Novel Applicator Utilizing HIFES and Enhanced Synchronized Radiofrequency+ for Subcutaneous Fat Reduction: Porcine Model Study
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články
Grantová podpora
The authors thank the Ministry of Agriculture of the Czech Republic for Institutional Support No. MZE-RO0523.
PubMed
39462846
PubMed Central
PMC11629285
DOI
10.1002/lsm.23854
Knihovny.cz E-zdroje
- Klíčová slova
- apoptosis, caspases, fat reduction, submentum,
- MeSH
- ablace intenzivním ultrazvukovým paprskem metody MeSH
- body contouring metody MeSH
- lipektomie metody přístrojové vybavení MeSH
- modely u zvířat MeSH
- podkožní tuk * MeSH
- prasata MeSH
- zvířata MeSH
- Check Tag
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVES: Submental fullness has been associated with being perceived as unattractive. Technology combining radiofrequency and muscle stimulation offers submental contouring through fat reduction, muscle stimulation, and skin tightening. This study aims to demonstrate the effectiveness and safety of fat reduction aspect with a novel submentum applicator delivering HIFES and synchronized radiofrequency+ (RF+) energies. MATERIALS AND METHODS: Six white pigs (sus scrofa domesticus, n = 6, 60-80 kg) were recruited for this study, five in the active group (n = 5) received four treatments on the abdominal area, one sow served as a control (n = 1). Ultrasound, histological, and RT-qPCR methods were used as evaluation methods. RESULTS: Fat thickness decreased at 1 month by -17.35% and at 2 month by 31.40%. Proapoptotic caspase-9 gene expression increased (at 1 h, 6 h, 24 h to +43.45%, +21.22%, -8.36%), as well as caspase-3 (+15.28%, +21.77%, -6.71%), while bcl2l1 activity decreased (-11.46% at 1 h, -17.02% at 6 h, -3.9% at 24 h). While the AI in the control animal had minimal change (at 1 h -0.08%, at 6 h -0.09%, and at 24 h -0.025%), the active group's AI increased from the baseline of 9.14 to 44.85 at 1 h (+391%), peaked at 6 h to 53.50 (+485%), and at 24 h to 38.17 (+318%). CONCLUSION: The study results indicate the efficacy and safety of subcutaneous fat reduction following the novel technology combining HIFES and RF+ energies, designed to target small localized areas.
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2022 Cosmetic Surgical Procedures (2023), https://www.plasticsurgery.org/documents/News/Statistics/2022/cosmetic-procedure-trends-2022.pdf.
Hopkins Z. H., Moreno C., and Secrest A. M., “Influence of Social Media on Cosmetic Procedure Interest,” Journal of Clinical and Aesthetic Dermatology 13, no. 1 (2020): 28–31. PubMed PMC
Arab K., Barasain O., Altaweel A., et al., “Influence of Social Media on the Decision to Undergo a Cosmetic Procedure,” Plastic and Reconstructive Surgery—Global Open 7, no. 8 (2019): e2333, 10.1097/GOX.0000000000002333. PubMed DOI PMC
Baumann L., Shridharani S. M., Humphrey S., and Gallagher C. J., “Personal (Self) Perceptions of Submental Fat Among Adults in the United States,” Dermatologic Surgery 45, no. 1 (2019): 124–130, 10.1097/DSS.0000000000001648. PubMed DOI PMC
