Cellulite Treatment With Electrotherapeutic Combinations: Cryolipolysis, Microcurrents, LED And Ultrasound N
Authors: C Ruiz-Silva, , P Gomes-Lima, , KR Ruiz-Silva, , D Moleiro, 
Published: October 2024

Cellulite is a multifactorial condition present in 80% to 90% of post-pubertal women and is one of the most intolerable aesthetic imperfections. It is a morphological alteration of the integumentary tissue, directly interfering with self-esteem. There are several theories about the pathophysiology of cellulite, and several different therapeutic regimens have been developed, from topical treatments to mechanical or electrotherapybased devices. In this brief review, we summarize the scientific scenario to determine the clinical evidence regarding the safety and efficacy of cellulite treatment options. Clinical protocols and the author's experience using a combination of external procedures are also discussed. Therapies such as ultrasound and shock waves have shown improvements in cellulite and a good safety profile, but the combination therapy red LED, microcurrent, plate cryolipolysis and 40 kHz ultrasound have demonstrated the most beneficial results in cellulite reduction. Although there is a lack of scientific evidence for treatments that improve cellulite, future emerging options and their combination may pave the way to eradicating this aesthetic concern, Objective: The objective of this work was to review the literature on cellulite and the main electrotherapeutic resources used, to demonstrate the effectiveness of the technique that associates red LED before the cryolipolysis technique in a mobile handle and association with microcurrents and finishing with low frequency ultrasound in the licus system in the treatment of cellulite, reducing edema, inflammation and decreasing adipose tissue in addition to toning the dermis with the presentation of clinical cases. Materials and Methods: In this study, we performed a comprehensive review of all scientific articles available and indexed in PubMed and Web of Science in the last 20 years about this technology and its effects on cellulite. We discussed the scientific evidence available in clinical studies and analyzed the effects and possible mechanisms of action of LED, cryolipolysis, microcurrents and the use of 40 kHz ultrasound in cellulite. The treatments were performed with LED at 4 joulles per cm2, cryolipolysis technique with mobile plate and associated microcurrents, with intervals for reperfusion. We used 4 series of 5 minutes of freezing and in the intervals 3 minutes for return of circulation, that is, reperfusion without injury, and finished with 40 kHz ultrasound at 0.3 watts/cm2 for 2 minutes per cm2. We demonstrated the result after 4 sessions. Conclusion: In the author's opinion, a combined approach where combined approaches are used strategically and in a staggered manner to produce synergistic results has the best clinical outcome. For example, the use of red LEDs prior to the combination of microcurrents simultaneously with cryolipolysis and finishing with 40 kHz ultrasound in a weekly LICUS system can result in improvements in severe cellulite in approximately 2 months. More large-scale studies, particularly regarding combined approaches, need to be conducted to evaluate the long-term results of cellulite therapies in terms of safety, efficacy, and patient satisfaction. improve the appearance of cellulite, sometimes to a satisfactory degree, but never eradicate cellulite, as this involves extensive remodeling of the tissue. potential to be effective in lysing subdermal collagen, such as that seen in the dermal septa (the underlying cause of cellulite). References Despite multiple therapeutic approaches attempting to treat cellulite, no procedure has proven to be successful in the long term, requiring weekly or biweekly maintenance of treatment