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ZWave Studien

Product catalog summary

Overview: The document explores the application of extracorporeal shock wave therapy (ESWT) in aesthetic medicine, particularly for skin tightening, cellulite treatment, and body contouring. The Z Wave Pro system by Zimmer MedizinSysteme GmbH is emphasized as a significant technology in this domain.

Mechanism of Action: ESWT works by transmitting mechanical shockwaves into tissues, which stimulates biological processes such as collagen formation, improved blood circulation, and enhanced metabolism. It also has antibacterial effects and can reduce oedemas.

Indications and Contraindications: ESWT is indicated for cellulite (stages I-III), skin tightening, and as a follow-up treatment for procedures like Cryolipolysis and injection lipolysis. Contraindications include vascular disorders, local infections, and areas with tumors or implanted electronic devices. Caution is advised for patients with bleeding disorders, pregnancy, or neurological diseases.

Treatment Protocol: A typical session lasts about 30 minutes and is generally painless. A course of 6-10 sessions is recommended, with a week between each. The therapy can be delegated to trained assistants and does not require a special room due to the portability of the Z Wave Pro system.

Results and Patient Satisfaction: ESWT has shown excellent results in skin tightening and cellulite reduction. Patient satisfaction is high, especially when combined with other treatments like liposuction. Long-term outcomes depend on individual factors such as weight and connective tissue quality.

Conclusion: The Z Wave Pro system is effective for various aesthetic indications, offering a non-invasive option for improving skin elasticity and body contouring. Proper patient briefing and cooperation are essential for optimal results.

Shockwave Therapy: Shockwave therapy is used to treat conditions like diabetic foot ulcers, cutaneous calcinosis, and cellulite. It involves the application of mechanical energy to the skin, which can improve circulation and stimulate biological processes. High Energy Radial Shockwave Therapy (HERST) is particularly noted for its ability to treat cellulite by affecting the subcutaneous fat and connective tissue.

Cryolipolysis: Cryolipolysis is a non-invasive fat reduction method that uses controlled cooling to eliminate fat cells. It is often combined with other treatments like manual massage to enhance efficacy. Studies have shown its safety, tolerance, and patient satisfaction.

Zwave Treatment: The Zwave treatment by Zimmer Aesthetics uses radial shockwaves to reduce cellulite and improve skin structure. It is a quick, non-invasive procedure that has shown promising results in reducing mild to moderate cellulite. The treatment is affordable and can be combined with other body sculpting procedures.

Case Study: A case study involving a 52-year-old woman with cellulite treated with HERST showed significant improvement in skin appearance. The treatment was applied weekly for 10 weeks, and changes were monitored using ultrasound and thermography.

Study Overview: This study evaluates the effectiveness of low-energy defocused High-Energy Radial Shockwave Therapy (HERST) in treating cellulite by remodeling subcutaneous fat. The therapy was applied to the right lateral thigh over 10 weeks, with the left thigh serving as a control. The study also compared the effects of pre-cooling and pre-warming the tissue before shockwave therapy.

Methodology: HERST was administered using the ZWave® device, with specific parameters set for energy flow and frequency. The study involved 10 female volunteers with cellulite grades I to III, classified using the Nürnberger-Müller scale. Pre-treatment involved either cooling with Cryo 6 Derma or warming with Micro 5 Diathermy.

Results: HERST showed promising results in reducing cellulite by remodeling subcutaneous fat, as evidenced by high-frequency ultrasound and Liquid Crystal Contact Thermography (LCCT). The study found that pre-warming the tissue with diathermy before shockwave therapy resulted in better outcomes compared to pre-cooling.

Discussion: The study supports the hypothesis that HERST is effective in treating cellulite by improving skin quality and reducing subcutaneous fat. The combination of shockwave therapy with pre-warming enhances its effectiveness. Further research is needed to explore the influence of factors like age, body composition, and cellulite stage on treatment outcomes.

Conclusion: HERST is a promising non-invasive therapy for cellulite, offering improvements in skin texture and subcutaneous fat remodeling. The study suggests that pre-treatment with diathermy can enhance the effectiveness of shockwave therapy.

Specifications and Procedures: SWT involves the application of acoustic waves to the skin, which can stimulate microcirculation and improve skin elasticity. The document details various studies and trials, highlighting the effectiveness of SWT in improving skin appearance and reducing cellulite severity. Key parameters include the use of unfocused waves, specific pressure and frequency settings, and a series of treatment sessions.

Results and Findings: Studies show that SWT can lead to increased collagen and elastin production, improved skin elasticity, and reduced cellulite appearance. The therapy is particularly effective for cellulite levels 1 and 2, with less impact on more severe cases. The document also notes the importance of lymphatic drainage and suggests combining SWT with other treatments like endermology and lipolysis for enhanced results.

Recommendations: For optimal results, the document recommends a combination of SWT with healthier nutrition, increased water intake, and physical activity. It also suggests pre- and post-treatment activation of lymph nodes to improve drainage.

