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Targeting the SMAS with HIFU / RF microneedling / radiofrequency ruined my face: learn why

Targeting the SMAS with HIFU / RF microneedling / radiofrequency ruined my face: learn why

Everyone interested in facial anti-ageing these days is talking about the SMAS. Suddenly everyone is an (ignorant) “expert” in the SMAS, just like everyone interested in cellulite or massage suddenly became an (ignorant) “expert” in all things fascia a few years ago. But what is the SMAS, why is everyone talking about it and why is it not such a great idea to target it non-surgically?

Does cavitation tighten loose skin?

Does cavitation tighten loose skin?

High-power ultrasound cavitation is one of the two most effective SAFE methods for cellulite reduction, especially when provided by a well-trained, experienced and knowledgable therapist. Normally cavitation is not recommended for skin tightening, as it only exerts a weak skin tightening effect, when applied as usual…

How oxidative damage can cause cellulite

How oxidative damage can cause cellulite

Oxidative damage is an important aspect of cellulite, with the other six being fibrosis, skin laxity, glycation, poor microcirculation, inflammation and superficial fat accumulation. Oxidative damage or free radical damage refers to cell damage by ‘reactive oxygen species’ (ROS) / free radicals, such as OO- (superoxide radical), -OH (hydroxyl radical) and H2O2 (hydrogen peroxide)…

Can radiofrequency dissolve Botox or fillers?

Can radiofrequency dissolve Botox or fillers?

Radiofrequency increases the metabolism of tissues where it is applied. Increased metabolism will result to increased breakdown of products such as fillers and botox. Furthermore, certain types of radiofrequency, such as high frequency RF, should not be used on fillers, as temperature may increase disproportionately inside the filler, potentially causing damage…

RF / cavitation: gel, cream, serum, glycerol or oil? Which conductive medium is best?

RF / cavitation: gel, cream, serum, glycerol or oil? Which conductive medium is best?

“Radiofrequency” is an all encompassing term for treatment with different types of high frequency electrical currents. Different machines utilise different frequencies, from an extra low of 300kHz to an extra high of 5GHz. The types of physical phenomena at play on those different machines are quite different…

Hypermobility, EDS, skin looseness and cellulite

Hypermobility, EDS, skin looseness and cellulite

Hypermobility is a broad term to describe loose connective tissue which is characterised by weaker/less collagen. This results not only in loose joints but also in loose, thin skin. So hypermobile / very flexible people tend to suffer from skin laxity from young age but especially so from their 40s and 50s, when collagen production decreases. Females suffer more from hypermobility, due to to the action of estrogen on connective tissue. Hypermobility in females increases just before their period and also in the latter…

Can you overdo it with red therapy?

Can you overdo it with red therapy?

LED light therapy, also known as low level light therapy (LLLT), is rightly acknowledged as a very, very safe type of treatment, with minimal and rare adverse reactions. Indeed, treatment with LED light can only go wrong if provided in a very, very stupid way. This is usually the case when extremely high intensity, extremely long treatment times or a combination of both is utilised. Luckily, most home and even professional devices on the market are not strong enough for this to easily occur but it is still possible…

Decoding lipedema: from hidden causes to hopeful treatments

Decoding lipedema: from hidden causes to hopeful treatments

Lipedema is a chronic condition characterised by abnormal fat deposition primarily in the arms, hips, buttocks, and thighs, while sparing the hands and feet. For decades little was known about this condition but in the last two decades and especially since 2015 research into lipedema as well as awareness by doctors and patients has increased exponentially. Lipoedema, first described in 1910 by Irving Phillips Lyon as "adipose" or "lipomatosis," was formally delineated in 1940 by Edgar Allen and Edgar Alphonso Hines Jr. as a distinct syndrome involving fat legs and orthostatic edema. Symptoms include pain, bruising, edema, and subcutaneous nodules, which are resistant…

What is best for cellulite: resistance or cardiovascular exercise?

What is best for cellulite: resistance or cardiovascular exercise?

Weight training is better than cardio for fat loss, right? Wrong. In the past few years people started to believe that resistance exercise is better than cardiovascular exercise for almost everything and especially for weight loss and cellulite reduction. The rationale is that with weight training you build muscle and that that muscle has higher metabolic needs, leading to more calorie burning, “even in your sleep”. However, this effect is exaggerated and the notion that weights contribute so much to metabolism increase could not be further from the truth. Cardiovascular exercise, especially high intensity “cardio”, like HIIT, interval running, spinning etc, burns way more calories than weight training. At the same time CV exercise also leads to long-term calorie burning - not via increased muscle mass, as with weight training - but via increased overall body metabolism and thermogenesis…

The key to non-surgical breast lifting & firming is treating the décolletage area with radiofrequency

The key to non-surgical breast lifting & firming is treating the décolletage area with radiofrequency

Breast firmness and perkiness depends mainly on two things: breast skin and Cooper’s ligaments. Together these two connective tissues help to maintain the shape and structural integrity of your breasts. Skin supports and keeps breast lifted from the outside, while Cooper’s ligaments (also known as the suspensory ligaments of Cooper or the fibrocollagenous septa of the breast) keep breast lifted from the inside. Younger breasts also have a higher proportion of breast tissue, as opposed to fat, and that also helps add to breast firmness by maintaining ‘turgidity’…

Can exercise tighten loose skin?

Can exercise tighten loose skin?

