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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.

(*) © 2021 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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Dr Robert Troell, FACS Plastic Surgery
Dr Robert Troell, FACS Plastic Surgery
4.7
Based on 38 reviews
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Feven Genovese
Feven Genovese
23:59 17 Jun 20
Dr.Troell gave me hope and made me feel very comfortable. I was extremely happy with the results. His price is really... fair👍🏼 I live far away and he always makes time with my schedule. I would definitely recommend him to everyone.read more
leyextremo2008
leyextremo2008
19:13 18 Mar 20
I had a great experience with my face fillers and I am so happy with the results. Definitely 5 stars!
Andrew Mendoza
Andrew Mendoza
17:17 18 Mar 20
For years my double chin was unsightly and weighed on me, After a 45 minute vaser lipo procedure with Dr Troell I feel... and look like a new person Friends and Family can't believe the difference. There was very minimal pain,bruising and swelling Dr Rob Troell and his staff are the bestread more
sessia KOA TV
sessia KOA TV
07:02 18 Mar 20
I have known Dr. Troell since 2017. I had 2 major surgeries (tummy tuck and breast augmentation from ruptured implants... from the previous another doctor in Beverly Hills about 15 years ago). I was very nervous everytime I went in surgery room. As I get older, I had fear what if... what if I won't be able to wake up from anesthesia, what if.. what if the surgery goes wrong and comes out bad results and so forth. I had a lot of "what if"s. Dr. Troell was very knowledgeable and wise enough to answer all my detailed questions. He always comfort me either before or after the surgery. Most of all, both my surgery days were Christmas time. No body wanted to come out during holiday seasons. However Dr. Troell was always prompted to answer my call and come out to check even though late hours like 11 PM. I am so thrilled about both my surgery results and really happy! Thank you Dr. Troell for always considering me like one of your family members, not just a patient.read more
M DH
M DH
23:59 17 Mar 20
Dr. Troell and his entire staff (particularly Jessie), have gone above and beyond before, during, and after my surgical... procedures. I recently had revision rhinoplasty and cheek/lip implants. I felt thoroughly prepped with information and am healing quite nicely. Dr. Troell has followed up every step of the way, and continues to monitor my healing during this process. I feel blessed to have had such an amazing experience with Dr. Troell and his staff. I’m looking forward to my final results, and know I’m in good hands throughout this aesthetic journey!read more
Susana Williams
Susana Williams
21:22 17 Mar 20
I've been getting Botox for my wrinkles and lines with great results for 2 years. Happy wiht Dr Troell and his staff.
Ramin Sarshad
Ramin Sarshad
21:12 17 Mar 20
Attended many CME courses with Dr Troell for many years. He's always on top of the latests lipo and body countering... techniques. Great cosmetic and plastic surgeon to work with.read more
Linda Watkins
Linda Watkins
03:34 15 Jan 20
Dr Troell should No Longer have a Medical license or business license. He does not produce good results and will tell... you what you want to hear just to get money out of your pocket. He truly does not care about results, only taking your money. He only has 1 or 2 employees at a time, they are there a couple months and then gone. Good for them, they have a conscience and can not stand behind Dr Trolls work. I don't normally write reviews but people need to know the truth.read more
Linda W
Linda W
05:21 05 Dec 19
10+ years ago Dr. Troell was the doctor to go to. However in the last 10 years that is not the case. Don’t believe... the fake reviews. His website shows employees that have not been there in over a year. His videos are 13 years old. I know Firsthand as a patient and an ex office manager.read more
Crissie  Adams
Crissie Adams
17:37 28 Oct 19
Dr Troell is by far the best Dr I have gone to! He did the most amazing job on my lips and I couldn’t be anymore... thrilled with how they turned out, it’s EXACTLY what I was after. Dr Troell has been the most attentive to my needs and calls everyday to check in on me... I have never had a Dr do that, EVER. The whole procedure he made me feel comfortable and at ease and explained everything to me perfectly. He is the kind of Dr that I felt extremely comfortable asking questions to and not ever feeling like I was bugging him. I had an amazing connection with him! He get quadruple stars from me! Thank you so much Dr Troell for making me feel beautiful!!!!!read more
mamasita262 .
mamasita262 .
20:40 10 Oct 19
Dr. Troell and his staff are very caring, patient, informative and understanding. I was having my procedures done in... Las Vegas over a period of three months. I was recovering in my home alone. Dr. Troell went above and beyond all expectations I had. He personally contacted me daily to check up on me. He was very much involved in my recovery process, showing genuine empathy. Dr. Toell's bedside manner is a thing of the past, and warms my heart. It is greatly appreciated. He was there for me throughout.read more
jackie bussey
jackie bussey
19:05 27 Sep 19
I had a face lift and blepharoplasty expertly sculpted by Dr. Troell; the facelift in July, and the blepharoplasty in... September. I am so thrilled with both procedures and wish I had done this sooner. The recovery time was extremely fast as I was out and about in a few days. There was very minimal bruising and swelling And the results are beautiful!! my face and eyes are symmetrical and I feel and look younger and refreshed... like the girl I used to be. Dr. Troell is an amazing surgeon and has a wonderful bedside manner. He thoroughly and patiently explains everything that he can do for you and takes his time— Considering you and the results you want to achieve. After my procedure, He checked on me daily— sometimes twice a day to make sure my recovery and overall health was going smoothly. I believe that was the most incredible aspect of my experience. It is hard to find a doctor that really cares about you as a patient and your well-being. I would highly recommend Dr. Troell for any procedure you might consider, you will not be disappointed. A true professional, and artist. Thank you Dr. Troell!!read more
