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High-Intensity Focused Ultrasound Effectively Reduces Waist Circumference by Ablating Adipose Tissue from the Abdomen and Flanks: A Retrospective Case Series

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Currently available technologies for performing aesthetic body sculpting are either noninvasive but require multiple treatments to achieve relatively superficial effects or very effective but also invasive and sometimes associated with serious complications. A new, noninvasive alternative is to ablate adipose tissue using high-intensity focused ultrasound (HIFU). When focused within subcutaneous adipose tissue, HIFU quickly raises the local temperature, resulting in instantaneous cell death via coagulative necrosis within the targeted area but no damage to the surrounding tissue.


A new HIFU device, the LipoSonix system (Medicis Technologies Corporation, Bothell, WA, USA), was used by our clinic staff to reduce waist circumference via removal of excess adipose tissue from the anterior abdomen and flank areas. This report describes the results of a retrospective chart review of patients at one clinic who underwent HIFU treatment of the anterior abdomen and flank areas.


A total of 85 men and women with a mean age of 43.8 years underwent a single HIFU treatment session. The time required to complete treatment was approximately 1 to 1.5 h. Using a mean energy level of 134.8 J/cm2 and a focal depth of 1.1 to 1.6 cm, the waist circumference was decreased by an average of 4.6 cm after 3 months. Of the 85 patients, 10 (11.8%) reported adverse events including prolonged tenderness (n = 3), ecchymosis (n = 3), hard lumps (n = 2), edema (n = 1), and pain (n = 1), which resolved spontaneously.


The authors conclude from their experience that HIFU represents a safe and effective means for performing noninvasive body sculpting.

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  1. The highest and lowest energy doses were compared using the median energy dose as the cutoff.

  2. Comparisons were made using a two-sample t test assuming equal variances.


  1. van der Lugt C, Romero C, Ancona D, Al-Zarouni M, Perera J, Trelles MA (2009) A multicenter study of cellulite treatment with a variable emission radio frequency system. Dermatol Ther 22:74–84

    Article  PubMed  Google Scholar 

  2. Nootheti PK, Magpantay A, Yosowitz G, Calderon S, Goldman MP (2006) A single-center, randomized, comparative, prospective clinical study to determine the efficacy of the VelaSmooth system versus the Triactive system for the treatment of cellulite. Lasers Surg Med 38:908–912

    Article  PubMed  Google Scholar 

  3. Kulick M (2005) Evaluation of a combined laser-radio frequency device (Polaris WR) for the nonablative treatment of facial wrinkles. J Cosmet Laser Ther 7:87–92

    Article  PubMed  Google Scholar 

  4. Sadick N, Magro C (2007) A study evaluating the safety and efficacy of the VelaSmooth system in the treatment of cellulite. J Cosmet Laser Ther 9:15–20

    Article  PubMed  Google Scholar 

  5. Romero C, Caballero N, Herrero M, Ruíz R, Sadick NS, Trelles MA (2008) Effects of cellulite treatment with RF, IR light, mechanical massage and suction treating one buttock with the contralateral as a control. J Cosmet Laser Ther 10:193–201

    Article  PubMed  Google Scholar 

  6. Lehnhardt M, Homann HH, Daigeler A, Hauser J, Palka P, Steinau HU (2008) Major and lethal complications of liposuction: a review of 72 cases in Germany between 1998 and 2002. Plast Reconstr Surg 121:396–403e

    Article  Google Scholar 

  7. Gasperoni C, Gasperoni P (2006) Subdermal liposuction: long-term experience. Clin Plast Surg 33:63–73

    Article  PubMed  Google Scholar 

  8. Goldman A, Gotkin RH (2009) Laser-assisted liposuction. Clin Plast Surg 36:241–253

    Article  PubMed  Google Scholar 

  9. Katz B, McBean J (2008) Laser-assisted lipolysis: a report on complications. J Cosmet Laser Ther 10:2331–2333

    Article  Google Scholar 

  10. Ter Haar G, Coussios C (2007) High-intensity focused ultrasound: physical principles and devices. Int J Hyperthermia 23:89–104

    Article  Google Scholar 

  11. LipoSonix System User Manual. Medicis Technologies Corporation, Scottsdale, AZ

  12. Fodor PB, Smoller BR, Stecco KA, Desilets CS (2006) Biochemical changes in adipocytes and lipid metabolism secondary to the use of high-intensity focused ultrasound for noninvasive body sculpting. Paper presented at the American Society of Aesthetic Plastic Surgery Annual Meeting, April 2006, Orlando, FL

  13. Fodor PB, Smoller BR, Stecco KA, Desilets CS (2006) A noninvasive method for body sculpting: the use of high-intensity focused ultrasound. Paper presented at the American Society of Aesthetic Plastic Surgery Annual Meeting, April 2006, Orlando, FL

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Dr. Fatemi is a consultant for the Medicis Pharmaceutical Corporation. Dr. Kane is a consultant, speaker, and investigator for the Medicis Pharmaceutical Corporation and also a stockholder. The authors acknowledge Medicis Technologies Corporation for providing editorial assistance during the preparation of this report.

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Correspondence to Afschin Fatemi.

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Fatemi, A., Kane, M.A.C. High-Intensity Focused Ultrasound Effectively Reduces Waist Circumference by Ablating Adipose Tissue from the Abdomen and Flanks: A Retrospective Case Series. Aesth Plast Surg 34, 577–582 (2010).

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