Raveendran S. S., Anthony D. J., and Ion L., “An Anatomic Basis for Volumetric Evaluation of the Neck,” Aesthetic Surgery Journal 32, no. 6 (2012): 685–691, 10.1177/1090820X12452554. PubMed DOI
Trévidic P. and Criollo‐Lamilla G., “Platysma Bands: Is a Change Needed in the Surgical Paradigm?,” Plastic & Reconstructive Surgery 139, no. 1 (2017): 41–47, 10.1097/PRS.0000000000002894. PubMed DOI
Goldman A. and Wollina U., “Elevation of the Corner of the Mouth Using Botulinum Toxin Type A,” Journal of Cutaneous and Aesthetic Surgery 3, no. 3 (2010): 145–150, 10.4103/0974-2077.74490. PubMed DOI PMC
Connell B. and Hosn W., “Continuing Medical Education Examination—Facial Aesthetic Surgery Importance of the Digastric Muscle in Cervical Contouring*1an Update,” Aesthetic Surgery Journal 20, no. 1 (2000): 12–16, 10.1067/maj.2000.105052. DOI
F. E. Barton, Jr. , “Aesthetic Surgery of the Face and Neck,” Aesthetic Surgery Journal 29, no. 6 (2009): 449–463, 10.1016/j.asj.2009.08.021. PubMed DOI
AlJulaih G. H. and Menezes R. G., Anatomy, Head and Neck: Hyoid Bone (StatPearls Publishing, 2023), http://www.ncbi.nlm.nih.gov/books/NBK539726/. PubMed
Bravo F. G., “Reduction Neck Lift,” Clinics in Plastic Surgery 45, no. 4 (2018): 485–506, 10.1016/j.cps.2018.05.002. PubMed DOI
Meyer P. F., de Oliveira P., Silva F. K. B. A., et al., “Radiofrequency Treatment Induces Fibroblast Growth Factor 2 Expression and Subsequently Promotes Neocollagenesis and Neoangiogenesis in the Skin Tissue,” Lasers in Medical Science 32, no. 8 (2017): 1727–1736, 10.1007/s10103-017-2238-2. PubMed DOI
Elsaie M., “Cutaneous Remodeling and Photorejuvenation Using Radiofrequency Devices,” Indian Journal of Dermatology 54, no. 3 (2009): 201–205, 10.4103/0019-5154.55625. PubMed DOI PMC
Franco W., Kothare A., Ronan S. J., Grekin R. C., and McCalmont T. H., “Hyperthermic Injury to Adipocyte Cells by Selective Heating of Subcutaneous Fat With a Novel Radiofrequency Device: Feasibility Studies,” Lasers in Surgery and Medicine 42, no. 5 (2010): 361–370, 10.1002/lsm.20925. PubMed DOI
McDaniel D. and Lozanova P., “Human Adipocyte Apoptosis Immediately Following High Frequency Focused Field Radio Frequency: Case Study,” Journal of Drugs in Dermatology 14, no. 6 (2015): 622–623. PubMed
Goldberg D. J., “Deletion of Adipocytes Induced by a Novel Device Simultaneously Delivering Synchronized Radiofrequency and Hifem: Human Histological Study,” Journal of Cosmetic Dermatology 20, no. 4 (2021): 1104–1109, 10.1111/jocd.13970. PubMed DOI PMC
Halaas Y., Duncan D., Bernardy J., Ondrackova P., and Dinev I., “Activation of Skeletal Muscle Satellite Cells by a Device Simultaneously Applying High‐Intensity Focused Electromagnetic Technology and Novel RF Technology: Fluorescent Microscopy Facilitated Detection of NCAM/CD56,” Aesthetic Surgery Journal 41, no. 7 (2021): NP939–NP947, 10.1093/asj/sjab002. PubMed DOI PMC
Roesch Z. K. and Tadi P., Anatomy, Head and Neck, Neck (StatPearls Publishing, 2023), http://www.ncbi.nlm.nih.gov/books/NBK542313/. PubMed
“Muscles of the Head and Neck,” UAMS Department of Neurobiology and Developmental Sciences, accessed January 2, 2024, https://medicine.uams.edu/neurobiology/.