N H
N H
19:48 26 Sep 19
Great doctor. Meticulous in detail and explanations. Great bedside manner and follow up.
Elizabeth Smith
Elizabeth Smith
02:42 18 Sep 19
I have had a Great experience with Dr troell, he is a very hands on Dr. That explains very detail of which ever ... procedure that you are looking for, he also follows up with progress and is always available for any questions that you may have!! I would recommend him to use for any service in which you might be looking!! Very freindly environment.read more
Tracy Kruzan
Tracy Kruzan
18:11 13 Sep 19
I recently had lip and cheek implants. Although there's more to do to fix my injuries, the results to date have been... fabulous! The staff is kind and caring. Whatever your reason for going in, the staff listens. Dr. Troell is very knowledgeable, skillful and kind. I'm very glad I chose him.read more
Violeta D’Nero
Violeta D’Nero
19:53 21 May 19
Absolutely Freaking LOVE the work of Dr.Troell with his amazingly caring and companionate staff (Mrs.Coco and... Michelle). I had always wanted to fix a few things here and there but was always afraid of dying or coming out worse lol or just afraid in general but my heart and mind set and after about a year more or less I finally found a team I felt comfortable with and safe with. Words cannot express my gratitude to Dr.Troell. His expertise and talent are out of this world, not to mention his genuine care and concern for his patients is phenomenal. Not only is he extremely professional he calls to make sure all is good is always available and makes you feel safe and at home. His staff is the absolute best I felt such a connection and most importantly safe and very well took care of. Dr. Troell, Mrs.Coco, and Mrs.Michelle are most deff my go to from now on for EVERYTHING that comes to my beauty. From Vaser- Facials I have found my beauty home. 🙌Thank you so much for helping me accomplish my dreams!read more
Mirjana Radjenovic
Mirjana Radjenovic
04:16 03 Mar 19
My experience with Dr. Troell has been unsurpassed. From the initial consult where he was most detailed reviewing the... options, benefits, and limitations, the comprehensive preoperative workup and exam, the postoperative concerns calling me frequently, his superior training, being a trainer for fellow surgeons, and most importantly- my cosmetic results are natural yet awesome. I have no reservations with my care. I am fortunate to have been referred to him. I love my results. I was reluctant to undergo cosmetic surgery, because of my concerns of who to trust. I was referred to Dr. Troell from my sister who had a fabulous result from facial procedures. I had both a face and body cosmetic procedure performed at different times. People think my face makes me look over ten years younger. Thank you for your endearing care and wonderful results.read more
PatriciaM
PatriciaM
18:36 10 Oct 17
Dr. Troell is an excellent and caring plastic surgeon. Rose is the best esthetician in Las Vegas. She knows what she is... doing, considers all of your options and does what is best for your skin. She goes above and beyond to make you look and feel terrific. I have never met anyone so passionate about what they do.read more
Cathy Prather
Cathy Prather
22:12 28 Jul 17
I am SO pleased with my results! I have multiple surgical procedures performed by Dr. Troell. He has always been so... thorough explaining what to expect. He was caring and called to check up on me often. I put complete trust in him. I love my results and would highly recommend him!read more
Catherine Harlow
Catherine Harlow
00:47 25 Jul 17
Dr. Troell has done a few procedures on myself and both my sisters. They span over about a 12 year.. I've always been... happy with what he has done for me, I guess that is why I continue to go back to him as a doctor. I have sent three of my friends to him even though I do not live in his area but we do Fly to see him in one of his locations. I like that there is such a personal touch to his practice I believe he is probably the only doctor that still does house calls if you live in his area. Thank you Dr. TroellI appreciate all you have done for meread more
Snezana Bradic
Snezana Bradic
19:56 24 Jul 17
My experience with Dr Troell have been amazing. He come to my home to explain about my breast cancer . I had many... questions about cancer treatment and beast reconstruction after my cancer is treated successfully. He take time and tells me everything that I should be aware of and pitfalls to avoid. A positive mental outlook, he said, can assist your body to fight the cancer. Definitely i will go to see him after I finish my chemotherapy and other necessary breast treatments, like surgery and radiation to proceed with breast appearance enhancements. We is an empathetic and caring surgeon. Thank you Dr Troell .read more
Tina Kameron
Tina Kameron
22:11 10 Feb 17
I have know Dr Troell for over 10 years both personally and professionally. I have recommended both friends and family... to him for a wide range of procedures. As cosmetic surgery is an art form , technique ,training and experience play an important roll in outcome. A patients expectations and their compliance in post operative care also play a vital role in the outcome . I would not feel comfortable sending a friend or family member to a surgeon who I did not have confidence in his or her ability. I also would not feel comfortable sending a patient who I felt was non compliant or unrealistic to a competent surgeon who I have known and worked with in the past. It is important to have good communicating between patient and physician. I have recommended Dr Troell with confidence in the past and will continue to do so in the future.read more
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Robert J. Troell, M.D., F.A.C.S. at Irvine, CA

