Objectives: The learning outcomes of thi presentation focus on integrating traditional liposculpture techniques with advanced energy-based technologies for optimal male body contouring results. Participants will learn about the specific anatomical considerations for male patients and how energy devices can enhance fat removal and skin tightening. The session will cover best practices for combining these modalities to improve patient outcomes, reduce recovery time, and achieve more defined results.

Objectives: To show that patients have unique Body Fat Problems that need specific combination treatments to address them, delivered in a chronologic step-wise manner based on a Comprehensive Table enumerating available machine treatments, their indications based on mechanisms of action, specific target areas, frequency per week/month, & contraindicated machine treatments that cannot be done on the same day or immediately after a similar machine treatment with the same mechanism of action

Introduction: When making a comprehensive Slimming Program using different machine treatments for synergistic action to treat different Body Fat Problems, scheduling can be challenging. General Weight Loss followed by Specific Inch Loss followed by finishing touches like firming, tightening, smoothening and anti-cellulite is the correct manner in making a slimming program for a daily, weekly, and monthly schedule consisting of multiple machine treatments with different mechanisms of actions.

Materials / method: Energy-Based Devices consisting of ultrasound, radiofrequency, and lasers have different mechanism of actions. Treatment is aimed from the deeper layer going out to the superficial layer. Target first the deep subcutaneous fat before treating the superficial subcutaneous fat. Similarly, tone the underlying muscles first before treating the dermal layer of the skin. Then again, remove any excess dermal fat before inducing collagen contraction and neocollagenesis. This is easier said than done but by proper scheduling using concrete examples done in our clinics, these ideas are explained.

Results: By treating from the inside going out, the success of non-invasive aesthetic machines for Body Contouring and Slimming increases. If abdominal muscles are toned but the subcutaneous fat on top is not reduced, the tummy is still protuberant. The area remains heavy so the muscle will eventually get tired and sag again. Similarly, treating cellulites on top but not treating the subcutaneous fat underneath will be futile since fat will just redeposit causing cellulite again.

Conclusion: In making a treatment plan when scheduling machine treatments on a daily, weekly, and monthly schedule, the proper chronologic sequence should be followed for a more efficient slimming program. Contraindicated treatments for the same day in the same target area should be avoided. Different machine treatments using different technologies but employing the same mechanism of action should not be done since they will be redundant with no additional benefit but with more chances of complications.

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

Objectives: To describe the author’s experience with 2,644 cases from January 2019 to June 2024, in the cities of Rio de Janeiro and São Paulo, in the treatment of edematous fibrosclerotic panniculopathy using biostimulators prior to fibrous septa detachment

Introduction: Edematous fibrosclerotic panniculopathy (EFSP), or cellulite, affects many adults, particularly women. This study describes the author's experience with 2,644 cases treated from January 2019 to June 2024 in Rio de Janeiro and São Paulo. By combining biostimulating agents with the detachment of fibrous septa, the treatment aims to improve both the appearance and satisfaction of patients.

Materials / method: This study involved 2,644 EFSP cases treated from January 2019 to June 2024 in Rio de Janeiro and São Paulo. The treatment combined biostimulators and fibrous septa detachment. Patients were photographed before and after treatment, and the images were analyzed for visual improvements. Patient satisfaction was assessed through questionnaires, and the medical staff's satisfaction was evaluated based on the ease of procedure and clinical outcomes. Data from these assessments were compiled and analyzed to determine the overall effectiveness and satisfaction with the treatment protocol.

Results: Photographic evaluations showed significant improvements in overall skin health. The biostimulating agents enhanced circulation and general metabolism, promoting neocollagenesis. The mechanical effect of septa detachment, performed with the appropriate techniques, effectively leveled skin retractions and decompressed fat deposits. This combination protocol addressed the root causes of cellulite by decomposing fat, improving collagen structure, and boosting circulation and metabolism.

Conclusion: The combination of biostimulators and fibrous septa detachment proved to be an effective treatment for edematous fibrosclerotic panniculopathy. This protocol not only improved the structural and aesthetic aspects of the skin but also resulted in an extremely high satisfaction rate among patients and medical staff. Despite the learning curve associated with this technique, the author has dedicated their practice entirely to this treatment.

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