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Endermologie

Home » Procedures » Body Plastic Surgery » Cellulite Treatments in Las Vegas » Endermologie

Dr. Robert Troell - Las Vegas, NV
Las Vegas, NV & Irvine, CA
Cosmetic and Facial Plastic Surgeon

Endermologie

 

Endermologie (*) by LPG Systems (Valence, France) enhances your body, improves your lifestyle & helps you feel better about yourself! Endermologie is the first modality for the treatment of cellulite and was developed in the 1970’s. Endermologie has been cleared by the FDA and provides visible results without downtime or significant discomfort.

Anti-Cellulite

Endermologie was the first specialized medical device designed as a non-surgical (non-invasive) device for body contouring to include: improved skin appearance, mild circumferential reduction of thighs and the waist, isolated temporary noticeable reshaping of the treated area, and cellulite appearance improvement.

Cellulite treatment is the highlight of the Endermologie indications and treatment outcomes. Mechanical Massage by Endermologie uses specially designed rollers and a computer algorhythm to smooth out the subcutaneous tissue from cellulite.

Non-invasive Cellulite Treatment Strategies with Endermologie
1. Endermologie alone
2. VASERshape immediately followed by Endermologie

Endermologie Treatment Technique

body suit

At the onset of treatment, the patient puts on a body suit. The Endermologie machine is turned on and spontaneously undergoes the calibration process. The treatment personnel validates the parameters on the LCD display to include: time in minutes, which for the thigh is 9 minutes each, and the suction settings can be changed from 1- 6, starting at level 3.

The device is then placed on the treatment area; suction is tested to be “on” by the treatment personnel. The rollers are placed on the patient’s skin and the patient is asked if they are experiencing discomfort.
Machine & Treatment

 

If they are tolerating the treatment, suction is steadily increased until the setting where discomfort is elicited. If there is discomfort at the start of treatment the setting is decreased from 3 to 2. The treatment continues at the tolerated level for one minute. If tolerated, the treatment personnel will then increase the suction setting one unit level.

Machine & Treatment

 

This process is repeated every minute with changes in setting related to the presence of discomfort. The movement of the rollers on the thigh occurs in all directions.

All directions

 

In order to optimize the treatment result, it is important to grade the severity of cellulite prior to commencing treatment. The Universal Cellulite Grading System developed in 1972, the Nurenberger-Muller Grading Scale, was chosen to ensure uniformity in cellulite assessment. There are four grades of cellulite ranging from grade 0-3:

Severity Scale

Grade 0: “No cellulite”. There is no visible cellulite while standing. With pinching the skin, there is no appearance of cellulite. This grade of cellulite is rare and very desirable.

Grade 1: “Tight cellulite”. There is no cellulite when standing, however, when one pinches the skin of the thigh/buttock or when the thigh/buttock muscles are contracted, one will see the appearance of orange peel or mattress appearance of the skin. The pinch test should be painless and the skin-fold small.

Grade 2: “Loose cellulite”. There is visible cellulite while standing, but it is not visible when lying. The cellulite is visible when the subject contracts the buttocks or when the skin is pinched. The skin is generally loose and has a painless skin pinch.

Grade 3: There is visible cellulite while standing and in the supine position. Some refer to this as “painful cellulite”, any type of cellulite, which is characterized by significant tenderness during the pinch test.

 

For optimal results when treating different types of cellulite, LPG has specified Pre-Set Program Parameters for each type of cellulite. Cellulite is mainly present on the posterior thigh area, other thigh areas, and the buttocks. Rarely, is cellulite located elsewhere. The recommended parameters included: Duty cycle %, Frequency (Hz), time for each treatment, and roller speed.

 

What changes occur from Endermologie?

A diagrammatic representation of the skin and subcutaneous tissue changes is noted.

Before and After

Cellulite is present in about 85% of post-pubescent women, which usually affects the thighs and buttocks. The pathogenesis of cellulite includes fibrous septae attachments of the skin extending into the subcutaneous fat connecting to the underlying muscle, a thickened hypodermal fat layer, hypodermal fat lobules herniating into the dermal-hypodermal interface and reduced microcirculation. Ultrasound imaging has been used to view both the skin thickness and the dermis-hypodermis interface.

This is a non-invasive motorized mechanical roller that mobilizes subcutaneous fat, temporarily improves microcirculation up to four fold up to 6 hours post-treatment, increases flow velocities in the subcutaneous veins within the adipose tissue, and improves lymphatic drainage by three fold up to 3 hours post-treatment, however, in vivo redistribution of fat was not demonstrated.

 

What histologic changes occur from Endermologie?

Biopsies reveal that Endermologie increases elastin or oxytalan fiber diameter and density. Collagen fibers show a more compact appearance with increased density in the papillary and upper reticular dermis (although the collagen effect is weaker than the elastic fiber effect). Despite these histological changes, there was no change in skin elasticity as measured by a Cutometer. There is no evidence to document if this is a temporary or permanent effect.

 

Can Endermologie produce a reduction in fat volume?

