Introduction
Fast-paced development of modern cosmetology has led to the emergence of non-invasive body sculpting technologies. RSL sculpting with the Beautylizer such technologies. RSL sculpting is aimed at reducing the size of adipocytes and controlling gynoid lipodystrophy. The method combines vibrocompression with spheres and treatment with red light at a wave length of 600–650 nm (LED therapy). The device subjects the tissues at the exposure site to short-term compression alternating with relaxation, resulting in a significant improvement in microcirculation. When exposed to vibration and compression, the blood vessel walls get stronger and less permeable. The effect on lymphatic system consists in acceleration of removal of toxins and breakdown products from the body. Microcirculation, oxygenation, and tissue blood and nerve supply increase leading to normalization of cell metabolism. Light exposure improves skin elasticity by 19% owing to stimulation of fibroblasts and production of TGF-β, which results in increase of collagen production [1–4].
Combination of RSL sculpting and other mechanical procedures
RSL sculpting is a highly effective procedure when used alone [5]. It can also be combined with all high-tech procedures for body sculpting, including cryolipolysis, high intensity focused ultrasound (HIFU) treatment, radio
frequency (RF) treatment and other.
The combined usage of various methods is reasonable in the modern context of patients excessively expecting to obtain results in a short time without rehabilitation [6]. In order to prevent possible adverse events when combining procedures, it is necessary to take into account exactly how various techniques affect adipocytes and surrounding tissues [7]. In cases of tissue atony, dystrophic changes in the skin, and pastosity or the oedematous stage of cellulite, it is reasonable to start preparation with RSL sculpting and then to proceed to the techniques based on tissue heating or cooling to prevent the potential adverse events. The RSL sculpting procedure allows increasing skin tone, eliminating tissue swelling, reducing cellulite, and visualizing more clearly the boundaries of a fat compartment and applying markings more accurately. It is recommended to run a series of five procedures at an interval of 2–3 days with the Beautylizer device before starting the mentioned procedures.
RSL sculpting should begin 5–7 days after cryolipolysis, HIFU or RF treatment to reduce tissue swelling and decrease the intensity of soreness. The procedure can be performed in combination with shockwave therapy, micro current and magnetic field therapy [8, 9].
A study assessing the effectiveness of the combined use of RSL sculpting and such techniques as cryolipolysis and HIFU as part of integrated body sculpting programs was performed at the Linline clinic network. We were observing 16 female patients aged 20 to 45 to assess how effective the combined use of RSL sculpting and cryolipolysis was. All patients showed cellulite of grade 1 or 2, local fat deposits, skin sagginess in the area of abdomen front and side surface. The patients were divided into two groups according to the therapy used.
- Group 1 (8 patients) received one cryolipolysis procedure and then, starting from day 7, a series of RSL sculpting procedures.
- Group 2 (8 patients) received one cryolipolysis procedure.
The result was observed 7 days after the cryolipolysis procedure, and then patients underwent a course of 10 procedures using the Beautylizer device at an interval of 2–3 days. The effect appeared one month after the procedure (photo 1).
PHOTO 1. Before and after the procedure
One cryolipolysis procedure was performed using 2 applications to the upper and 2 applications to the lower part of the abdomen. The effect appeared only 3 months after the procedure (photo 2).
PHOTO 2. Before and after the procedure
One cryolipolysis procedure was performed using 2 applications to the upper and 2 applications to the lower part of the abdomen. The effect appeared only 3 months after the procedure (photo 3).
PHOTO 3. Before and after the procedure
The patients in Group 1 received 10 RSL sculpting procedures at an interval of 2–3 days.
Before therapy start and after its completion the following actions were performed for all the patients:
- measurement of body mass with medical floor scales,
- measurement of waist circumference with a tape measure,
- photographing of the results.
In the course of the study we also assessed the speed of the effect appearing and the reduction of the rehabilitation period. The patients were leading their normal daily life during the study. For the patients of Group 1, the effect occurred as early as one month after the procedure compared to the patients of Group 2, for whom the results became obvious only by the 2nd or 3rd month. Tissue swelling at the application site was faster to go down for the patients of Group 1: on the 2nd day after the first RSL sculpting procedure, that is on day 8; while for the patients of Group 2 the swelling persisted until days 14–16. Soreness in the application area after cryolipolysis was faster to go down for the patients of Group 1: it happened by day 10 (after only 2 RSL sculpting procedures); while for some patients of Group 2 soreness persisted for up to 2–3 weeks.
