fat reduction market size by procedure (Surgical {Liposuction, Abdominoplasty}, Non-surgical {Cryolipolysis, Ultrasound, Laser Lipolysis}), By Gender (Female, Male), By Service Provider (Hospitals, Clinics, Medical Spas). Industry Analysis Report, Regional Outlook, Application Potential, Price Trends, Competitive Market Share & Forecast, 2020–2026. Global Market Insights, Report id: GMI3141

  2. Rao RB, Ely SF, Hoffman RS (1999) Deaths related to liposuction. N Engl J Med 340:1471–1475

    Article  CAS  Google Scholar 

  3. Ferraro GA, De Francesco F, Cataldo C et al (2012) Synergistic effects of cryolipolysis and shock waves for noninvasive body contouring. Aesthet Plast Surg 36:666–679

    Article  CAS  Google Scholar 

  4. ASAPS (2018) Cosmetic (Aesthetic) Surgery National Data Bank, STATISTICS. Report by The American Society for Aesthetic Plastic Surgery

  5. Jewell ML, Solish NJ, Desilets CS (2011) Noninvasive body sculpting technologies with an emphasis on high-intensity focused ultrasound. Aesthet Plast Surg 35:901–912

    Article  Google Scholar 

  6. Klein KB, Zelickson B, Riopelle JG et al (2009) Non-invasive cryolipolysis for subcutaneous fat reduction does not affect serum lipid levels or liver function tests. Lasers Surg Med 41:785–790

    Article  Google Scholar 

  7. Klein KB, Bachelor EP, Becker EV et al (2017) Multiple same day cryolipolysis treatments for the reduction of subcutaneous fat are safe and do not affect serum lipid levels or liver function tests. Lasers Surg Med 49:640–644

    Article  Google Scholar 

  8. Stevens WG, Pietrzak LK, Spring MA (2013) Broad overview of a clinical and commercial experience with CoolSculpting. Aesthet Surg J 33:835–846

    Article  Google Scholar 

  9. Manstein D, Laubach H, Watanabe K et al (2008) Selective cryolysis: a novel method of non-invasive fat removal. Lasers Surg Med 40:595–604

    Article  Google Scholar 

  10. Thiam AR, Beller M (2017) The why, when and how of lipid droplet diversity. J Cell Sci 130:315–324

    CAS  PubMed  Google Scholar 

  11. Boey GE, Wasilenchuk JL (2014) Enhanced clinical outcome with manual massage following cryolipolysis treatment: a 4-month study of safety and efficacy. Lasers Surg Med 46:20–26

    Article  Google Scholar 

  12. Dierickx CC, Mazer JM, Sand M et al (2013) Safety, tolerance, and patient satisfaction with noninvasive cryolipolysis. Dermatol Surg 39:1209–1216

    Article  CAS  Google Scholar 

  13. Krueger N, Mai SV, Luebberding S et al (2014) Cryolipolysis for noninvasive body contouring: clinical efficacy and patient satisfaction. Clin Cosmet Investig Dermatol 7:201–205

    PubMed  PubMed Central  Google Scholar 

  14. Antonic V, Mittermayr R, Schaden W et al (2011) Evidence supporting extracorporeal shock wave therapy for acute and chronic soft tissue wounds. Wounds 23:204–215

    PubMed  Google Scholar 

  15. Carulli C, Tonelli F, Innocenti M et al (2016) Effectiveness of extracorporeal shockwave therapy in three major tendon diseases. J Orthop Traumatol 17:15–20

    Article  Google Scholar 

  16. Kilmer SL, Burns AJ, Zelickson BD (2016) Safety and efficacy of cryolipolysis for non-invasive reduction of submental fat. Lasers Surg Med 48:3–13

    Article  Google Scholar 

  17. US Food and Drug Administration (2014) 5 10(K) Summary of safety and effectiveness. FDA, https://www.accessdata.fda.gov/cdrh_docs/pdf13/K133212.pdf

