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Objectives: To understand how non invasive body contouring works,why multi modality plan works the best and what are the pitfalls and challenges faced by the practice.

Introduction: Body contouring is defined as modification of body’s appearance through changes in size or shape.Determinants of Body shape are Muscle Mass(Tone),Fat(Thickness + Texture) and Skin(Quality & Function).For contouring right assessment and treatment of all layers with multiple modalities is important
Non Invasive treatment - result are slow, can be mild to moderate, multiple sessions, achieving results is dependent on lifestyle and food habits.There are a few pitfalls that need to be addressed.

Materials / method: As body shape is depended on multiple layer - fat, skin and muscle, we need multiple modalities to satisfy the patients. Combination of Cryolipolysis,Cavitation,radiofrequency devices,microfocussed ultrasound and HIFEM helps in good results.
There are few pitfalls like Incomplete understanding of the need of the patient,Building wrong patient expectation ,Incomplete Physical Assessment Improper patient selection for non invasive modalities ,Inability to design a treatment plan as per patient diagnosis and Poor Post procedure counselling on Importance of life style modifications

Results: Non invasive body contouring has few pitfalls and challenges.Key to Best results is thorough body assessment,good counselling on importance of diet and lifestyle and combination of right modalities.Patient motivation and compliance plays a major role.

Conclusion: As body shape is depended on multiple layers- fat, skin and muscle, we need treat all layers as indicated with multiple modalities to satisfy the patients. Thorough Counselling and assessment are essential for successful outcome and gratifying results.Emphasize imp of lifestyle diet and exercise to the patient.

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Objectives: To analyze the details of complications of cryolipolysis and Radio Frequency (RF) devices for body contouring and share some new findings from the results.

Introduction: Recently, the development of various body contouring devices has been obvious. There are various types of fat reduction treatment using devices, such as cooling equipment, RF, diode laser system, and High Intensity Frequency Ultrasound (HIFU). Among them, we report on the situation of complications related to representative cryolipolysis device for cooling, and RF device for heating.

Materials / method: We investigated the number of treatments performed in our group for one year from March 2022 to the end of February 2023 with cryolipolysis and RF device each, treatment sites tendency, and the number of treatment areas. We conducted a retrospective study on the number, details, and our management to complications.

Results: As of February 26, 2023, our group own 61 cryolipolysis devices in 58 clinics and 16 RF devices in 16 clinics nationwide. In cryolipolysis group, the largest annual number of treatment areas from March 1, 2022, to the February 26, 2023, was abdomen (n = 21,486), followed by upper arms (n = 13,925), inner thigh (n = 9,353). In RF device group, the largest annual number of treatment areas from March 1, 2022, to the February 26, 2023, was abdomen (n = 5,451), followed by upper arms (n = 1,668), waist (n = 1,603). Regarding the details of complication management in each device will be reported.

Conclusion: As the kinds of complications in the two groups are completely different, it is important not only to compare them based on the complication rate simply, but to perform more detailed analyses based on the data from actual complication cases. No matter kind of device, it is important to perform the attachment device correctly for the complication management, however, in the case of RF devices, it is also necessary to check the pain index during the treatment and to understand the sweating condition.

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