Posts from 2018-08-12

Electromagnetic Body Sculpting

Electromagnetic Body Sculpting

Introduction

Electromagnetic body sculpting is the latest modality for transferring energy into the subcutaneous fat to burn fat for the purpose of aesthetic body contouring.Pros and cons reviewed here.

Disclaimers

Humble opinion for the purposes of learning here.The big disclaimer would be to discourage anyone from generating a body sculpting treatment plan without a physician.Also, make no attempt to achieve these results with anything you might buy at Brookstone or the like.And, as exciting as electromagnetic body sculpting is, as with any body sculpting treatment plan, dual therapy with multiple modalities is always encouraged. And proceeding in a team approach, you and your physician, always produces the best results. You must find a physician that favors a team approach to this health care.

Discussion

Body sculpting by transferring energy non-surgically to burn fat is taking off. We have many modalities that produce energy transfer lipolysis including laser, heat, cryo-, and ultrasound, as well as the not completely non-invasive needle administration of chemicals that burn fat. All of these produce lipolysis secondary to fat burning. But while all of these produce the desired effect in that all of these burn fat, all of them have their pros and cons. Similarly, electromagnetic body sculpting has its advantages and disadvantages.Electro magnetic energy is transferred in electromagnetic body sculpting. Fairly expensive machine, it surfaced for the first time publicly this year, after extensive trials showing great success and safety.How does it work? You first need to understand the concept of supramaximal muscle contraction. The average person is able to contract their belly muscles or gluteal muscles about 20%. Olympic athletes, maybe 30%. With supramaximal contractions, electromagnetic body contouring technology can contract your muscle 95%. Now we’re talking! And it does so without a relaxation phase, so there is not a build up in lactic acid. Fascinating is that we are talking about the voluntary muscles here. But electromagnetic body sculpting techniques in current use are also helping to eliminate some visceral smooth muscle. That’s a deep burn, I’ll tell you what.Patients who describe how they feel after therapy say it’s not unlike the best workout they ever had - - times four hours. But this takes 30 minutes folks! (and in truth it’s much more!). Kind of makes you wonder what the Olympics is going to say about it.So. A brief review of advantages and disadvantages in a bit of a heads up fashion against other body sculpting modalities that have been available to us for years.Advantages. Of course, completely non-invasive. With no consumables, by the way. And... It’s effects are impressive, so that’s a big advantage over some modalities that have not stood the test of time.But perhaps the biggest advantage over essentially all of the other treatment modalities to eliminate fat burning is that it also increases muscle mass. And not only does it increase muscle mass by hypertrophy (Swelling of the muscle cells without actually increasing number of muscle cells), it actually leads to brand new muscle cells. So actually new muscle fibers come forward following this therapy. Fat elimination, plus increasing muscle mass? By hypertrophy and hyperplasia both? Patients (and doctors) are thrilled. All of the other modalities wish they could claim this. This one finally can.Disadvantages are few fortunately. Certainly, you cannot increase certain muscle mass areas like the pecs in an aging man or woman. The heart muscle lives under there; the risk is too great.Also, this modality, like many of the modalities, produces heat generation. Heat generation In the subcutaneous tissue leads to inflammation. Inflammation leads to swelling, and this in turn leads to induration. Such induration can compromise motion. So there is some down time. Of all the fat burning body sculpting modalities, only nonthermal ultasound fat destruction can make the claim that it produces no heat generation. But you can’t have everything!And perhaps another maybe not so subtle disadvantage: it’s brand new. I’m not the kind of physician that bandwagons. At least never too quickly. Let’s see what exciting testimonials its first year out brings, sure. But… What’s going to happen long term? It will take a few more years to figure out.As in all of its other cousin modalities, it’s tolerance seems to be excellent. The body seems to handle the increased fat load heading to the liver with no remarkable abnormality seen in bloodwork in all of these body sculpting patients to date. It’s certainly an increased fatty acid load. But our bodies have been handling such in stride for years. It’s called weight loss. And our bodies know what’s good for them. To give you completely reassurance, those increased fatty acid loads are indeed headed to the liver, and not to some blood vessel to clot off. Fat loss this way is safe, folks.

Conclusion

Perhaps the best studied modality for body sculpting lipolysis pre-roll out to date, electromagnetic body contouring is now available if you want fat burning with muscle building. Investigators included CT, MRI, and ultrasound imaging in their pre-and post treatment studies In there before and after pictures. Patient satisfaction was tremendously high. Tolerance is good. And other than being slightly expensive, it’s limits are minimal. It’s first year out this year, it seems to be doing well. And it shows a lot of promise for the future.

Stay well,DAVID ALLINGHAM, M.D.

