닫기

Ex) Article Title, Author, Keywords

Original Article

Split Viewer

J Cosmet Med 2022; 6(1): 34-39

Published online June 30, 2022

https://doi.org/10.25056/JCM.2022.6.1.34

Clinical responses of subcutaneous abdominal fat and rectus abdominis muscle thicknesses following treatment with a high-intensity focused electromagnetic field device

Tin-Hau Wong, MBBS, MRCSEd, MScPD, MScAPS1,2

1Medaes Medical Centre, Hong Kong, 2Leciel Medical Centre, Hong Kong

Correspondence to :
Tin-Hau Wong
E-mail: drskywong@gmail.com

Received: February 25, 2022; Revised: May 11, 2022; Accepted: May 16, 2022

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Background: High-intensity focused electromagnetic waves (HIFEM) can achieve optimal body contours by training muscle mass, strength, and toning, as well as fat reduction.
Objective: This study aimed to define the effect of HIFEM devices on muscle training and subcutaneous fat reduction.
Methods: This is the first-time report of a clinical case series by using a modified protocol. The study was a single-centre evaluation in Hong Kong, China, involving 13 participants, of whom nine were female. Each subject underwent six treatments, 1-2 times a week for 3–6 weeks, and each treatment session lasted for 60 minutes. Body contours were recorded using 2D and 3D high-resolution images. Ultrasonography was performed for standardized areas in each participant. The above assessments were performed at the first and last treatment visits, and then at the 1- and 3-month follow-up visits. Data were quantified and compared. The main outcomes were percentage improvement, satisfaction levels, and adverse events.
Results: A significant improvement in muscle thickness of the rectus abdominis with a corresponding decrease in subcutaneous fat thickness was demonstrated in the subjects. The mean decrease of subcutaneous fat was 0.31 cm (19.9%), 0.40 cm (25.6%), and 0.53 cm (34.0%) at the last visit, 1 month after the treatment, and 3 months after the treatment, respectively (p=0.017, p=0.014, and p<0.001, respectively). The rectus abdominis demonstrated a mean increase of 0.29 cm (27.8%), 0.28 cm (26.2%), and 0.28 cm (26.2%) at the last visit, 1 month after the treatment, and 3 months after the treatment, respectively (p=0.001, p=0.006, and p<0.001, respectively). No significant discomfort was reported by the subjects, and 100% of the subjects were satisfied with their results.
Conclusion: HIFEM is an effective method for training the rectus abdominis and reducing fat in the abdomen, offering participant satisfaction, comfort, and sustainability.

Keywords: body contouring, electromagnetic wave, exercise, fat reduction, high-intensity focused electromagnetic waves, muscle mass training

Fig. 1.Photo for change in subcutaneous fat (SF) and rectus abdominis (RA) thickness. (A) is the baseline measurement; (B) is 1 month post treatment; (C) is 3 months post treatment. A progressive decrease in SF thickness and increase in RA muscle thickness. 1D depicts the SF thickness and 2D, the RA thickness.
  1. Thompson WR. Worldwide survey reveals fitness trends for 2010. ACSMs Health Fit J 2009;13:9-16.
    CrossRef
  2. Berry MG. The principles and techniques of liposuction. In: Shiffman MA, Di Giuseppe A, editors. Liposuction. Berlin: Springer; 2016. p. 149-60.
    Pubmed CrossRef
  3. Kennedy J, Verne S, Griffith R, Falto-Aizpurua L, Nouri K. Non-invasive subcutaneous fat reduction: a review. J Eur Acad Dermatol Venereol 2015;29:1679-88.
    Pubmed CrossRef
  4. Reggiani C, te Kronnie T. Hyperplasia in exercise-induced muscle growth? Basic Appl Myol 1999;9:289-92.
  5. Gregory CM, Bickel CS. Recruitment patterns in human skeletal muscle during electrical stimulation. Phys Ther 2005;85:358-64.
    CrossRef
  6. Duncan D, Dinev I. Noninvasive induction of muscle fiber hy-pertrophy and hyperplasia: effects of high-intensity focused electromagnetic field evaluated in an in-vivo porcine model: a pilot study. Aesthet Surg J 2020;40:568-74.
    Pubmed KoreaMed CrossRef
  7. Kinney BM, Lozanova P. High intensity focused electromag-netic therapy evaluated by magnetic resonance imaging: safety and efficacy study of a dual tissue effect based non-in-vasive abdominal body shaping. Lasers Surg Med 2019;51:40-6.
    Pubmed KoreaMed CrossRef
  8. Jocken JW, Blaak EE. Catecholamine-induced lipolysis in adipose tissue and skeletal muscle in obesity. Physiol Behav 2008;94:219-30.
    Pubmed CrossRef
  9. World Medical Association. World Medical Association dec-laration of Helsinki: ethical principles for medical research involving human subjects. JAMA 2013;310:2191-4.
    Pubmed CrossRef
  10. Gabriel DA, Kamen G, Frost G. Neural adaptations to resistive exercise: mechanisms and recommendations for training practices. Sports Med 2006;36:133-49.
    Pubmed CrossRef
  11. Dowling JJ, Konert E, Ljucovic P, Andrews DM. Are humans able to voluntarily elicit maximum muscle force? Neurosci Lett 1994;179:25-8.
    CrossRef
  12. Roth BJ, Basser PJ. A model of the stimulation of a nerve fiber by electromagnetic induction. IEEE Trans Biomed Eng 1990;37:588-97. Erratum in: IEEE Trans Biomed Eng 1992;39:1211.
    Pubmed CrossRef
  13. Ahmad J, Eaves FF 3rd, Rohrich RJ, Kenkel JM. The American Society for Aesthetic Plastic Surgery (ASAPS) survey: current trends in liposuction. Aesthet Surg J 2011;31:214-24.
    Pubmed CrossRef
  14. Zurlo F, Larson K, Bogardus C, Ravussin E. Skeletal muscle metabolism is a major determinant of resting energy expen-diture. J Clin Invest 1990;86:1423-7.
    Pubmed KoreaMed CrossRef
  15. Weiss RA, Bernardy J. Induction of fat apoptosis by a non-thermal device: mechanism of action of non-invasive high-intensity electromagnetic technology in a porcine model. Lasers Surg Med 2019;51:47-53.
    Pubmed KoreaMed CrossRef
  16. Katz B, Bard R, Goldfarb R, Shiloh A, Kenolova D. Ultrasound assessment of subcutaneous abdominal fat thickness after treatments with a high-intensity focused electromagnetic field device: a multicenter study. Dermatol Surg 2019;45:1542-8.
    Pubmed CrossRef
  17. Abboud S, Hachem JP. Heat shock lipolysis: radiofrequency combined with cryolipolysis for the reduction of localized subcutaneous fat. Dermatol Res Pract 2020;2020:4093907.
    Pubmed KoreaMed CrossRef
  18. Goldberg DJ. Deletion of adipocytes induced by a novel de-vice simultaneously delivering synchronized radiofrequency and hifem: Human histological study. J Cosmet Dermatol 2021;20:1104-9.
    Pubmed KoreaMed CrossRef
  19. Jacob C, Kent D, Ibrahim O. Efficacy and safety of simultane-ous application of HIFEM and synchronized radiofrequency for abdominal fat reduction and muscle toning: a multicenter magnetic resonance imaging evaluation study. Dermatol Surg 2021;47:969-73.
    Pubmed CrossRef

