Coleman William P, Coleman William, Weiss Robert A, Kenkel Jeffrey M, Ad-El Dean D, Amir Ruthie
*Coleman Center for Cosmetic Dermatologic Surgery, Metairie, Louisiana; †Maryland Laser Skin and Vein Institute, Hunt Valley, Maryland; ‡Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, Texas; §Department of Plastic Surgery and Burns, Beilinson Hospital, Petah Tikva, Israel; ‖Syneron Medical Ltd., Yokneam, Israel.
Dermatol Surg. 2017 Jan;43(1):50-57. doi: 10.1097/DSS.0000000000000918.
Demand for nonsurgical esthetic body procedures has led to the development of noninvasive techniques for reducing localized subcutaneous adipose tissue.
This study assessed multiple treatments with nonthermal focused ultrasound for noninvasive abdominal treatment of excess fat deposits.
Subjects were randomly assigned to Group 1 for a 4-week control phase before undergoing 3 abdominal fat reduction treatments, at 2-week intervals, or to Group 2 for immediate treatment. Weight, abdominal circumference, tolerability to treatment, subject satisfaction, and adverse events were recorded.
Weight remained stable in the 126 participants. Mean reduction in midline circumference was 2.5 ± 2.1 cm in the Group 1 and 3.5 ± 2.7 cm in the Group 2 at Week 22. The effect of multiple treatments was cumulative with a steady decrease in abdominal circumferences during the study. Erythema was observed in 28% of treatments but was mild and transient in nature. Subjects tolerated the treatments well and were satisfied with treatment outcome.
The study demonstrated the efficacy and safety of multiple nonthermal focused ultrasound treatments of excess abdominal fat deposits. Although the remodeling effect is minor compared with traditional surgical procedures, successive focused ultrasound treatments significantly reduced treatment area circumference, while avoiding invasive techniques and their associated disadvantages.
对非手术美容美体手术的需求促使了用于减少局部皮下脂肪组织的非侵入性技术的发展。
本研究评估了非热聚焦超声多次治疗对腹部多余脂肪沉积进行非侵入性治疗的效果。
将受试者随机分为两组,第1组在接受3次腹部减脂治疗前有4周的对照期,治疗间隔为2周;第2组则立即接受治疗。记录体重、腹围、对治疗的耐受性、受试者满意度及不良事件。
126名参与者的体重保持稳定。在第22周时,第1组中线腹围平均减少2.5±2.1厘米,第2组为3.5±2.7厘米。多次治疗的效果具有累积性,在研究期间腹围持续下降。28%的治疗出现红斑,但程度较轻且为一过性。受试者对治疗耐受性良好,对治疗结果满意。
本研究证明了非热聚焦超声多次治疗腹部多余脂肪沉积的有效性和安全性。虽然与传统手术相比,重塑效果较小,但连续的聚焦超声治疗显著减小了治疗区域的腹围,同时避免了侵入性技术及其相关弊端。