Understanding Cellulite Formation Adipose cells (fat cells) swell due to fat storage.

Capillary walls become excessively permeable causing localized accumulation of fluid.

Inadequate lymphatic drainage slows the removal of excess fluid.

Adipose cells cluster and are bound by collagen fibers, further impeding blood flow.

Connective tissue strands stiffen, pulling down on their anchor points.

Changes in blood flow, lymphatic drainage, fat, and connective tissue result in cellulite.

Essentials of Cellulite Reduction

  Enhanced microcirculation

  Edema reduction

  Improved protein & fluid transport

  Fat reduction

  Weight reduction

  Connective tissue tightening

  Skin & tissue smoothing

  Muscle strengthening & toning

Body Shaping with the D-ACTOR Ultra

D-Actor Acoustic Wave Hand Piece

Pneumatically Generated Impulses:

 Relatively slow (pulse duration 5msec)  Penetration depth: 60 mm  Vibration effect  Drainage effect  Effect of the lymphatic system  Stimulation of metabolism

The Best “Accidental” Discovery

Several female athletes were undergoing treatment for torn and strained hamstrings with Acoustic Wave Therapy with the D-Actor.

Practitioners began noticing a remarkable improvement in the appearance of cellulite and skin tightening.

As a result, Storz Medical commissioned scientific studies, yielding remarkable results in cellulite treatment, skin tightening and circumference reduction!

Effects of Pressure Wave on Cellulite

Before Pressure Wave  Enlarged fat cells bulge towards skin surface, creating the orange peel appearance.  Inelastic vertical connective tissue fibers do not stretch along with the surrounding adipose tissue.  Local blood circulation is significantly reduced.

During Pressure Wave  Oscillating acoustic waves relaxes connective tissue  Firmness of the epidermis increases.  Blood circulation is significantly enhanced.  Collagen production is stimulated, strengthening the dermis and epidermis.

After Pressure Wave

 Improved firmness  Restored natural elasticity of the skin & connective tissue  Visible and long-lasting improvement in skin texture.

See Lasting Results

Patient 1

Patient 2

Dramatic Results in Thighs

Patient 3 Front

Patient 3 Back

Stretch Mark & Scar Breakdown

Stretch Marks

Scar

Scientific Documentation

91%  Pa'ent  

Sa'sfac'on  

74%  Increase  in  Skin  Elas'city  at  3  months  

105%  Increase  in  Skin  Elas'city      at  6  months  

Average  Improvement  seen  in  2.5  treatments   Substan'al  

Increase  in  Dermal  Density    

Significant  Reduc'on  of  Subcutaneous  Fat  Deposits  

Findings from: Gerhard Sattler MD, Derma Forum: October, 2007 C. Christ, G. Sattler, Aesthetic Dermatology: January, 2008

Improving Skin Elasticity in 8 Treatments

Measured with Derma Scan, Cortex

Dermal Structure Improvement

Before Pressure Wave

The dermis/subcutis transitions appear as a very discontinuous, irregular line. (Black structures are fat cells and lymphatic fluid).

Dermascan (Cortex) image of a 54-year old patient with cellulite

After Pressure Wave

The skin structure has become measurably more compact; the zero-echo black spaces have reduced further.

Treatment Protocol

①  Generously apply ultrasound gel.

②  Position treatment area against hand piece (Follow lymphatic flow).

③  Apply as much downward pressure to hand piece as patient can tolerate.

General Treatment Protocol

 Treatment Area is 10 x 15 cm (or size of palm)

 Treat each area with 2000 pulses at 3.0-4.0 bar and 18-21 Hz

 Patient receives 6-12 treatments (1-2 per week) based on results

Patient Selection & Expectations Contraindications

  Pregnancy, breast feeding   Deep vein thrombosis in leg   Cancer disease   Serious renal or hepatic insuffiency

Side Effects

 Swelling  Reddening  Haematoma  Light pain, muscle ache  Sensitivity before or during menstruation

Simple Discharge Instructions

 DO NOT allow the patient to take any NSAIDs post-treatment for 4-6 weeks.

  The patient may take Tylenol post-treatment.

 After treatment, patient can ambulate and weight bear immediately.

 The patient may return to work the same day.