No Pain, All Gain (Body Contouring at It's Best) - Part 2 of 2

Cosmetic Surgery & Beauty (CS&B) gives the skinny on in-office body contouring treatments (Part 2 of 2)

Dr Lenzo Ling Ing Heong - May 13, 09:53 PM

In part 1 of body contouring, we interviewed Aesthetic Physician Dr. Inder Kaur from Klinik Dr Inder and  Aesthetic Physician Dr. Lenzo Ling from The Gem Clinic. 
In this part, we interview Dr. Edmond Lau from Klinik Dr Ko (Perai, Penang) and Dr. Alice Prethima from The Ageless Medispa Dr. Alice Clinic to explain about body contouring and body contouring procedures that are available. They also share how treatments are carried out to achieve beach-ready bods without invasive surgery. 
Dr. Edmond Lau from the Klinik Dr Ko (Perai, Penang)
Aesthetic Physician Dr. Edmond Lau
What is cryolipolysis and shockwave technology?
     
Cryolipolysis breaks down fat cells via tissue freezing over a prolonged period, resulting in body fat cell reduction without damage to adjacent tissues. Shockwave treatment is a scientifically-proven treatment that uses high energy shockwaves to enhance lipolysis post-cryolipolysis, as well as to impact collagen structure and the skin’s connective tissue, thus improving circulation. Shockwave technology also stimulates collagen formation, making the skin more elastic, and firmer over time.

What is the Z Lipo and Z WavePro?
     
Z Lipo is a cryolipolysis system manufactured by Zimmer MedizinSysteme – a world leader in medical cold air applications. This cold treatment causes apoptosis and ultimate fat cell destruction. The complete breakdown and removal of tissues through lymphatic drainage takes place after ten to 12 weeks. In summation, because stubborn body fat is strategically targeted and reduced at specific areas, patients end up with a slimmer, more contoured physique.
     Z WavePro treats cellulite and tightens skin through transmissions of powerful radial shockwaves. Once energies penetrate skin, they create major influences in collagen structures and connective tissues. As a result, patients not only experience enhanced blood flow and cell rejuvenation, but a strengthening of the connective fibres too.

How do Z Lipo and Z WavePro work synergistically?
     
By combining Z Lipo and Z WavePro (Cryolipolysis and shockwave), individuals experience superior fat decrement. In fact, intensive, pain-free shockwaves immediately after cryolipolysis – and four subsequent treatments, weekly – can almost double procedural effects and fat reduction. This is due to Z Wave’s lymphatic drainage and skin tightening abilities which quickly remove fat cells, while stimulating collagen and reducing cellulite.

What parts of the body can Z Lipo and Z WavePro target?
   
If you have stubborn fat that’s immune to diet and exercise, Z Lipo and Z WavePro could be a solution. Treatment areas include the belly, waist, back, thighs, upper arms and many more. Most bodily regions are easily targeted by Z Lipo’s multi-sized handpieces. Aside from pain-free suction, the applicators offer precise control, allowing optimal cooling to desired temperatures. The added pulsating actions of its suction also increase lymphatic drainage and metabolic efficacies. In terms of Z WavePro, its 39mm handpiece transmits radial shockwaves with high precision. According to observation and documentation, Z Wave’s mechanical pressures trigger various beneficial effects and reactions to the skin’s structure.

What can patients expect during and after Z WavePro and Z Lipo’s treatments? 
     Z Lipo’s treatments last up to an hour, while Z WavePro takes less than 30 minutes. During Z Lipo, a special gel pad is placed on treatment areas. Although Z Lipo may be slightly uncomfortable during the first few moments of suctioning, the action is completely harmless and only lasts a few minutes. Z Wave’s treatments are relatively painless too. Many compare it to a relaxing massage.
     Patients may experience some immediate redness or slight tenderness after the procedure. These effects are generally transient and localised to treated areas. Albeit uncommon, some patients have also reported sore muscle sensations.

How many treatments do patients need, and when are optimal results expected
     
Patients must consult doctors when evaluating the number of treatments needed. This is because of differing body conditions and expectations. Nonetheless, individuals have noted visible desired changes after two to three sessions.
     Optimal outcomes are generally visible after three to four months, as bodies need time to break down and flush out destructed fat cells. Still, some patients have reported discernible outcomes after just three weeks.

What are your personal opinions of Z Lipo and Z WavePro?
     
Cryolipolysis is by far the most advanced and effective fat reduction modality, without requiring surgery or liposuction. Furthermore, Z Lipo and Z WavePro cleverly combine cryolipolysis and shockwave technology, enhancing powerful contouring effects by destructing fat cells, tightening skin and breaking cellulite. By including Z Lipo and Z WavePro to my treatment repertoire, I can offer new experiences in body contouring which needn’t require painful surgery or general anaesthesia for significant effects.

How have your patients responded to Z WavePro and Z Lipo’s treatments?
     
