Body contouring: a preliminary report on the use of the silhouette device for treating cellulite.

Abstract:

:Cellulite is a common condition affecting 85% of postadolescent women. Recent advances in aesthetic techniques have initiated a new pursuit into understanding the cause and treatment of this condition. A recently introduced "roller massage therapy" device, Silhouette, was selected for evaluation in this study. Three patients were enrolled into this private practice, medical school-affiliated, prospective pilot project. The study objective was to identify whether the Silhouette device could generate reproducible reductions in the appearance of cellulite or alter body appearance, specifically in the abdominal, buttock, and thigh regions. A secondary goal was to evaluate the effectiveness of various measuring devices used to quantify cellulite regression. These included serial body weights, percent body fat, relative fat distribution, specific anatomic measurements, diagnostic ultrasound, and serial morphed photographic analysis and laboratory data. Initial results showed that 16 biweekly treatments produced minimal changes in body weight or percent body fat. On average, thigh circumferences increased by 1.7 mm and 8.7 mm in the right and left proximal thighs and decreased by 25 mm and 22 mm in the right and left distal thighs, respectively. Diagnostic ultrasound scans showed trends that may provide further insight into a possible mechanism of action. Relative fat distribution values taken from four selected sites proved the most significant finding with selected treatment sites improving on average from 0.8 to 2.1 units (mean 1.5 units/site). This technique provided safe yet modest improvement in the appearance of cellulite. The mechanism of this improvement remains unknown. Further research is needed to determine the mechanism of this improvement, its longevity, optimum treatment parameters, and whether maintenance therapy is needed.

journal_name

Aesthet Surg J

authors

McDaniel DH,Lord J,Ash K,Newman J,Zukowski M

doi

10.1016/s1090-820x(98)70037-8

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

177-82

issue

3

eissn

1090-820X

issn

1527-330X

pii

S1090-820X(98)70037-8

journal_volume

18

pub_type

杂志文章
  • Cheek augmentation with Dermicol-P35 27G.

    abstract::Full and high cheekbones are considered a desirable component of facial attractiveness. The aging process can result in a loss of facial volume and changes in facial contours. Cheek augmentation can replace lost facial volume, rejuvenate facial appearance, enhance cheek prominence, and improve facial symmetry. A new, ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2009.03.004

    authors: Sadick NS,Palmisano L

    更新日期:2009-05-01 00:00:00

  • Eliminating the vertical scar in breast reduction-Boston modification of the Robertson technique.

    abstract:BACKGROUND:Surgeons often advise patients with large ptotic breasts to undergo a Wise pattern reduction (WPR) mammaplasty using an inferior pedicle technique with consideration of a free-nipple graft. OBJECTIVE:We describe the Boston modification of the Robertson technique (BMRT), which allows for the elimination of t...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2006.10.010

    authors: Movassaghi K,Liao EC,Ting V,Matros E,Morris DJ,Orgill DP,Pribaz JJ

    更新日期:2006-11-01 00:00:00

  • Evidence-Based Plastic Surgery: Its Rise, Importance, and a Practical Guide.

    abstract::There is a perfect storm developing in 21st century healthcare; rising complexity and patient expectations in the context of fiscal restraint. Evidence-based medicine (EBM) may be the best-kept secret in dealing with the "storm." Such an approach prefers management pathways that deliver better outcomes at less relativ...

    journal_title:Aesthetic surgery journal

    pub_type: 历史文章,杂志文章,评审

    doi:10.1093/asj/sjv204

    authors: Agha RA,Orgill DP

    更新日期:2016-03-01 00:00:00

  • Gluteal Augmentation With Fat: Retrospective Safety Study and Literature Review.

    abstract:BACKGROUND:Use of gluteal augmentation with fat increased by 3267% from 2002 to 2015, and the rate of death is highest compared with other aesthetic procedures: 1 in 3448 patients dies, compared with 1 in 55,000. OBJECTIVES:To retrospectively investigate patients who underwent this procedure at Oslo Plastic Surgery Cl...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审

    doi:10.1093/asj/sjy153

    authors: Kalaaji A,Dreyer S,Vadseth L,Maric I,Jönsson V,Haukebøe TH

    更新日期:2019-02-15 00:00:00

  • Evaluation of the Vertical Movement of Ribeiro's Dermolipoglandular Mammary Flap One Year After Mammaplasties in Post-Bariatric Patients.

    abstract:BACKGROUND:In 1971, Ribeiro isolated a segment in the inferior pole of the ptotic breast, nourished by muscular perforating vessels, and moved it cranially to the posterior region of the remaining detached breast tissue, where it was fixed to the pectoral fascia. This maneuver created a flap with autologous implant fun...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjz188

    authors: Sizenando RP,Diniz MTC,da Costa PR,Manhães LGS

    更新日期:2020-01-01 00:00:00

  • Effect of Botulinum Toxin A on Muscle Healing and its Implications in Aesthetic and Reconstructive Surgery.