Skin sagginess in the abdomen area became substantially less prominent after a series of ten RSL sculpting procedures for the patients of Group 1 compared to the patients of Group 2. There was no significant difference in waist circumference reduction between the patients of both groups.
Twelve female patients aged 30 to 45 took part in the study of the effectiveness of the combined use of RSL sculpting and HIFU technology.
All patients showed cellulite of grade 1 or 2, local fat deposits, skin sagginess in the inner thigh area.
The patients were divided into two groups according to the therapy used.
- Group 1 (6 patients) received one procedure using HIFU technology and then, starting from day 7, a series of RSL sculpting procedures.
- Group 2 (6 patients) received one procedure using HIFU technology.
The patients in Group 1 received 7 RSL sculpting procedures at an interval of 2– 3 days. Before therapy start and after its completion the following actions were performed for all the patients:
- measurement of the thigh circumference with a tape measure,
- photographing of the results.
In the course of the study, similarly to the study of the combination of the RSL method with cryolipolysis, we assessed the speed of the effect appearing and the reduction of the rehabilitation period.
For the patients of Group 1, the effect occurred as early as 1.5 months after the procedure compared to the patients of Group 2, for whom the results became obvious only by the 3rd month.
Numbness in the application area after using HIFU technology was faster to go down for the patients of Group 1: by day 14; while in some patients of Group 2 the symptoms persisted for up to 4 weeks. Skin sagginess in the inner thigh area
became substantially less prominent after a series of 7 RSL sculpting procedures for the patients of Group 1 compared to the patients of Group 2. A significant reduction of thigh circumference was recorded in patients of Group 1 compared to the patients of Group 2 (by 2 and 1 cm accordingly).
Conclusion
The use of non-invasive methods for body sculpting is a prospective direction in mechanical aesthetic treatment methods. RSL sculpting plays an exceptional role among these methods. The method not only helps effective elimination of the local fat deposits and cellulite, but also improves skin quality due to dermal restructuring, demonstrates analgesic effect, and improves microcirculation and lymphatic drainage in tissues; therefore it can be used in preparation for many other mechanical procedures or applied at the early stages after such procedures to shorten rehabilitation period. Combining RSL sculpting method with other mechanical methods improves the results and speeds up the body sculpting effect.
- Em M, Chaves A, Piancastelli CC. Effects of low-power light therapy on wound healing, p. 616-623.
- Martignago CCS, Tim CR, Assis L, DaSilva VR, Santos ECBD, Vieira FN, Parizotto NA, Liebano RE. Effects of red and near-infrared LED light therapy on full-thickness skin graft in rats. Lasers Med Sci. 2020 Feb;35(1):157-164.
- Yu W, Naim JO, Lanzafame RJ (1994) The effect of laser irradation on the release of bFGF from 373 fibroblasts. Photochem Photobiol 59:167-170.
- Seung Yoon Lee 1, Ki-Ho Park, Jung-Woo Choi, Jung-Kyun Kwon, Doo Rak Lee, Mi Sun Shin, Jee Sung Lee,Chung Eui You, Mi Youn Park. A prospective, randomized, placebo-controlled, double-blinded, and split-face clinical study on LED photo therapy for skin rejuvenation: clinical, profilometric, histologic, ultrastructural, and biochemical evaluations and comparison of three different treatment settings. J Photochem Photobiol B.2007 Jul 27,88(1):51-67.
- Mikhailyuk I.G. Assessment of the effect of massage using the roller vibrocompression method with the Beautylizer device on the severity of gynoid lipodystrophy in women. 2001.
- Winter ML. Post-pregnancy body contouring using a combined radiofrequency, infrared light and tissue manipulation device. J. Cosmet. Laser. Ther. 2009; 11(4): 229-35.
- Kruglik E.V., Likhtinova A.N., Saromytskaya A.N., Chebotareva Y.Y., Yusova Zh.Y. The use of cryolipolysis for body contouring as monotherapy and in combination with other methods of aesthetic correction. Clinical dermatology and venereology. 2020;19(5):756-766.
- Myers TW. The Anatomy Trains: Myofascial Meridians for Manual and Movement Therapies. Edinburgh,Churchill Livingstone 2001.
- Ratajczak B. i wsp. Próba zastosowania masażu medycznego w leczeniu nietrzymania moczu. Polska Medycyna Rodzinna. 2003; 5: 173–176.
.svg)
.svg)
.svg)