28
MAR
2017

Cryolipolysis

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Cryolipolysis is a non-invasive aesthetic procedure that uses controlled cooling to reduce subcutaneous fat. Clinical studies have established its safety, efficacy, and tolerability for fat reduction in a variety of areas, including the abdomen, flanks, thighs, submental area, arms, back and chest. Because of aesthetic concerns, long-term unilateral studies leaving an untreated flank, thigh, or arm are not performed, but serve as ideal controls for weight gain or loss, or redistribution of fat for other reasons. This article follows two patients, previously documented in a case report, to demonstrate their ongoing treatment efficacy at 6 and 9 years after treatment. Clinical photographs of the treated flanks and untreated contralateral controls demonstrated long-term durability.

The two patients presented in this paper were treated in the early days of cryolipolysis and present a rare opportunity to investigate long-term efficacy of this treatment, while controlling for weight fluctuations. To quantify treatment efficacy, photographs of the two cases taken at various time points were evaluated by a panel of three blinded physician reviewers board-certified in either dermatology or plastic surgery. The post-treatment photographs were randomised with pre-treatment images and presented to the independent panel. The reviewers were then asked to evaluate the flank contours and to identify the pre-treatment image.

For both patient cases, at all three post-treatment time points, the three reviewers correctly identified the baseline images 100% of the time (18 of 18 correct).

For both patient cases, at all three post-treatment time points, the three reviewers correctly identified the baseline images 100% of the time (18 of 18 correct).

Photographs of the two cases showed that local reductions in flank fat have significant longevity in these subjects and suggest that results from cryolipolysis may be very long-lasting. Existing asymmetries between the treated and untreated contralateral sides are maintained and still visible in clinical photographs at all follow-up time points.

As non-invasive body contouring is still a relatively new procedure, little long-term efficacy data are available. The cases reported here demonstrate 6- and 9-year efficacy in unilateral flank cryolipolysis treatments. These two cases suggest that studies of larger populations of subjects for long-term efficacy of cryolipolysis are warranted. Future longitudinal studies incorporating a large number of subjects could evaluate the extent to which cryolipolysis results are durable over time and would contribute to aesthetic practitioners’ understanding of this unique, fat-selective treatment.

From £200.00 at the Hampton Clinic, Bristol www.thehamptonclinic.co.uk

 

 

About the Author
Miss Julie Brackenbury, RGN, Independent Nurse Prescriber

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