Ultrasound in Body Sculpting - Lipolysis, But Also Angiogenesis

Ultrasound in Body Sculpting - Lipolysis, But Also Angiogenesis

Introduction

The health benefits of removing fat are widely known.Ultrasound as a modality to provide shockwave therapy using acoustics to eliminate tough to get at fat in the overweight and not particularly overweight is reviewed here.

Disclosures

Don’t conduct any of these therapies on your own for yourself or your loved ones. Consult with a physician. A team approach with a physician who believes in a team approach, you and her, is the best approach.

Discussion

Nonsurgical body sculpting is here to stay.Results are exciting. But a 600% increase in body sculpting modalities in general in the past 20 years is only half the story. The really exciting thing is that slimmer and slimmer patients with excess fat finding it difficult to mobilize fat in certain body areas are joining in, and are super happy about the results they have seen from having entered into this care...Body contouring. By now, it is becoming more widely known that there are multiple nonsurgical, so non-invasive, energy transferring modalities that are being used to burn fat (lipolysis) in medical therapy generally known as body sculpting. Cryo-therapy is really gaining popularity. And laser therapy and heat therapy are also widely used. Electromagnetic therapy is also being used to impart an energy form into fat containing tissue to burn fat. It’s the newest kid on the block, and everybody’s waiting to see the pros and cons as it makes its debut this year.Slightly more invasive, needle therapy is also somewhat popular because it allows the physician to inject fat burning chemicals into very specific areas where lipolysis is desired. This therapy of course thus provides chemical burning. Obviously, there are a few downsides with needle therapy - pain, needles, chemical burning. In contrast, we can provide all of the other energy imparting body sculpting modalities noninvasively. Body sculpting is the term loosely used to describe destroying fat in areas where it has always been tough to destroy fat. These areas usually overlie muscle, so what is left is well-defined muscle, and the patients really dig it.In addition to cold, heat, and laser energy, there is yet another energy modality that can be transferred noninvasively to burn fat. And that’s acoustic energy; and it’s generated with ultrasound. Ultrasound at one range of settings is widely known for imaging techniques. Well, at other settings, it destroys fat. It also has been discovered to increase the vascularity in the tissues where it is applied, if the correct settings are used — but I’m getting ahead of myself. Fat burning properties of ultrasound or shock wave therapy first. In ultrasound therapy, acoustic waves are generated which are sent directly into the skin. Depending on the settings, scatter can be minimized or maximized, but depending on the effect you want to achieve, it is most safely exploited.If those waves produce bubbles of a certain size that cause a certain type of impact, blood vessel growth is stimulated and produced. At different settings, ultrasound acoustic, shockwave therapy actually destroy fat. So it brings both of those things to the table.And there’s another advantage to ultrasound. Unlike other modalities being used for non-surgical body sculpting, ultrasound produced fat destruction does not produce inflammation. With non-heat generating ultrasound techniques, there is no heat generated (clever name, right?). If there’s no heat generated, there’s no inflammation. If there’s no inflammation, there is less induration. If there is less induration, there is less downtime. If there is less downtime, the patient can continue to work out, critical for weight loss and staying in shape and toned, as everyone obviously knows. So the fat exodus is not only faster because of the increased vascularity allowing the body to rid itself of the dead fat quicker . There is less pain. And there is less downtime for the patient.So for two separate reasons, increased vascularity and decreased inflammation, ultrasound shockwave therapy produces faster body sculpting results that are nicely effective. Every patient can be excited about this.

Conclusion

Many nonsurgical modalities now exist to burn difficult to get at fat. Alternatively, ultrasound is yet another nonsurgical, thus noninvasive modality used for body sculpting to burn fat. But in addition to burning fat, it also increases the vascularity of that tissue, albeit at different settings. And it does all this non-thermally, without generating heat, so as to improve tolerance, increasing speed of response and recovery even more. This increased vascularity increases the speed of fat elimination after lipolysis. So, instead of leaving the fat in place for the body to deal with more slowly on its own with its limited vascularity, ultrasound’s increased vascularity eliminates the traffic jam.And the other big distinction of ultrasound acoustic shockwave therapy in comparison to other non-surgical body sculpting modalities, it is nonthermal so you don’t get the inflammation. So you don’t get the induration, you don’t get the swelling, you don’t get the pain. So the patient appreciates that! Plus sees results faster. (Note: this type of ultrasound, nonthermal, US care must be clearly distinguished from heat generating ultrasound which is also available today for lipolysis.) Most body sculpting conducted by physicians is being done in dual modality modes. To choose ultrasound as one of those paired modalities would seem wise.

Stay well,

David Allingham, MD