  18. ZELTIQ (2018) User Manual CoolSculpting System.

  19. Zelickson B, Egbert BM, Preciado J et al (2009) Cryolipolysis for noninvasive fat cell destruction: initial results from a pig model. Dermatol Surg 35:1462–1470

    Article  CAS  Google Scholar 

  20. Cohen PR (2017) Notalgia paresthetica: a novel approach to treatment with cryolipolysis. Cureus 9:e1719

    PubMed  PubMed Central  Google Scholar 

  21. Meyer PF, da Silva RM, Oliveira G et al (2016) Effects of cryolipolysis on abdominal adiposity. Case Rep Dermatol Med 2016:6052194

    PubMed  PubMed Central  Google Scholar 

  22. Nelson AA, Wasserman D, Avram MM (2009) Cryolipolysis for reduction of excess adipose tissue. Semin Cutan Med Surg 28:244–249

    Article  CAS  Google Scholar 

  23. Vetrano M, d’Alessandro F, Torrisi MR et al (2011) Extracorporeal shock wave therapy promotes cell proliferation and collagen synthesis of primary cultured human tenocytes. Knee Surg Sports Traumatol Arthrosc 19:2159–2168

    Article  Google Scholar 

  24. Kuo YR, Wang CT, Wang FS et al (2009) Extracorporeal shock-wave therapy enhanced wound healing via increasing topical blood perfusion and tissue regeneration in a rat model of STZ-induced diabetes. Wound Repair Regen 17:522–530

    Article  Google Scholar 

  25. Zhang L, Fu XB, Chen S et al (2018) Efficacy and safety of extracorporeal shock wave therapy for acute and chronic soft tissue wounds: a systematic review and meta-analysis. Int Wound J 15:590–599

    Article  Google Scholar 

  26. Greer N, Foman NA, MacDonald R et al (2013) Advanced wound care therapies for nonhealing diabetic, venous, and arterial ulcers: a systematic review. Ann Intern Med 159:532–542

    Article  Google Scholar 

  27. Wang CJ, Kuo YR, Wu RW et al (2009) Extracorporeal shockwave treatment for chronic diabetic foot ulcers. J Surg Res 152:96–103

    Article  Google Scholar 

  28. Stojadinovic A, Elster EA, Anam K et al (2008) Angiogenic response to extracorporeal shock wave treatment in murine skin isografts. Angiogenesis 11:369–380

    Article  Google Scholar 

  29. Knobloch K, Kraemer R (2015) Extracorporeal shock wave therapy (ESWT) for the treatment of cellulite: a current metaanalysis. Int J Surg 24:210–217

    Article  Google Scholar 

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Acknowledgements

I would like to thank nurse Vanessa Sinden-Laflèche for conducting the patients' satisfaction survey, Dr. Sima Salahshor for her editorial contributions, and Allergan for the publication grant.

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Authors and Affiliations

  1. The Ottawa Skin Clinic, 349 St Laurent Blvd, Ottawa, ON, K1K 2Z7, Canada

    Alain Michon

  2. Department of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada

    Alain Michon

  3. Institut du Savoir Montfort, Montfort Hospital, Ottawa, Ontario, Canada

    Alain Michon

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  1. Alain Michon
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Correspondence to Alain Michon.

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Conflict of Interest

Dr. Alain Michon is a medical advisor and consultant with Allergan.

Ethical Approval

Ethical approval was not sought for the present study because it was not required. This study was conducted following good clinical practice and regional laws and regulations and adhered to the Declaration of Helsinki principles.

Informed Consent

Written informed consent was obtained for all subjects before combined cryolipolysis and shockwave therapy treatment, and a recorded verbal informed consent was obtained from all subjects before taking part in the survey study.

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Michon, A. A Prospective Study Determining Patient Satisfaction with Combined Cryolipolysis and Shockwave Therapy Treatment for Noninvasive Body Contouring. Aesth Plast Surg 45, 2317–2325 (2021). https://doi.org/10.1007/s00266-021-02139-0

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  • DOI: https://doi.org/10.1007/s00266-021-02139-0

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