Home' Spa and Clinic : Volume 59 November 2014 Contents gained weight over winter.
If you are looking for a
specialty (as per our story
Upping The A nte on Page
68), body contouring, fat
and cellulite reduction
are certainly popular and
lucrative areas to consider
and ones that would bring
a great deal of satisfaction in
seeing people’s bodies (and often lives)
transformed by the changes.
The choice of treatments could be
localised adiposity (ie. stubborn fat
pockets), cellulite smoothing or skin
tightening – or, again, a combination.
The technology will be different
depending on what you are mainly
targeting. It could be ultrasound,
radiofrequency (RF), infrared, cr yotherapy,
vacuum rolling, low level laser or a combination.
From there the next step is to choose equipment that fills a
need for your particular market and suits your level of expertise
We look at the technologies and treatments available and dev ices
you might want to consider. You will also find that some device
platforms offer body contouring options along with a range of
other modalities, such as skin rejuvenation and correction, making
them even better investments.
The following modalities can be used alone or as an adjunct to
enhance each other’s results.
Devices of varying strength are available to carry out these
treatments, some of which are designed for doctor-operated
practices. There are suppliers who will sell only to doctors in these
cases, and others who will consider spas and clinics without doctors
if would-be operators undergo appropriate training.
As per our story Upping The Ante, a reputable supplier will
guide you in the right choice for your expertise and business goals.
“Fat cavitation” using ultrasound waves is body sculpting that
requires no anaesthetic or downtime, leaves no scars and causes
Targeted ultrasound waves create bubbles in the liquid of the
adipose (fat) cells that gradually grow and implode at certain size.
As the membranes of fat cells do not have the structural capacity
to withstand the vibrations, the effect of cavitation easily breaks them
while sparing the vascular, ner vous and muscular tissue.
The process is often likened to that of high-pitched noise
After disruption of adipose cells, the fat in the form of
triglycerides is released into the interstitial fluid between the cells,
where they are metabolised and gradually eliminated in the normal
Clients will usually notice a difference in their dimensions
immediately but several treatments (the number depends on the
type and strength of the device) will be spaced at regular intervals
to achieve the desired result. The client may not actually see
the optimal result though until three or more months after the
treatments have finished. Results, however, are long-lasting as the
fat cells have been killed. But if clients eat and drink too much
and do little exercise, their remaining fat cells will just get fatter
and undo the good work.
RF is a popular treatment for firming facial skin and minimising
lines and wrinkles, but it is also widely used to reduce skin laxity in
regions such as the arms, abdomen, thighs, and buttocks and help
reduce fat deposits.
It can be quite uncomfortable on the face but is generally
reported to create little discomfort when used on the body.
RF is an ideal option for people who have moderately sagging
skin but do not wish to undergo surgery. It is also a great adjunct to
enhance results of other fat reduction procedures.
Noo anaesthetic or injections are required, nor dow ntime.
RF energy heats the skin’s outer layer, stimulating collagen
beneath the surface. There is an immediate tightening after the
first treatment (depending on the strength of the device) and the
“old” collagen fibres retract under heat.
New collagen continues to grow during the six months following
a treatment procedure, so clients will see more dramatic results over
the longer ter m.
LLLT, OR LOW LEVEL LASER
In systems harnessing LLLT, energ y is directed into the target areas
via electrode pads placed on the skin.
The transmission of a low-level laser beam (650nm) brings about
a chemical signal that alters the cell’s chemistry leading to the
release of an enzyme called lipase. This liquifies triglycerides into
free fatty acids and glycerol inside the fat cells which are released
though channels in the fat cell membranes. These compounds
are then transported to the body tissues and are metabolised
to create energ y.
As per ultrasound cavitation, removal of the fat is through the
body’s own mechanisms.
This essentially involves freezing fat cells to death. The technology
was discovered by Har vard University Medical School scientists
nearly 20 years ago, after obser ving that babies who sucked on ice
lollies to soothe teething pain lost fat in their cheeks. They used it
as the basis of research for fat reduction devices.
The main principle of cryotherapy is the targeting of fat cells
exclusively and the elimination of their detritus through the body’s
natural processes. A cooling suction dev ice is used to destroy the
adipose (fat) tissue with a temperature just above the freezing
point. By doing so, lipolysis is activated and fat cells are crystallised,
a procedure which damages fat cells permanently. Optimum
results are noticed two to four weeks after treatment. During the
procedure, which requires no anesthetic, the patient experiencies
an almost pleasant sensation that numbs the treated area.
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