Übersichtsarbeit

, ,
Bodycontouring durch Kryolipolyse – Wirkungsweise, Anwendung und Behandlungsergebnisse

Body contouring through cryolipolysis – efficacy, application and treatment results

Keywords | Summary | Correspondence | Literature

Keywords

, , , ,

Schlüsselworte

, , , ,

Summary

Cryolipolysis is a noninvasive procedure for reduction of local training and diet resistant subcutaneous fat pads through timely and spatial circumscribed controlled cooling. Patho physiologic active principle is the programmed cell death of adipocytes through cooling, the so called apoptosis. The evaluation of 505 treatments of 173 patients over a period of 24 months, confirmed the efficiancy of the method. Histologically, the developement of a histio-limphocytic inflammatory infiltrate with the migration of macrophages within the treatment zone, could be proven. As a method without downtime and with only slight side effects, cryolipolysis is especially suitable for patients, that want to avoid operative methods with higher side effects and that desire only moderate body forming.

Zusammenfassung

Kryolipolyse ist ein nicht-invasives Verfahren zur Reduktion lokaler trainings- und diätresistenter subkutaner Fettpolster, durch zeitlich und räumlich umschriebene kontrollierte Kälteeinwirkung. Pathophysiologisches Wirkprinzip ist der durch die Kälte ausgelöste programmierte Zelltod der Adipozyten, die sogenannte Apoptose. Die Auswertung von 505 Behandlungen bei 173 Patienten über einen Zeitraum von 24 Monaten, bestätigte die Effizienz der Methode. Histologisch ließ sich die Entwicklung eines histio-lymphozytären entzündlichen Infiltrates mit der Einwanderung von Makrophagen, innerhalb der behandelten Zone bestätigen. Als Methode ohne Ausfallzeiten und mit einer geringen Nebenwirkungsrate, ist die Kryolipolyse vor allem für Patienten geeignet, die operative Verfahren aufgrund der höheren Nebenwirkungsrate scheuen und eine moderate Körperformung wünschen.

Leider haben Sie sich nicht eingeloggt, um den Beitrag lesen zu können. Bitte loggen Sie sich ein oder beantragen Sie Ihre Zugangsberechtigung. Vielen Dank. Weitere Informationen finden Sie hier>

Korrespondenz-Adresse

Dr. med. Elisabeth Hauenstein
Richard-Müller-Straße 3c
D-79206 Breisach
schwoerstein@web.de

Conflict of Interests

Es bestehen keine Interessenkonflikte. Die Studie erfolgte ohne Sponsoring.

Literatur

1. Sattler G, Eichner S (2013) Complications of liposuction. Hautarzt 64: 171-179.
2. Cardenas-Camarena L (2003) Lipoaspiration and its complications: a safe operation. Plast Reconstr Surg 112: 1435-1441; discussion 1442-1433.
3. Fischer JP, Wes AM, Serletti JM, Kovach SJ (2013) Complications in body contouring procedures: an analysis of 1797 patients from the 2005 to 2010 american college of surgeons national surgical quality improvement program databases. Plast Reconst Surg 132: 1411-1420.
4. Kennedy J, Verne S, Griffith R, Falto-Aizpurua L, Nouri K (2015) Noninvasive subcutaneous fat reduction: a review. JEADV 29: 1679-88.
5. Mulholland RS, Paul MD, Chalfoun C (2011) Non-invasive body contouring with radiofrequency, ultrasound, cryolipolysis and low-level laser therapy. Clin Plast Surg 38: 503-520.
6. KruegerN, Mai SV, Luebberding S (2014) Cryolipolysis for noninvasive body contouring: clinical efficacy and patient satisfaction. Clin Cosmet Investig Dermatol 26: 201-5.
7. Jalian HR, Avram MM (2013) Cryolipolysis: A historical perspective and current clinical practice. Semin Cutan Med Surg 32: 31-34.
8. Pinto H, Arredondo E, Ricart-Jane D (2013) Evaluation of adipocyte changes after a simil-lipocryolysis stimulus. Cryo letters 34: 100-105.
9. Preciado JA, Allison JW (2008) The effect of cold exposure on adipocytes: examining a novel method of cold exposure for the noninvasive removal of fat. Cryibiologie 57: 327.
10. Manstein D, Laubach H, Watanabe K, Farinelli W, Zurakowski D, Anderson RR (2008) Selective cryolysis: a novel method of noninvasive fat removal. Lasers Surg Med 40: 595-604.
11. Zellickson B, Egbert BM, Preciado J, Allison J, Springer K, Rhoades RW, Manstein D (2009) Cryolipolysis for noninvasive fat cell destruction: initial results from a pig model. Derm Surg 35: 146214-70.
12. Ferraro GA, De Francesco F, Cataldo C, Rossano F, Nicoletti G, D‘Andrea F (2012) Synergistic effects of cryolipoysis and shock waves for noninvasive body contouring. Aesthetic Plast Surg 36: 666-679.
13. Lee RL (2013) Clinical efficacy of fat reduction on the thigh of korean women through cryolipolysis. J Obes Weight Loss Ther 3: 1-5.
14. Ingargiola MJ, Motakef S, Chung MT, Vasconez HC, Sasaki GH (2015) Cryolipolysis for fat reduction and body contouring: safety and efficacy of current treatment paradigms. Plast Reconst Surg 135: 1581-90.
15. Dierichx CC, Mazer JM, Sand M, Koenig S, Arigon V (2013) Safety, tolerance, and patient satisfaction with noninvasive cryolipolysis. Dermatol Surg 39: 1209-1216.
16. Stevens WG, Pietrzak LK, Spring Ma (2013) Broad overview of a clinical and commercial experience with CoolSculpting. Aesthet Surg J 33: 835-846.
17. Hauenstein E (2014) On cryolipolysis under special consideration of general/internal risk factors: a field report on the basis of 573 treatment zones in 274 patients. Kosmet Med 35: 18-23.
18. Sasaki GH, Abelev N, Tevez-Ortiz A (2014) Noninvasive selective cryolipolysis and reperfusion recovery for localized natural fat reduction and contouring. Aesthet Surg J 34: 420-431.
19. Dobke MK, Hitchcock T, Misell L, Sasaki GH (2012) Tissue restructuring by energy-based surgical tools. Clin Plast Surg 39: 399-408.
20. Carruthers J, Stevens WG, Carruthers A, Humphrey S (2014) Cryolipolysis and skin tightening. Dermatol Surg 40: S184-S189.
21.Epstein EH jr,, Oren ME (1970) Popsicle panniculitis in children. N Engl J Med 1282: 966-967.
22. Rotman H (1966) Cold panniculitis in children: adiponecrosis e frigore of haxthausen. Arch Dermatol 94: 720-721.
23. Beacham BE, Cooper PH, Buchanan CS, Weary PE (1980) Equestrian cold panniculitis in women. Arch Dermatol 116: 1025-7.
24. Jalian HR, Avram MM, Garibyan L, Mihm l, Anderson RR (2014) Paraoxial adipose hyperplasia after cryolipolysis. JAMA Dermatol 150: 317-319.

Ausgabe