Exercise and everyday physical activity are essential for skin firmness, together with a healthy nutrition, rich in protein and polyphenols. Exercise and physical activity offers our fibroblasts (collagen- and elastin-producing cells) the necessary mechanical stimulation they need to keep producing collagen and elastin. Collagen gives skin firmness, while elastin offers elasticity, leading to firm, elastic, healthy, good looking skin.

What is ozempic / mounjaro / wegovy butt and how to fix it

What is ozempic / mounjaro / wegovy butt and how to fix it

Wegovy and Ozempic are injected medicines that both contain the active molecule semaglutide. Ozempic is prescribed for diabetes. Wegovy, on the other hand, contains a higher amount of semaglutide and therefore is additionally prescribed for weight loss. However, Ozempic is also used for weight loss, off label. The typical weight loss achieved with Wegovy/Ozempic is about 12% of body weight in non-diabetic people. As both drugs lead to fast weight loss, the buttocks do not have enough time to contract…

Infrared and red light therapy after ultrasound cavitation

Infrared and red light therapy after ultrasound cavitation

At the clinic we use ultrasound cavitation for cellulite reduction, focused with great precision on the hypodermis and dermis, leaving the epidermis alone, as it should be for this application. And we use LED red light therapy, mainly in the infrared wavelength, to maximise the results of our deep-acting, high-power ultrasound cavitation treatments. It is now firmly established that infrared and red light therapy boosts mitochondrial function and thus cellular energy, and we have observed that when applied following cavitation treatment, it significantly improves the outcomes of cavitation for cellulite reduction…

How to tone glutes without growing them and without gaining weight

How to tone glutes without growing them and without gaining weight

The gluteus maximus is a muscle which almost no man or woman can have enough of, simply because it makes the butt area look strong, beautifully curvy and sexy. However, some people would prefer to have just a toned butt but not too toned or big. How can one do that? It’s simple. Do lots of intensive resistance exercise two to three times a week, for several weeks. And when you reach the stage where your muscles don’t just tone but they start growing bigger, stop and switch to maintenance resistance training for that area, once every two weeks…

Radiofrequency lipolysis, fat "melting", slimming and weight loss: the facts

Radiofrequency lipolysis, fat "melting", slimming and weight loss: the facts

Claims that a non-surgical treatment (be it ultrasound, radiofrequency, laser, electromagnetic waves etc) removes fat from the body completely, by first "melting the fat which is then removed from the body via the kidneys and the urine" are utterly false (pure lies, basically) and have no physiological basis...

Radiofrequency, RF microneedling and cavitation for lipedema: do they work?

Radiofrequency, RF microneedling and cavitation for lipedema: do they work?

This is a very valid question asked by so many people in the lipedema community. However, the fact of the matter is that there is no good non-surgical treatment - be it radiofrequency, ultrasound cavitation, acoustic wave therapy, RF microneedling, HIFU, massage, red/infrared light therapy or pressotherapy. None of those non-surgical techniques or any other reduces lipedema and currently the only good solution for lipedema is surgery. Sure, exercise and healthy nutrition…

LED red / infrared light therapy after radiofrequency

LED red / infrared light therapy after radiofrequency

At most clinics LED light therapy is provided after radiofrequency as a means to calm down skin after a very superficial radiofrequency treatment, which can irritate the skin. Low level light therapy (LLLT) in the red (around 630nm) and infrared (around 850nm) wavelengths is known to help calm and heal irritated skin and has been used for this purpose for decades. At our clinic, however, we do not use superficial radiofrequency for skin tightening largely because it is pointless for this purpose: fibroblasts (collagen cells) are found in the dermis (middle skin layer), while superficial RF acts primarily in the epidermis (top skin layer)…

We also do not use superficial radiofrequency for cellulite reduction because it is utterly pointless for this purpose. Fat cells and deeper seated collagen structures

Does lymphatic massage work for cellulite?

Does lymphatic massage work for cellulite?

Lymphatic massage must be the most overhyped proposed cellulite treatment, together with the pathetic dry brushing (😂) and coffee been scrubbing (😂😂), which, of course, don’t work. True, impaired microcirculation / lymphatic drainage is part of the cellulite problem, together with excessive hypodermal adipose tissue accumulation, skin laxity and connective tissue fibrosis. However, manual lymphatic drainage (MLD) massage does NOT do ANYTHING for existing fibrosis, skin laxity or fat accumulation, the other three important structural aspects of cellulite. And when it comes to circulation / lymphatic drainage it only improves it temporarily, for a few hours or days…

Tighten your skin and reduce cellulite with the same treatment

Tighten your skin and reduce cellulite with the same treatment

Our LipoTherapeia cellulite treatments combine deep-acting, high-power radiofrequency and deep-acting, high-power ultrasound cavitation with high-power LED phototherapy. Both deep, strong radiofrequency and deep, strong ultrasound help with cellulite reduction, while high-power red/infrared light therapy helps maximise radiofrequency’s and ultrasound’s results (We keep insisting on the terms “high-power” because the low-power versions of these technologies, found in many salons and clinics, simply do not work.) Deep-acting, high-power radiofrequency is the gold standard technology for SAFE and effective skin tightening…

Why we now use red light therapy for all our cellulite treatments

Why we now use red light therapy for all our cellulite treatments

At our clinic, we incorporate red and infrared light therapy into all our cellulite treatments, not as a standalone solution but as a vital enhancer of our core technologies. While red and infrared light therapy alone cannot significantly reduce cellulite, it plays a crucial role in amplifying the effectiveness of deep-acting, high-power radiofrequency (RF) and deep-acting, high-power ultrasound cavitation, complemented by healthy nutrition and exercise…