    abstract:Background:Muscle activity contributes to the enhancement of facial aging deformity, blepharospasm, cerebral palsy spasticity, trismus, torticollis, and other conditions. Myotomy of the involved muscles in order to reduce the deformity has variable success rates due to muscle healing and regeneration of activity. Obje...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjx207

    authors: Silberstein E,Maor E,Sukmanov O,Bogdanov Berezovsky A,Shoham Y,Krieger Y

    更新日期:2018-04-06 00:00:00

  • Safety and efficacy of a continuous-flow, injection-assisted device in delivery of dermal fillers.

    abstract:BACKGROUND:A device to assist in the delivery of dermal filler may achieve reductions in patient discomfort and adverse events, as well physician fatigue. It may also increase the accuracy of material placement. OBJECTIVES:The authors assess the safety and performance of the Artiste Assisted Injection System (Nordson ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1090820X13487372

    authors: Lorenc ZP,Bruce S,Werschler WP

    更新日期:2013-07-01 00:00:00

  • Mechanical and sensory testing of overfilled breast implants.

    abstract:BACKGROUND:To obtain an ideal outcome in breast augmentation procedures, breast implants may be overfilled to reduce wrinkles and improve longevity. Determination of the optimal volume for saline-filled breast implants remains problematic for plastic surgeons. OBJECTIVE:We sought to evaluate the effect of overfilling ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2005.11.003

    authors: Greenwald D,Moloye O,Ondrovic L,Lee W

    更新日期:2006-01-01 00:00:00

  • Effects of breast augmentation on pectoralis major muscle function in the athletic woman.

    abstract:BACKGROUND:Techniques for augmentation mammaplasty commonly involve incisions through at least a portion of the pectoralis major muscle. The effects of implant position and surgical release of the muscle origin have not been thoroughly addressed. OBJECTIVE:In this study the authors report on a group of female athletes...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2004.02.005

    authors: Sarbak JM,Baker JL Jr

    更新日期:2004-05-01 00:00:00

  • The Value of Averageness in Aesthetic Rhinoplasty: Humans Like Average Noses.

    abstract:BACKGROUND:The aesthetic ideal of the nose eludes clear definition. Averageness may be an important determinant of ideal nasal shape: research has shown that averageness plays an important role in the human perception of facial attractiveness. OBJECTIVES:The aim of this study was to test whether an averaged nasal shap...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa010

    authors: van Zijl FVWJ,Perrett DI,Lohuis PJFM,Touw CE,Xiao D,Datema FR

    更新日期:2020-11-19 00:00:00

  • Analysis of the Molecular Signature of the Breast Implant-Associated Anaplastic Large Cell Lymphoma in an Asian Patient.

    abstract::Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)-a new category of anaplastic large cell lymphoma associated with textured breast implants-has a distinct variation in incidence and is especially rare in Asia. We report the first case of BIA-ALCL in Korea and present its histological and genetic char...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa398

    authors: Kim IK,Hong KY,Lee CK,Choi BG,Shin H,Lee JH,Kim MK,Gu MJ,Choi JE,Kim TG

    更新日期:2020-12-26 00:00:00

  • Perioperative Corticosteroids Reduce Short-Term Edema and Ecchymosis in Rhinoplasty: A Meta-Analysis.

    abstract:BACKGROUND:A number of randomized controlled trials (RCTs) have investigated the role of perioperative corticosteroids in rhinoplasty. Each of these trials however has an insufficient sample sizes to reach definitive conclusions and detect harms. Three recent reviews have analyzed edema and ecchymosis outcomes followin...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/asj/sjv138

    authors: Coroneos CJ,Voineskos SH,Cook DJ,Farrokyar F,Thoma A

    更新日期:2016-02-01 00:00:00

  • Sensitivity of the Nipple-Areola Complex in Reduction Mammaplasty Following Periareolar Dermis Section.

    abstract:BACKGROUND:Preservation of the periareolar dermis, after de-epithelization in reduction mammaplasty, may result in reduced nipple-areola complex (NAC) mobility. Consequently, distortion in shape and difficulty correcting the areola position can occur. OBJECTIVES:The aim of this study was to evaluate NAC viability and ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/asj/sjaa011

    authors: de Sá JZ,Braga ACCR,Barreto RHC,Ramos ADS,de Oliveira Rodrigues AE,Santa-Cruz F,Aguiar JLA

    更新日期:2020-08-14 00:00:00

  • Patient preferences in print advertisement marketing for plastic surgery.