Jarošová R., Ondráčková P., Patočka Z., and Sládek Z., “Comparison of Cryoprotective Methods for Histological Examination of Rat and Porcine Lung Tissue,” Acta Veterinaria Brno 90 (2021): 225–231, 10.2754/avb202190020225. DOI
Elmore S., “Apoptosis: A Review of Programmed Cell Death,” Toxicologic Pathology 35, no. 4 (2007): 495–516, 10.1080/01926230701320337. PubMed DOI PMC
Zelnickova P., Matiasovic J., Pavlova B., Kudlackova H., Kovaru F., and Faldyna M., “Quantitative Nitric Oxide Production by Rat, Bovine and Porcine Macrophages,” Nitric Oxide 19, no. 1 (2008): 36–41, 10.1016/j.niox.2008.04.001. PubMed DOI
Brobst R. W., Ferguson M., and Perkins S. W., “Noninvasive Treatment of the Neck,” Facial Plastic Surgery Clinics of North America 22, no. 2 (2014): 191–202, 10.1016/j.fsc.2014.01.011. PubMed DOI
Kennedy J., Verne S., Griffith R., Falto‐Aizpurua L., and Nouri K., “Non‐Invasive Subcutaneous Fat Reduction: A Review,” Journal of the European Academy of Dermatology and Venereology 29, no. 9 (2015): 1679–1688, 10.1111/jdv.12994. PubMed DOI
Park J. H., Kim J. I., Park H. J., and Kim W. S., “Evaluation of Safety and Efficacy of Noninvasive Radiofrequency Technology for Submental Rejuvenation,” Lasers in Medical Science 31, no. 8 (2016): 1599–1605, 10.1007/s10103-016-2023-7. PubMed DOI
Dong J., Amir Y., and Goldenberg G., “Advances in Minimally Invasive and Noninvasive Treatments for Submental Fat,” Cutis. 99, no. 1 (2017): 20–23. PubMed
Kinney B. M. and Boyd C. M., “Remodeling of Facial Soft Tissue Induced by Simultaneous Application of HIFES and Synchronized Radiofrequency Provides Nonsurgical Lift of Facial Soft Tissues,” Journal of Cosmetic Dermatology 23, no. 3 (2024): 824–829, 10.1111/jocd.16165. PubMed DOI
Kurosaka K., Takahashi M., Watanabe N., and Kobayashi Y., “Silent Cleanup of Very Early Apoptotic Cells By Macrophages,” Journal of Immunology 171, no. 9 (2003): 4672–4679, 10.4049/jimmunol.171.9.4672. PubMed DOI
Joyner M. J. and Casey D. P., “Regulation of Increased Blood Flow (Hyperemia) to Muscles During Exercise: A Hierarchy of Competing Physiological Needs,” Physiological Reviews 95, no. 2 (2015): 549–601, 10.1152/physrev.00035.2013. PubMed DOI PMC
Kakigi R., Naito H., Ogura Y., et al., “Heat Stress Enhances mTOR Signaling After Resistance Exercise in Human Skeletal Muscle,” Journal of Physiological Sciences 61, no. 2 (2011): 131–140, 10.1007/s12576-010-0130-y. PubMed DOI PMC
Schultz E., “Satellite Cell Behavior During Skeletal Muscle Growth and Regeneration,” Medicine & Science in Sports & Exercise 21, no. 5 Suppl (1989): S181‐186. PubMed
Schultz E. and McCormick K. M., “Skeletal Muscle Satellite Cells,” Reviews of Physiology, Biochemistry and Pharmacology 123 (1994): 213–257, 10.1007/BFb0030904. PubMed DOI
Locke M., “Heat Shock Protein Accumulation and Heat Shock Transcription Factor Activation in Rat Skeletal Muscle during Compensatory Hypertrophy,” Acta Physiologica 192, no. 3 (2008): 403–411, 10.1111/j.1748-1716.2007.01764.x. PubMed DOI
McCleary S. P., Moghadam S., Le C., et al., “Volumetric Assessment of the Anterior Digastric Muscles: A Deeper Understanding of the Volumetric Changes With Aging,” Aesthetic Surgery Journal 43, no. 1 (2023): 1–8, 10.1093/asj/sjac233. PubMed DOI
Chilukuri S., “Holistic Approach for Noninvasive Facial Rejuvenation by Simultaneous Use of High Intensity Focused Electrical Stimulation and Synchronized Radiofrequency,” Facial Plastic Surgery Clinics of North America 31, no. 4 (2023): 547–555, 10.1016/j.fsc.2023.06.006. PubMed DOI
Goto K., Okuyama R., Sugiyama H., et al., “Effects of Heat Stress and Mechanical Stretch on Protein Expression in Cultured Skeletal Muscle Cells,” Pflugers Archiv European Journal of Physiology 447, no. 2 (2003): 247–253, 10.1007/s00424-003-1177-x. PubMed DOI
Slee E. A., Adrain C., and Martin S. J., “Executioner Caspase‐3, ‐6, and ‐7 Perform Distinct, Non‐Redundant Roles During the Demolition Phase of Apoptosis,” Journal of Biological Chemistry 276, no. 10 (2001): 7320–7326, 10.1074/jbc.M008363200. PubMed DOI