Objectives: This study investigates noninvasive cellulite treatments based on simultaneous application of monopolar radiofrequency (RF) and targeted pressure energy to evaluate efficacy and safety in noninvasive cellulite treatments

Introduction: Radiofrequency and pressure energies alone are able to improve skin appearance, mostly appled separately in the same session or in separate series.

Materials / method: Thirty women with cellulite (fibrous/adipose/aqueous types) received 4 gluteofemoral treatments (~24 minutes; ~1000 cm2) using a simultaneous application of RF and targeted pressure energy. Clinical improvement was assessed using a pentile grading scale and satisfaction questionnaires. Hip/thigh circumference was measured. Ultrasonography and thermography observed changes in dermal/subcutaneous
tissue composition and in gluteofemoral thermal profile. Evaluation at 3 months posttreatment was compared against the baseline.

Results: The clinical improvement averaged 2.17 _ 0.95 (54% improvement). Cellulite was reduced in 93% of cases, while 73% of patients showed good/very good/ excellent improvement, with most significant improvement seen in patients with
moderately severe cellulite. Hips and thigh circumference decreased on average by 2.31 cm and 2.13 cm, respectively (P < .001). Patient satisfaction was very high, averaging 4.47 _ 0.57 points (1-5 scale). Ultrasonography revealed smoothing and
thickening (+0.28 _ 0.15 mm) of the dermis and an average reduction of 1.96 _ 1.60 mm in fat thickness (P < .05).

Conclusion: The application is effective and safe for treating cellulite. The level of clinical improvement after 4 sessions is comparable to results reported after 6-20 sessions in studies on stand-alone RF/laser/targeted pressure energy devices. The technology is promising and deserves further attention and research.

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请注明名称（个人，公司，学会等等）: KOL

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Objectives: Can non-invasive body contouring devices (specifically Neuromuscular Electrical Stimulation) result in functional improvement?

Introduction: There is a growing body of literature describing efficacy of muscle building devices. These studies have assessed the degree of aesthetic improvement, patient satisfaction, and radiographic imaging. But can you DO something with those muscles? Does form = function?

Materials / method: A prospective, single-center, randomized open-label controlled study included 26 subjects randomized into 3 groups: 2 treatment groups and 1 control group. Both treatment groups received 4 neuromuscular electrical stimulation (NMES) treatments over a 2-weeks period. Muscle performance testing was conducted at baseline and 2-weeks and 4-weeks post treatment. Study participants completed subject satisfaction surveys and a personal experience assessment.

Results: Treatment with NMES resulted in statistically significant improvements in abdominal and quadriceps strength and endurance from baseline through 4-weeks post treatment. Mean waist circumference decreased, and quadriceps circumference increased. Subject satisfaction was reported as "satisfied or very satisfied" in 89% and 92% at 4-week and 8-week post-treatment, respectively.

Conclusion: Treatment of the abdomen and quadriceps with NMES leads to significant improvements in muscle strength and endurance.

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