Article

Original Article

J Cosmet Med 2022; 6(1): 34-39

Published online June 30, 2022 https://doi.org/10.25056/JCM.2022.6.1.34

Copyright © Korean Society of Korean Cosmetic Surgery.

Clinical responses of subcutaneous abdominal fat and rectus abdominis muscle thicknesses following treatment with a high-intensity focused electromagnetic field device

Tin-Hau Wong, MBBS, MRCSEd, MScPD, MScAPS1,2

1Medaes Medical Centre, Hong Kong, 2Leciel Medical Centre, Hong Kong

Correspondence to:Tin-Hau Wong
E-mail: drskywong@gmail.com

Received: February 25, 2022; Revised: May 11, 2022; Accepted: May 16, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: High-intensity focused electromagnetic waves (HIFEM) can achieve optimal body contours by training muscle mass, strength, and toning, as well as fat reduction.
Objective: This study aimed to define the effect of HIFEM devices on muscle training and subcutaneous fat reduction.
Methods: This is the first-time report of a clinical case series by using a modified protocol. The study was a single-centre evaluation in Hong Kong, China, involving 13 participants, of whom nine were female. Each subject underwent six treatments, 1-2 times a week for 3–6 weeks, and each treatment session lasted for 60 minutes. Body contours were recorded using 2D and 3D high-resolution images. Ultrasonography was performed for standardized areas in each participant. The above assessments were performed at the first and last treatment visits, and then at the 1- and 3-month follow-up visits. Data were quantified and compared. The main outcomes were percentage improvement, satisfaction levels, and adverse events.
Results: A significant improvement in muscle thickness of the rectus abdominis with a corresponding decrease in subcutaneous fat thickness was demonstrated in the subjects. The mean decrease of subcutaneous fat was 0.31 cm (19.9%), 0.40 cm (25.6%), and 0.53 cm (34.0%) at the last visit, 1 month after the treatment, and 3 months after the treatment, respectively (p=0.017, p=0.014, and p<0.001, respectively). The rectus abdominis demonstrated a mean increase of 0.29 cm (27.8%), 0.28 cm (26.2%), and 0.28 cm (26.2%) at the last visit, 1 month after the treatment, and 3 months after the treatment, respectively (p=0.001, p=0.006, and p<0.001, respectively). No significant discomfort was reported by the subjects, and 100% of the subjects were satisfied with their results.
Conclusion: HIFEM is an effective method for training the rectus abdominis and reducing fat in the abdomen, offering participant satisfaction, comfort, and sustainability.

Keywords: body contouring, electromagnetic wave, exercise, fat reduction, high-intensity focused electromagnetic waves, muscle mass training

Fig 1.

