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Medical Articles
With the increasing number of scientific publications and documentation on EPAT® (Extracorporeal Pulse Activation Treatment for Advanced Body Shaping) and through continued medical education, there is an increased trend for physicians to accept extracorporeal pulse activation treatment (EPAT®) for aesthetic body shaping.
Article 1
Improvement in skin elasticity in the treatment of cellulite and connective tissue weakness by means of extracorporeal pulse activation therapy.
(click here to view article)
- Christ C, Brenke R, Sattler G, Siems W, Novak P, Daser A.
- Storz Medical AG, Tägerwilen, Switzerland.
Abstract
BACKGROUND: Extracorporeal pulse activation therapy (EPAT®), also called extracorporeal acoustic wave therapy, seeks to achieve effective and long-lasting improvement of age-related connective tissue weakness in the extremities, especially in the treatment of unsightly cosmetic skin defects referred to as cellulite. OBJECTIVE: The objective of this study was to stimulate metabolic activity in subcutaneous fat tissue by means of EPAT® in order evaluate its effectiveness in enhancing connective tissue firmness and improving skin texture and structure. METHODS: Fifty-nine women with advanced cellulite were divided into 2 groups; one group of 15 patients received planar acoustic wave treatment for 6 therapy sessions within 3 weeks; a second group of 44 patients received 8 therapy sessions within 4 weeks. Changes in connective tissue were evaluated using the DermaScan C ultrasound system (Cortex Technology, Hadsund, Denmark). Skin elasticity measurements were performed using the DermaLab system (Cortex Technology). Photographs of treated areas were taken at each therapy session and at follow-up sessions. RESULTS: Skin elasticity values gradually improved over the course of EPAT® therapy and revealed a 73% increase at the end of therapy. At 3- and 6-month follow-ups, skin elasticity had even improved by 95% and 105%, respectively. Side effects included minor pain for 3 patients during therapy and slight skin reddening. CONCLUSIONS: This study confirmed the effects of acoustic wave therapy on biologic tissue, including stimulation of microcirculation and improvement of cell permeability. Ultrasound evaluation demonstrated increased density and firmness in the network of collagen/elastic fibers in the dermis and subcutis. Treatment was most effective in older patients with a long history of cellulite.
Article 2Controlled, randomized study evaluating the effects of treating cellulite with AWT®/EPAT®.
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- Adatto M, Adatto-Neilson R, Servant JJ, Vester J, Novak P, Krotz A.
- Skinpulse Dermatology & Laser Center, Geneva, Switzerland.
Abstract
Abstract Introduction: Cellulite affects 95% of women and can lead to negative consequences. Objective: To demonstrate the efficacy and safety of acoustic wave therapy (AWT®) using extracorporeal pulse activation technology (EPAT®) to manage cellulite. Methods: Twenty-five women were included in the study and treated with AWT®. Six AWT® treatment sessions were performed over the course of 4 weeks. Three thousand pulses were applied to an area measuring approximately 10 x 15 cm on the thigh. The treatment was performed using the D-ACTOR® 200 by STORZ MEDICAL AG (Tägerwilen, Switzerland). Follow-up visits were performed 1 week and 12 weeks after treatment. Changes in the skin structure were evaluated using the DermaTOP System (Eotech, Paris, France). Skin elasticity measurements were performed using the DermaLab Device (Cortex Technology, Hadsund, Denmark). Results: The difference between treated and untreated legs was statistically significant with regard to depressions, elevations, roughness and elasticity after the first follow-up visit. Conclusion: The study showed that the AWT®/EPAT® treatment using the D-ACTOR 200 appears to be a safe and effective treatment alternative for the temporary improvement in the appearance of cellulite.
