Objectives: Radiofrequency is commonly used for increasing deeper skin temperature without any epidermal or dermal ablation. It is not only used as an efficient method for contracting or inducing skin tightening but also as an effective method for reducing fat in repetition
However, there is no standard protocol for treatment time with RF, and the range of therapeutic sessions were widespread between 1 and 24 weeks
But which one, is the best to treat cellulite and which type cellulite we are discussing ? Is it for remodeling the surface of the skin, to reduce dimples
Introduction: There are a number of controversies about ideal temperatures for treating cellulite. Some authors propose high temperatures: Alster and Lupton treated cellulite, obtaining immediate collagen contraction due to heat and protein denaturation using high temperatures and del Pino et al. observed a thickening and realignment of interlobular septae using temperatures between 39 and 41°C with radiofrequency. These temperatures are considered high, but there is another authors that uses low temperature, about 37 degrees or 5 to 6 degrees above the temperature of the skin.
Materials / method: The problem lies in the fact that most cellulite treatments have proven to be ineffective, since the assessment methods used are mostly subjective or do not provide enough information for the study of subcutaneous tissue. The application of different temperatures to treat cellulite are suggested by several authors, as well as differences between their classification.
Results: According to Goldman et al., the hard cellulite is typical of young subjects with toned tissues, typically in Latin American people. Normally, the area is rigid and presents adherences between superficial and deep layers and the skin thickness is increased.
In these cases, according to some authors , the use of low temperatures would be more interesting to refine fibrous septae.
On the other hand, soft cellulite is common in older people and sedentary, with characteristics of weak and white skin. In this case, radiofrequency with high temperature increases the collagen thickness.
Conclusion: Araujo et al. confirmed that up to 96% of former studies obtained positive outcomes with RF. These data were collected by before and after exposure pictures, patient’s questionnaires, biopsy, etc.. Satisfaction for subcutaneous fat reduction with RF was approximately 71 - 97%, according to patients’ self-reported data.
We have to make a difference between Rf : external device, contact handpiece, microneedle.
Disclosures
Did you receive any funding to support your research for this TOPIC?
No
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work was not supported by any direct or non direct funding. It is under the author's own responsability