All my patients have noted and enjoyed reductions of stubborn fat. Although some have complained of pain during the procedure’s first few moments, the brief discomfort hasn’t stopped patients from repeating the treatment.


Dr. Alice Prethima from the Ageless Medispa Dr. Alice Clinic
Aesthetic Physician Dr. Alice Prethima
What is Vaser Liposelection?
     
Vaser Liposelection is a tremendous body shaping procedure. An energy-assisted technique, it’s divided into continuous ultrasound or ultrasound with vibration. Both these energies are employed on differing layers of tissue. When ultrasound and vibration is utilised, doctors normally apply this to superficial layers to safely release fat pockets. The continuous ultrasound however, is applied to mid-level and deeper fat compartments. Ultimately, and when all stratums are targeted, patients can expect better, longer-lasting fat reductions with some skin tightening too.
     Vaser Liposelection is unique from liposuction because of its superior safety parameters. The word ‘selection’ in ‘liposelection’ means energies melt fat, rather than ‘suck out’ or break connective tissues. When traditional liposuction with tumescent solution is employed, strong suctioning processes can damage surrounding tissues, causing bleeding and pain, making it difficult for liposuction to be an outpatient procedure. Vaser, conversely, may be a lunchtime alternative, especially if smaller areas are targeted per time. Because Vaser is an in-office approach, general anaesthesia (GA) need not apply, avoiding probabilities of GA-related complications and morbidities. Furthermore, Vaser Liposelection evades other common risks like dermal concavities or burns from laser-assisted liposuctions.

Which parts of the body can Vaser Liposelection target?
     
Vaser Liposelection is applicable to most body parts, except the upper face and neck. It can target the underarms, arms, thighs, calves, tummy, love handles, bra line and lower face. It’s also highly effective in contouring the shoulders, collar bone, chest and pubic area. If patients desire athletic appearances, Vaser may selectively remove fat in specific areas to give the illusion of abs and muscles.

What can patients expect during and after Vaser Liposelection?
     Before procedures commence, doctors may offer pain management and anti-anxiety medications. While pricks are initially felt during local anaesthesia infiltration, the rest of the treatment is comfortable – aside from noise emissions from handpiece vibrations. Most patients drift off to sleep, as practices are relaxing and non-aggressive. After procedures culminate, patients should be well enough to walk and travel home.
     Despite limited pain, patients must return for follow-ups the next day, as oozing (from puncture points) possibly occurs. Should this happen, doctors will drain liquids in a sterile and safe manner. Patients are also placed in pressure garments which must be worn for two weeks, 24 hours a day. After 14 days, patients may don pressure garments for 12 hours per day for the next four months, keeping the region compact during healing.

What is ThermiRF and ThermiTight?
     
ThermiRF is an RF system. This multi-modality platform offers ThermiSmooth, ThermiVA, ThermiRase and ThermiTight. While ThermiSmooth is a non-invasive facial rejuvenation treatment, ThermiVa is applied to the vagina for genital rejuvenation and reduced urinary incontinence. ThermiRase is a toxin-free, long-lasting approach to unwanted facial and neck lines.
     Thermitight is injected RF or minimally invasive subdermal heating. By using RF energy and a small-temperature probe, doctors can gently heat targeted tissues until endpoints are achieved. The device comes with a camera system which captures heat signatures. By paying attention to the skin’s inner and outer thermal readings, doctors can melt fat, stimulate collagen and tighten skin. Strictly speaking, Thermitight – with its different temperatures – is beneficial on the entire visage. Apart from contouring faces and contracting skin, it’s an excellent tactic against fine lines and wrinkles.

Why do you recommend Thermitight?
     
The Ageless Medispa boasts non-invasive systems like Thermage and Ultherapy. However, my first line of treatment is Thermitight because energies are introduced under skin, making it more targeted and effective. Of course, patients are assured safety throughout the procedure, as probes relay accurate thermal readings. As a matter of fact, I’ve successfully heated skin to 80 degrees Celsius, instigating superior facial rejuvenation, without burning surrounding structures.

How do minimally invasive methods compare against non-invasive practises?
     
Patients’ expectations are important. My clinic employs both non-invasive and minimally-invasive body contouring. While non-invasive technologies like cryolipolysis and shockwave are effective, they only elicit 20 to 40 percent fat reduction. Furthermore, patients must possess enough pinchable tissues, as small pockets can’t be vacuumed into cryolipolysis applicators. This can also be said for Liposonix, which requires at least two cm of fat for optimal efficacy. Most non-invasive solutions require numerous treatments. This may not be suitable to those without the time nor budget for multiple sessions. 
     If patients prefer significant outcomes within singular sittings, then Vaser Liposelection and ThermiTight may be the answer. Further to being completely safe, minimally invasive approaches offer immediate satisfaction with fewer risks and less downtime. 

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