Dynamics of the ultrasonographic picture of the skin and subcutaneous tissue in the physiotherapy treatment of cellulite by compression microvibration: a non-randomized prospective study

Background:A wide range of methods are offered to effectively eliminate cellulite and improve the appearance of the skin. At the same time, the arsenal of tools that make it possible to objectively assess the possibilities of cosmetic and aesthetic therapeutic measures is very limited. Aims: Evaluation of the effectiveness of the compression microvibration method for the correction of structural and functional skin changes in women with gynoid lipodystrophy of different age groups Materials and methods: A single-center, non-randomized, prospective study of the effectiveness of the compression microvibration method was carried out in 27 women with mild to moderate gynoid lipodystrophy aged 40 to 69 years under the control of ultrasonographic skin examination before treatment, after 12 procedures and after 2 months. after a course of therapy. Additionally, anthropometric parameters were measured, and the body mass index was calculated. Results: The dynamics of BMI values revealed a trend towards weight loss in most of the participants. The circumference of the hips and waist in participants aged 40-49, 50-59 and 60-69 years decreased by 3.01.1 and 5.31.1 cm, 2.20.9 and 4.1 1.3 cm and 2.50.9 and 6.31.5 cm, respectively. After the course "Endospheres Therapy" in patients of these age groups in the areas of the anterior, inner, posterior thigh and anterior surface of the abdomen, the thickness of the dermis decreased by 15.6, 9.5 and 18.1%; 10.9, 10.5 and 19.3%; 6.1, 15.7 and 13.8%, 23.4, 14.7 and 14.5% (p0.05); increased echogenicity of the dermis in the areas of the anterior, inner, posterior thigh and anterior abdominal surface by 2, 1.4 and 1.3 times; 1.2, 1.4 and 1.2 times; 1.4, 1.4 and 1.5 times; 1.3, 1.5 and 1.7 times (p0.05); the echogenicity of the hypodermis decreased by 30.8, 27.6 and 31.2% (p0.05); 20.1, 37.3 and 40.4% (p0.05); 43.2, 57.8 (p0.05) and 9.3%; 23.6, 15.2 (p0.05) and 9.3%, respectively. The effect persisted 60 days after the course of therapy. Conclusions: These results have convincingly demonstrated the effectiveness of Endospheres Therapy in women with mild to moderate gynoid lipodystrophy for body shaping and skin improvement in the long term without revealing any side effects.