    abstract:BACKGROUND:Plastic surgeons are competing for their share of a growing but still limited market, thus making advertising an important component in a successful plastic surgery practice. OBJECTIVE:The authors evaluate the variables, characteristics, and presentation features that make print advertisements most effectiv...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1177/1090820X13481350

    authors: Sanan A,Quinn C,Spiegel JH

    更新日期:2013-05-01 00:00:00

  • Asymmetry correction in the irradiated breast: outcomes of reduction mammaplasty and mastopexy after breast-conserving therapy.

    abstract:BACKGROUND:There is relatively scant evidence concerning radiation effects on reduction mammaplasty and mastopexy, two procedures which are often used in the irradiated breast to restore symmetry following breast-conserving therapy (BCT). OBJECTIVE:The purpose of this study is to further examine outcomes of reduction ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2008.12.004

    authors: Chin MS,Brooks GS,Stueber K,Hadaegh A,Griggs J,Johnson MA

    更新日期:2009-03-01 00:00:00

  • Current aesthetic use of abobotulinumtoxinA in clinical practice: an evidence-based consensus review.

    abstract::The amount and complexity of scientific and clinical evidence for aesthetic use of botulinum neurotoxin type A (BoNT-A) has expanded rapidly in recent years, especially for abobotulinumtoxinA, necessitating reassessment of current knowledge about aesthetic use of abobotulinumtoxinA and other BoNT-A preparations. A com...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审

    doi:10.1177/1090820X12455192

    authors: Maas C,Kane MA,Bucay VW,Allen S,Applebaum DJ,Baumann L,Cox SE,Few JW,Joseph JH,Lorenc ZP,Moradi A,Nestor MS,Schlessinger J,Wortzman M,Lawrence I,Lin X,Nelson D

    更新日期:2012-09-01 00:00:00

  • Immediate and delayed hypersensitivity reactions to restylane.

    abstract::We report two cases of hypersensitivity reactions to Restylane. In the first case, edema developed in a 57-year-old Hispanic woman 10 minutes after injection of 0.7 mL of Perlane around her upper commissures and Botox in her upper face. The patient had been skin tested for Restylane several months earlier and showed n...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2005.07.007

    authors: Bellman B

    更新日期:2005-09-01 00:00:00

  • Relationship Between Obesity and Surgical Complications After Reduction Mammaplasty: A Systematic Literature Review and Meta-Analysis.

    abstract:Background:Although many patients who undergo reduction mammaplasty are obese, reports on whether obesity is a risk factor for postoperative complications have been conflicting. Objectives:This systematic literature review and meta-analysis aimed to evaluate the relationship between obesity and surgical complications ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/asj/sjw189

    authors: Myung Y,Heo CY

    更新日期:2017-03-01 00:00:00

  • How Well Do They Convert? Trending ASAPS Presentations to Publication From 1995-2010.

    abstract:BACKGROUND:The American Society for Aesthetic Plastic Surgery (ASAPS) sponsors an annual conference that promotes education, advocacy, and care. There, researchers deliver abstracts as podium and poster presentations. Subsequently, ASAPS encourages submitting these research findings for publication. Yet, many never bec...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjw097

    authors: Williams S,Pirlamarla A,Rahal W,Weichman K,Garfein E,Jelks G,Tepper O

    更新日期:2017-02-01 00:00:00

  • Acellular dermal matrix in palatoplasty.

    abstract::The primary goal of palatoplasty is to allow normal speech through the correction of velopharyngeal incompetence. Failure to accomplish a tension-free, watertight closure predisposes the palatoplasty patient to postoperative fistula formation. Fistulas may in turn contribute to velopharyngeal incompetence. Reported fi...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审

    doi:10.1177/1090820X11418216

    authors: Losee JE,Smith DM

    更新日期:2011-09-01 00:00:00

  • The Function-Preserving Frontalis Orbicularis Oculi Muscle Flap for the Correction of Severe Blepharoptosis With Poor Levator Function.

    abstract:BACKGROUND:Severe blepharoptosis with poor LF has traditionally been managed with exogenous frontalis suspension but complications such as lagophthalmos, infection, rejection were often reported. OBJECTIVES:The function-preserving frontalis orbicularis oculi muscle (FOOM) flap was designed to correct severe blepharopt...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa429

    authors: Huang SH,Lee CC,Lai HT,Takahashi H,Wang YC,Lai CS

    更新日期:2021-01-05 00:00:00

  • How to Maximize Aesthetics in Autologous Breast Reconstruction.