Safety and Side Effects: SWT is described as a safe, non-invasive method with minimal side effects, such as slight redness or minimal pain in a few cases. The therapy is deemed suitable for body shaping and cellulite reduction.

Conclusion: The document concludes that SWT is promising for treating cellulite, particularly in early stages, and can be effectively combined with other therapies. The study was supported by Zimmer MedizinSysteme GmbH, Germany.

Methodology: Patients' right thighs were treated with microwaves (75 Watt) for 7 to 10 minutes. Parameters such as age, weight, BMI, body fat percentage, and cellulite degree were measured. Photographic and ultrasound documentation was conducted, and subjective perceptions were recorded.

Temperature Distribution: Microwave radiation warmed tissue up to 40°C at a depth of one centimeter, with underlying tissue reaching 33°C.

Results: Six female patients with cellulite stages 2 and 3 underwent 10 treatments. The study found a slight reduction in thigh circumference and body fat, with no significant changes in BMI or body weight. Ultrasound imaging showed improved collagen structure and increased echo density.

Side Effects and Subjective Perception: No side effects were observed. Participants found the treatment pleasant, especially with microwaves, and reported smoother skin.

Discussion: The combination of shockwaves and microwaves was as effective as shockwaves alone. Ultrasound measurements confirmed increased tissue elasticity and collagen improvement. The study suggests further research with standardized evaluation criteria.

Conclusion: The pilot study indicates that shockwave therapy combined with microwaves is safe and well-tolerated, with short-term benefits. Further investigations are recommended to provide statistically significant data on the treatment's efficacy.

Radial Shock Wave Therapy (RSWT): RSWT is a novel treatment involving high-energy sound waves that are pneumatically generated outside the body and directed into the tissue. This method is perceived as gentle due to its radial dissemination pattern. It enhances metabolic activity, blood circulation, and collagen production, leading to a reduction in cellulite appearance.

Materials and Methods: The study utilized the enPuls shock wave therapy system with two applicator heads (25 mm and 40 mm). Ultrasound gel was used for energy transmission, and treatments were conducted 2-3 times weekly over four weeks. The study involved three groups: RSWT with different applicator heads, RSWT combined with topical treatments, and topical treatments alone.

Results: The study included 25 female subjects aged 27 to 66. RSWT significantly reduced thigh circumference and improved cellulite appearance. The treatment was well-received, with subjects reporting smoother and firmer skin. The combination of RSWT and topical treatments showed the most significant improvements.

Conclusion: RSWT is an effective, non-invasive treatment for cellulite, offering significant improvements in skin appearance without side effects. It is particularly beneficial when combined with topical treatments.

Cellulite Stages: - Stage 0: Smooth skin, no visible effects. - Stage I: Smooth skin, orange-peel effect only on pinch test. - Stage II: Smooth skin when lying, visible cellulite when standing. - Stage III: Visible cellulite when lying and standing.

Treatment Methodology: Shock wave therapy was applied using a Z-Wave system with two applicator heads (25 mm and 40 mm). The treatment involved 10 sessions over 3 weeks, with 2500-4000 shocks per session. Ultrasound gel was used for energy transmission.

Results: - Thigh circumference reduced more significantly with the 40 mm head compared to the 25 mm head. - Ultrasound showed reduced depth of fatty tissue hernias and skin thickness. - Both shock wave and topical treatments resulted in smoother skin surfaces. - Microcirculation increased immediately post-treatment but normalized after an hour. - Side effects included erythema, more pronounced with the 40 mm head.

Discussion: Shock wave therapy shows promise in reducing thigh circumference and improving skin firmness. The mechanism involves increased metabolic activity, circulation, and collagen production. However, the exact mechanism remains unclear.

Conclusion: Shock wave therapy is a potential treatment for cellulite, offering improvements in skin appearance and thigh circumference reduction. Further studies are needed to fully understand its efficacy and mechanisms.

Catalog excerpts

MAC Magazin fiir asthetische Chirurgie Extracorporeal shock wave therapy in aesthetic medicine Dr. Dr. Stein Tveten, 1/14, 8. Jahrgang 2014 5 Prime North America Cryolipolysis and Radial Pulse Therapy Dr. Hunt, Issue 5, Sep/Oct 2013 12 PR Web, Online Visibility from Vocus San Diego Plastic Surgon Offers New Non-Invasive Cellulite Treatment Prime Europe Shockwave Therapy to treat Cellulite Dr. Pablo Naranjo Garcia, Issue 4, June 2012 18 published in: Cosmetic Medicine 4.12 Combination of Shockwave Therapy with Cold and Heat in Cellulite Treatment Klaus Fritz, Ausgabe 4.12, Jahrgang 2012 24 Results...

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MÄC Magazin für ästhetische Chirurgie Extracorporeal shock wave therapy in aesthetic medicine Extracorporal Shockwave therapy in aesthetic medicine Aesthetic treatment with radial shockwaves transmits intense mechanical shockwaves into the tissue. The new shockwave system Z Wave Pro from Zimmer MedizinSysteme GmbH, Neu-Ulm, Germany, makes it possible to provide effective treatments for weak connective tissue, to tighten skin, to treat cellulite, and several other application. Several studies have shown that the treatment improves blood circulation through the tissue, makes the epidermis firmer...

