SHOCK WAVE THERAPY OF CELLLULITE:
COMPARISON BETWEEN THE COMBINATION PRE-COOLING VERSUS PREVIOUS TISSUE WARMING

Stoßwellenbehandlung der Cellulite:
Vergleich von Kombination mit Vorkühlung gegen vorheriger Gewebeerwärmung

KLAUS FRITZ^1,2, MELTEN-ÖNDER^1,3, GEORGE-SORIN TIPLICA²

¹ Hautärzte- und Laserzentrum, Reduitstr. 13, Landau, Deutschland
² Universitätsklinik Carol Davila, Rumänien
³ Gazi Universität, Medizinische Fakultät, Turkei

KEY WORDS: Cellulite, body contouring, radial shock wave therapy, ZWave, diathermia, Micro 5, Cryo 6 derma, cool-air-therapy-device, tissue modelling

SUMMARY:
Aim of this study was to evaluate the effect of radial shock wave treatment in combination with tissue a pre-cooling with cold air or a prewarming of tissue through diathermia and to analyse and compare the results on skin tissue.
Material and methods: 10 voluntary probands with cellulite grade I and III, classified after the Nuernberger-Mueller-Scale took part in this study. The results of the two combination therapies where compared 4 months upon completion of the study. Before classical treatment with radial shockwave therapy Zwave, one side of the treatable tissue area was treated with the Cryo 6 Derma skin cooling system and the other side with the Micro 5 Microwave Diathermy unit. The findings – before and 4 months after the last treatment – where fotodocumented, the circumferences of the thighs measured and the skin contour was assessed by the three doctors on the basis of a modified score, which is also used for assessment of wrinkles (Shoshani, Westerink).
Results: 4 months after the first treatment with radial shockwave therapy, the group treated before with diathermy, showed a far better improvement between the two combination therapies. Radial shockwave therapy itself, was effective in both compared treatments.
Conclusion and Discussion: Two different combined shockwave treatments where conducted and compared with each other: pre-cooling vs. pre-warming. The  individual results of this study showed, that radial shockwave therapy is effective in the treatment of cellulite and the effectiveness can even be increased, if the tissue is pre-treated with diathermy.

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