    abstract::With continuous technical and functional advances in the field of breast reconstruction, there is now a greater focus on the artistry and aesthetic aspects of autologous reconstruction. Whereas once surgeons were most concerned with flap survival and vessel patency, they are now dedicated to reconstructing a similarly...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa223

    authors: Wagner RD,Hamilton KL,Doval AF,Spiegel AJ

    更新日期:2020-11-17 00:00:00

  • Anesthesia considerations in large-volume lipoplasty.

    abstract:BACKGROUND:Large-volume lipoplasty is becoming more common and has been proven to be safe and effective. Large-volume lipoplasty is normally performed with the patient under general anesthesia. Techniques of general anesthesia and fluid management are important factors in improving the safety of large-volume lipoplasty...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2007.08.006

    authors: Thomas M,Bhorkar N,D'Silva J,Menon H,Bandekar N

    更新日期:2007-11-01 00:00:00

  • Safety and Efficacy of a Scar Cream Consisting of Highly Selective Growth Factors Within a Silicone Cream Matrix: A Double-Blinded, Randomized, Multicenter Study.

    abstract:BACKGROUND:Several growth factors and hyaluronic acid are implicated in fetal scarless healing. Whether these factors can be applied to an adult scar to improve scar characteristics is unknown. OBJECTIVES:This study compared the efficacy and safety of SKN2017B, a proprietary topical cream consisting of selective synth...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/asj/sjy185

    authors: Zoumalan CI,Tadayon SC,Roostaeian J,Rossi AM,Gabriel A

    更新日期:2019-02-15 00:00:00

  • Rivaroxaban for Venous Thromboembolism Prophylaxis in Abdominoplasty: A Multicenter Experience.

    abstract:BACKGROUND:Abdominoplasty, a commonly performed aesthetic procedure, is considered to have an increased risk of venous thromboembolism (VTE) events. At present, routine VTE chemoprophylaxis following abdominoplasty remains controversial. OBJECTIVES:This study evaluates the authors' experience with rivaroxaban, an oral...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,多中心研究

    doi:10.1093/asj/sjv117

    authors: Hunstad JP,Krochmal DJ,Flugstad NA,Kortesis BG,Augenstein AC,Culbertson GR

    更新日期:2016-01-01 00:00:00

  • Effect of a Facial Muscle Exercise Device on Facial Rejuvenation.

    abstract:Background:The efficacy of facial muscle exercises (FMEs) for facial rejuvenation is controversial. In the majority of previous studies, nonquantitative assessment tools were used to assess the benefits of FMEs. Objectives:This study examined the effectiveness of FMEs using a Pao (MTG, Nagoya, Japan) device to quantif...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjx238

    authors: Hwang UJ,Kwon OY,Jung SH,Ahn SH,Gwak GT

    更新日期:2018-04-06 00:00:00

  • Eyebrow asymmetry: definition and symmetrical correction using botulinum toxin A.

    abstract:BACKGROUND:Some degree of eyebrow asymmetry is present in many patients who request periorbital rejuvenation, although patients are often unaware of minor asymmetries. There are few parameters for defining eyebrow asymmetry and its incidence in otherwise healthy patients in the literature. OBJECTIVE:We investigated wh...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2007.06.005

    authors: Tiryaki T,Ciloglu NS

    更新日期:2007-09-01 00:00:00

  • Superior pedicle reduction mammaplasty.

    abstract::The superior pedicle reduction mammaplasty allows most premenopausal women to maintain lactational capabilities and nipple sensation. It is a relatively simple breast reduction technique which, according to the author, achieves an aesthetically pleasing breast shape with no "bottoming out" and a high level of patient ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2005.05.010

    authors: Fox JW 4th

    更新日期:2005-07-01 00:00:00

  • Correction of Brassiere Strap Grooves with Fat Injections.

    abstract:BACKGROUND:The size and weight of hypertrophied breast can cause both physical and psychological problems. Although the majority of these problems can be solved with breast reduction surgery, the particular problem of development of brassiere strap grooves on the shoulders due to the weight of the breasts cannot be cor...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjv007

    authors: Ergün SS,Baygöl EG,Kayan RB,Kuzu İM,Akman O

    更新日期:2015-07-01 00:00:00

  • Measuring Quality of Life in Female Genital Cosmetic Procedure Patients: A Systematic Review of Patient-Reported Outcome Measures.

    abstract:BACKGROUND:In the subspecialty of female genital cosmetic procedures, patient satisfaction and quality of life are key outcome measures. As such, valid and reliable patient-reported outcome measures (PROMs) examining these outcomes are essential. OBJECTIVES:The authors sought to identify and scrutinize all PROMs devel...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjz325

    authors: Sharp G,Maynard P,Hamori CA,Oates J,Sarwer DB,Kulkarni J

    更新日期:2020-02-17 00:00:00