BEAUTY BY DESIGN IRVINE: A REGENERATIVE MEDICAL SPA IN IRVINE, 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 Irvine, California. Learn more about Beauty By Design Irvine, 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

Irvine

Robert J. Troell, M.D., F.A.C.S. (Irvine, California)

Robert J. Troell, M.D., F.A.C.S.
(Irvine, California)

Address: 113 Waterworks Way
Suite 105
Irvine, CA 92618.
Phone: (949) 220-0532

Driving Directions Contact Us
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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

Irvine

Robert J. Troell, M.D., F.A.C.S. (Irvine, California)

Robert J. Troell, M.D., F.A.C.S.
(Irvine, California)

Address: 113 Waterworks Way
Suite 105
Irvine, CA 92618.
Phone: (949) 220-0532

Driving Directions Contact Us
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BEFORE AND AFTER PHOTOS

Before & After

FACIAL

  • Chin & Cheek Enhancements & Implants
  • Ear Reshaping
  • Eye Cosmetic Surgery (Blepharoplasty)
  • Face Lift & Neck Rejuvenation
  • View all Facial

BODY

  • Abdominoplasty
  • Natural Breast Augmentation
  • Body Fat Grafting
  • Brazilian "Butt Lifts"
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SKIN

  • Body Scrubs & Wraps
  • BOTOX®
  • Chemical Peels
  • Dermal Fillers
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ANTI-AGING

  • Biodentical Hormone Replacement
  • Comprehensive Anti-Aging Program
  • View all Anti-aging

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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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