Waistline

With Endermologie, there was a subjective observed reduction in adipose volume, however, this observation lasted only two weeks after treatment. A porcine study revealed accumulation of dense, longitudinal collagen bands in the mid and deep sub-dermis with distortion and disruption of adipocyte cell membranes. No inflammatory response, skin or muscle injury was observed. The skin and subcutaneous tissue thickness remained constant.

In one study, patients lost a mean weight of 1.35 pounds and a mean body circumference of 0.54 inches undergoing 7 sessions. Another study confirmed these findings with a mean weight reduction of 0.45 pounds and body circumference of 0.45 inches after undergoing 20 sessions of treatment, although no long term follow-up was performed.

Before and After

Additionally, Endermologie demonstrated softening of superficial skin surface irregularities and cellulite with a 50% improvement by objective blind photographic grading and a 92% patient satisfaction rate. However, objective measures of body contouring were minimal and proportional to weight loss. Thus, Endermologie alone should not be considered an effective body contouring method.

Clinical outcomes can be observed as shown below. However, patients require continued treatments between once a week to once a month to keep the results long term.

 

VASER Shape
In an attempt to achieve permanent results as well as an improved outcome, Dr. Robert J Troell, FACS, FAAFPRS, FAACS, FAAOHNS, FAASM has under taken an Investigation Review Board (IRB) approved scientific study combining VASERshape with Endermologie for non-invasive cellulite treatment.

When performed after VASERshape, the Endermologie treatment is begun immediately after VASERshape treatment is completed. The hypothesis is that the increased tissue temperature and mobilization of fat by “cavitation” from the ultrasound, should be more easily molded using the mechanical rollers of Endermologie. Additionally, Since the VASERshape produces permanent results by itself, combining with Endermologie may bring improved as well as permanent outcomes.

Before and After Legs


Contact Dr. Troell’s Office for Your Free Consultation:
Dr. Troell and his staff are happy to discuss Reconstructive Plastic Surgery procedures with you and answer your questions. Please feel free to call our offices in Las Vegas, Nevada (702) 242-6488 and Irvine, California (949) 220-0532.

 

For your free private consultation or appointment click here.

(*) © 2023 Dr. Troell - Beauty by Design | All Rights Reserved

Photographs of people used on the following pages are before and after photos of patients who have undergone surgical and non-surgical cosmetic procedures described herein and that provide a reasonable indication of typical results of the advertised procedure. Results may vary and this may not be typical of every user. In the event that this Website uses the image of a non-patient model, we will make reasonably attempts to state that the photo used is of a non-patient model.

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Robert J. Troell, M.D., F.A.C.S. at Corona Del Mar, New Port Beach, CA

BEAUTY BY DESIGN New Port Beach: A REGENERATIVE MEDICAL SPA IN Corona Del Mar, CA.

Beauty By Design in Las Vegas is not the only location where you can meet Dr. Troell. Robert J. Troell, .M.D., F.A.C.S. is also serving clients in Corona Del Mar, New Port Beach, California. Learn more about Beauty By Design Corona Del Mar, or call (949) 220-0532.

Two Locations to Better Serve You

Las Vegas

Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Robert J. Troell, M.D., F.A.C.S.
(Las Vegas, Nevada)

Address: 5375 S Fort Apache Rd
Suite 101
Las Vegas, NV 89148.
Phone: (702) 242-6488

Driving Directions Contact Us

New Port Beach

Robert J. Troell, M.D., F.A.C.S. (New Port Beach, California)

Robert J. Troell, M.D., F.A.C.S.
(New Port Beach, California)

Address: 2801 East Coast Hwy
Suite E
Corona del Mar, New Port Beach, CA 92625.
Phone: (949) 220-0532

Driving Directions Contact Us
  • Las Vegas
  • Corona del Mar

Las Vegas

Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Robert J. Troell, M.D., F.A.C.S.
(Las Vegas, Nevada)

Address: 5375 S Fort Apache Rd
Suite 101
Las Vegas, NV 89148.
Phone: (702) 242-6488

Driving Directions Contact Us

New Port Beach

Robert J. Troell, M.D., F.A.C.S. (New Port Beach, California)

Robert J. Troell, M.D., F.A.C.S.
(New Port Beach, California)

Address: 2801 East Coast Hwy
Suite E
Corona del Mar, New Port Beach, CA 92625.
Phone: (949) 220-0532

Driving Directions Contact Us
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Disclaimer: Beauty by Design does not promise results, as they may vary for both non-surgical and surgical procedures. This includes experimental procedures, like Anti-aging Therapy. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. Before and after photos on this website are Beauty by Design's actual patients, and all patients have given consent for use of these photos.

Dr. Robert Troell is a multi-board Certified Cosmetic Surgeon with a DEA number, and is permitted to dispense narcotics and pharmaceutical drugs. BOTOX® and Juvéderm® are registered trademarks of Allergan. Dysport®, Restylane®, and Perlane® are registered trademarks of Galderma.

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