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MÄC Magazin für ästhetische Chirurgie Extracorporeal shock wave therapy in aesthetic medicine follow-up treatment for CryolipolyseTM for skin tightening and/or to reduce fat cells The stimulating effect of low-energy, defocused in combination with radio frequency for skin tightening extracorporeal shock waves on the biological processes skin tightening following injection lipolysis follow-up treatment after injection lipolysis to reduce fat within the tissues they penetrate has been the focus of much research in recent years. The biological effect of being penetrated by a shock wave is becoming...

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MÄC Magazin für ästhetische Chirurgie Extracorporeal shock wave therapy in aesthetic medicine Fig. 2a-b: Appearance before (left) and after (right) Combination therapy with injection lipolysis and Z WavePro. diet, and 2-3 litres of liquids daily are recommended for decrease and/or alter blood coagulation, or cause extended faster elimination of the toxins that have been released. coagulation time (such as with aspirin), should consult their therapist regarding a possible suspension of this treatment, Shockwave therapy with the Z Wave Pro -System can be since the application of radial shock waves...

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MÄC Magazin für ästhetische Chirurgie Extracorporeal shock wave therapy in aesthetic medicine Fig. 3a-b: Appearance before (left) and after (right) Combination therapy with liposuction and Z Wave Pro. Treatment results Excellent and reliable therapeutic results can be achieved skin is very well tightened. The treatment success is for all the above-mentioned indications. Here are just a few achieved faster. Good and reproducible therapeutic results can also be For this indication, the fat reduction doubles in the first 4 achieved when treating cellulite. The surface structure is weeks. The excess...

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MÄC Magazin für ästhetische Chirurgie Extracorporeal shock wave therapy in aesthetic medicine Stoßwellentherapie (RSWT) bei Cellu- Chaussy C, Schmiedt D, Brendel W. lite. Kosmetische Medizin 2010;4:194- Extracorporeally induced distruction of kidney stones by shock waves.Lancet Knobloch K, Joest B, Voght PM. Cel- lulite and extracorporeal shockwave Wang CJ, Yang KD, Wang FS et al. therapy – a randomized trial. BMC Shock wave treatment shows dose- dependent enhancement of bone mass and bone strength after fracture very easy and comfortable to use, the method is easy to learn Belenky I, Margulis...

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MÄC Magazin für ästhetische Chirurgie Extracorporeal shock wave therapy in aesthetic medicine Baker H, Burger HG, de Kretser DM et al. A study of the endocrine manifesta- tions of hepatic cirrhosis. Q J Med massage treatment on cellulite as monitored by ultrasound imaging. Skin Res Technol 1997; 3:154-60. Rossi AB, Vergnanini AL. Cellulite. J Adatto M, Neilsen AR, Servant J et al. Eur Acad Dermatol Venereol. 2000; Controlled randomized study evalua- ting the effects of treating cellulite with AWT/EPAT. J Cosmet Laser Ther. Sauerbruch T, Delius M, Paumgartner extracorporeal shockwaves. N Engl...

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Prime North America Cryolipolysis and Radial Pulse Therapy P^lME PROMOTION RADIAL PULSE THERAPY Jeffrey A. Hunt, D.O., R.V.S., discusses the efficacy and results of combined CoolSculpting® and ZWave therapy Vein & Cosmetic Center Tampa, United States Background Objective Cryolipolysis treatments are normally performed for 60 minutes followed by a vigorous massage. It takes a few weeks for the adipocytes to break down and begin absorbing. For this reason there is a 2-month wait before a second treatment can be carried out. The objective of this study was to combine weekly radial pulse therapy...

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Prime North America Cryolipolysis and Radial Pulse Therapy TABLE 1 Group A with ZWave Right Side Table 2 Group B without ZWave Right Side either weighed, or weighed and given a 3-minute radial pulse wave treatment The radial pulse wave system used was the ZWave by Zimmer and settings were at 16 Hz takes approximately 3 minutes. CoolSculpting® treatments were well tolerated by the 10 subjects. There was minimal discomfort from adding the acoustic wave treatments initially, massage. As shown in Tables 7 and 2 each patient at baseline and at 1,2,3, reduction percentage was then plotted on a graph...

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PR Web, Online Visibility from Vocus San Diego Plastic Surgon Offers New Non-Invasive Cellulite Treatment San Diego Plastic Surgeon Offers New Non-Invasive Cellulite Treatment Z Wave by Zimmer Aesthetics Now Available at Moradi M.D. San Diego CA (PRWEB) July 09, 2013 -- Dr. Amir Moradi and the staff of Moradi M.D. has recently added the Zwave by Zimmer Aesthetics to the body contouring department of his San Diego Plastic Surgery Practice, Moradi M.D. Zwave uses high energy radial shockwaves in the reduction and improvement of Grade 1-3 cellulite (mild to moderate dimpling). During the treatment...

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