Aesthetic Medicine Institute, Glasgow, UK.
Dermatol Ther. 2021 Mar;34(2):e14850. doi: 10.1111/dth.14850. Epub 2021 Feb 21.
Cryolipolysis is a nonsurgical body sculpting technique that uses controlled cooling for localized fat reduction. The aim of the present study was to assess whether an intensive regimen of CoolSculpting based on multiple cycles/sessions on the same body area(s) could yield greater (more clinically significant) improvements in body contour. This was a prospective analysis of consecutive, healthy, adult patients undergoing CoolSculpting in routine practice across a variety of treatment areas. Patients underwent ≤4 cycles of CoolSculpting per body area during an initial treatment session, and ≤4 further cycles 4 weeks later (if required). They were followed up for ≥12 weeks. Twenty-eight patients were enrolled (n = 26 female; mean age: 51.6 ± 9.0 years; mean body weight: 69.4 ± 13.7 kg). They were treated across 58 body areas: 48 in a single session; 10 across two sessions. The mean number of cycles per area was 2.8 ± 1.5. Twenty-seven patients (54 body areas) were considered as treatment "responders." In these individuals, mean skinfold thickness decreased from 35.4 ± 9.9 mm pretreatment to 22.2 ± 7.6 mm at 12 weeks (mean change: -40%; P < .001). Mean change in skinfold thickness was greater with ≥3 vs 1 to 2 cycles of CoolSculpting (P = .01). Patient satisfaction was high (n = 51/58; 88%). No adverse events were recorded. The study shows that multiple cycles/sessions of CoolSculpting can safely improve overall treatment benefit in body contouring, with greater decreases in skinfold thickness than have typically been previously observed.
冷冻溶脂是一种非手术的身体塑形技术,它利用控制冷却来减少局部脂肪。本研究旨在评估在同一身体区域(多个周期/疗程)上多次进行 CoolSculpting 是否能获得更大(更具临床意义)的身体轮廓改善。这是一项对在各种治疗区域常规实践中接受 CoolSculpting 的连续、健康的成年患者进行的前瞻性分析。患者在初始治疗疗程中每个身体区域接受 ≤4 个周期的 CoolSculpting,4 周后(如有需要)接受 ≤4 个进一步的周期。他们随访时间≥12 周。28 名患者入组(n = 26 名女性;平均年龄:51.6 ± 9.0 岁;平均体重:69.4 ± 13.7 kg)。他们在 58 个身体区域接受治疗:48 个区域接受单次治疗;10 个区域接受两次治疗。每个区域的平均治疗周期数为 2.8 ± 1.5。27 名患者(54 个身体区域)被认为是治疗“应答者”。在这些患者中,皮肤褶皱厚度从治疗前的 35.4 ± 9.9 mm 平均减少到 12 周时的 22.2 ± 7.6 mm(平均变化:-40%;P<.001)。与 1 至 2 个周期的 CoolSculpting 相比,≥3 个周期的 CoolSculpting 对皮肤褶皱厚度的变化更大(P =.01)。患者满意度高(n = 51/58;88%)。未记录到不良事件。该研究表明,多次循环/疗程的 CoolSculpting 可以安全地提高身体塑形的整体治疗效果,皮肤褶皱厚度的减少幅度大于以往通常观察到的。