Figure 1.Photo for change in subcutaneous fat (SF) and rectus abdominis (RA) thickness. (A) is the baseline measurement; (B) is 1 month post treatment; (C) is 3 months post treatment. A progressive decrease in SF thickness and increase in RA muscle thickness. 1D depicts the SF thickness and 2D, the RA thickness.
Journal of Cosmetic Medicine 2022; 6: 34-39https://doi.org/10.25056/JCM.2022.6.1.34

References

  1. Thompson WR. Worldwide survey reveals fitness trends for 2010. ACSMs Health Fit J 2009;13:9-16.
    CrossRef
  2. Berry MG. The principles and techniques of liposuction. In: Shiffman MA, Di Giuseppe A, editors. Liposuction. Berlin: Springer; 2016. p. 149-60.
    Pubmed CrossRef
  3. Kennedy J, Verne S, Griffith R, Falto-Aizpurua L, Nouri K. Non-invasive subcutaneous fat reduction: a review. J Eur Acad Dermatol Venereol 2015;29:1679-88.
    Pubmed CrossRef
  4. Reggiani C, te Kronnie T. Hyperplasia in exercise-induced muscle growth? Basic Appl Myol 1999;9:289-92.
  5. Gregory CM, Bickel CS. Recruitment patterns in human skeletal muscle during electrical stimulation. Phys Ther 2005;85:358-64.
    CrossRef
  6. Duncan D, Dinev I. Noninvasive induction of muscle fiber hy-pertrophy and hyperplasia: effects of high-intensity focused electromagnetic field evaluated in an in-vivo porcine model: a pilot study. Aesthet Surg J 2020;40:568-74.
    Pubmed KoreaMed CrossRef
  7. Kinney BM, Lozanova P. High intensity focused electromag-netic therapy evaluated by magnetic resonance imaging: safety and efficacy study of a dual tissue effect based non-in-vasive abdominal body shaping. Lasers Surg Med 2019;51:40-6.
    Pubmed KoreaMed CrossRef
  8. Jocken JW, Blaak EE. Catecholamine-induced lipolysis in adipose tissue and skeletal muscle in obesity. Physiol Behav 2008;94:219-30.
    Pubmed CrossRef
  9. World Medical Association. World Medical Association dec-laration of Helsinki: ethical principles for medical research involving human subjects. JAMA 2013;310:2191-4.
    Pubmed CrossRef
  10. Gabriel DA, Kamen G, Frost G. Neural adaptations to resistive exercise: mechanisms and recommendations for training practices. Sports Med 2006;36:133-49.
    Pubmed CrossRef
  11. Dowling JJ, Konert E, Ljucovic P, Andrews DM. Are humans able to voluntarily elicit maximum muscle force? Neurosci Lett 1994;179:25-8.
    CrossRef
  12. Roth BJ, Basser PJ. A model of the stimulation of a nerve fiber by electromagnetic induction. IEEE Trans Biomed Eng 1990;37:588-97. Erratum in: IEEE Trans Biomed Eng 1992;39:1211.
    Pubmed CrossRef
  13. Ahmad J, Eaves FF 3rd, Rohrich RJ, Kenkel JM. The American Society for Aesthetic Plastic Surgery (ASAPS) survey: current trends in liposuction. Aesthet Surg J 2011;31:214-24.
    Pubmed CrossRef
  14. Zurlo F, Larson K, Bogardus C, Ravussin E. Skeletal muscle metabolism is a major determinant of resting energy expen-diture. J Clin Invest 1990;86:1423-7.
    Pubmed KoreaMed CrossRef
  15. Weiss RA, Bernardy J. Induction of fat apoptosis by a non-thermal device: mechanism of action of non-invasive high-intensity electromagnetic technology in a porcine model. Lasers Surg Med 2019;51:47-53.
    Pubmed KoreaMed CrossRef
  16. Katz B, Bard R, Goldfarb R, Shiloh A, Kenolova D. Ultrasound assessment of subcutaneous abdominal fat thickness after treatments with a high-intensity focused electromagnetic field device: a multicenter study. Dermatol Surg 2019;45:1542-8.
    Pubmed CrossRef
  17. Abboud S, Hachem JP. Heat shock lipolysis: radiofrequency combined with cryolipolysis for the reduction of localized subcutaneous fat. Dermatol Res Pract 2020;2020:4093907.
    Pubmed KoreaMed CrossRef
  18. Goldberg DJ. Deletion of adipocytes induced by a novel de-vice simultaneously delivering synchronized radiofrequency and hifem: Human histological study. J Cosmet Dermatol 2021;20:1104-9.
    Pubmed KoreaMed CrossRef
  19. Jacob C, Kent D, Ibrahim O. Efficacy and safety of simultane-ous application of HIFEM and synchronized radiofrequency for abdominal fat reduction and muscle toning: a multicenter magnetic resonance imaging evaluation study. Dermatol Surg 2021;47:969-73.
    Pubmed CrossRef

Stats or Metrics

Share this article on :

  • line
  • mail

Related articles in JCM

Most KeyWord ?

What is Most Keyword?

  • It is most registrated keyword in articles at this journal during for 2 years.

Journal of Cosmetic Medicine

eISSN 2586-0585
pISSN 2508-8831
qr-code Download