REGIONAL SLIMMING - Cosmetology TOBB ETU Hospital Created: 2016-02-15 14:11:29
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What needs to be said ahead is that it is not essentially a weight loss method. It is a general name given to methods used with the aim of reducing fats accumulated in specific parts of the body


Every individual has a different body type. When genetically internal and external causes are added to this structure during years, lubrication starts in most of us. And as this is not distributed homogenously in the body during aging, fat is stored more in cardinal areas. These accumulated fat tissues unfortunately cannot be reduced by sports and dieting as much as desired.

All regional slimming methods actually are based on removing fat cells from an area by shrinking, breaking up or dissolving. Exercising and dieting must be recommended to patients, since they ease broken up fat tissues to be thrown away from that region after applying one of these methods. Treatment success increases substantially in patients, who act upon this recommendation.

The ideal process occurs when the patient with lubrication problem shapes his/her body with dieting and exercising; then with the recommendation of a Specialist, the correct method to be applied to that region.

Regional slimming methods are increasing in the recent years. They are mainly gathered in 2 separate groups:

- Invasive (interventional, surgical) methods

- Non-invasive (invasive, non-surgical) methods

Invasive (surgical) methods are methods, such as liposuction, laser lipolysis, mesotherapy. Methods that are not invasive (surgical) are on the other hand methods, such as pressotherapy, lymphatic drainage massage, ozone sauna, infrared, cavitation, cryolipolise.


It is one of the latest methods, which takes place among the non-invasive methods mentioned above and which is FDA approved.

How does it work?

Special ferrules are placed on the application area. The ferrule somewhat reduces the blood circulation in that area by vacuuming and pulling the skin and subcutaneous tissue to itself. This way, fat tissues are stabilized. With the help of special technology, it cools those tissues in a controlled way and in a specific period of time between +2 and -8 C. At the same time, it tries to isolate other tissues, in order protect and not to harm them.

Subcutaneous tissue and fat cells (adipocytes) in this area are very sensitive to cold. Veins, neural and other tissues around them are much less sensitive to cold compared to these fat cells. Because of this reason, only fat cells are assured to be affected, by leaving environmental tissues healthy.

How are fat tissues destroyed?

The main effect is based on enabling fat cells to freeze, crystalize and die, and to be thrown out of the body slowly via lymph and blood. How many sessions should be applied?

It is a one session application. However, in people with excessive fat tissues, up to 3 sessions can be applied by leaving a time period of nearly 2 months.

What are the results?

First effects become visible in the processed area after around 3 weeks of the application, and continue until the end of 4th month. The body has its final shape at the end of 4th month. The average shrinkage will be between 2 and 13 cm, with differences depending on the area and thickness of the fat tissue.

What is the application period?

It is between 30-100 minutes, although differences occur according to areas.

Who can have the application?

It is not suitable for people with excessive or widespread lubrication in their bodies and who are obese. Everybody else can be processed without a difference for males and females.

What is felt during and after the application?

Patient does not feel pain during the process. Only mild coolness or coldness can be felt, with the help of special gels and covers used. Because of this reason, the patient can watch TV, read a book or work on a computer during the application.

Mild rush and numbness may occur in the area after the application is complete. They will disappear in minutes or hours. In a few number of patients, bruises may form, however it will recover without any marks in around a week.

The most enjoyable part is the fact that patients can go back to their daily lives right after the processing.

How permanent are the effects?

The individuals maintain their forms unless they do not gain weight again and change their life habits in a healthy way.


Cavitation is another regional slimming method, which is based on the principle of a sound wave similar to ultrasound to be applied over the skin via a hand ferrule. Sound waves reach the fat tissue and break up fat cells by creating sudden and high pressure changes in the cells of the fat tissue.

With what aim is it used?

Besides being used with the purpose of regional slimming, it gives very effective results in reducing the cosmetic problem on the skin, which most of us define as cellulite. It is being used for this purpose as well, since it simultaneously has influence on skin tightening.

What are its results?

Shrinkage between 2 and 8 cm and a considerable level of flattening in the cellulite view are provided, depending on the application area and lubrication rate of the patient.

How many sessions should be applied? 6-10 sessions are done in average for each area. Generally, a start is made with 2 sessions in a week, and continuation is made with I session per week.

What is felt in the application? Is pain felt?

There is no pain. Patients may only hear a mild ringing sound in their ears. It is not a disturbing process.


Radiofrequency is another non-surgical regional slimming method. However, we benefit from this operation not only in regional slimming, but also in wrinkle treatment and cellulite treatment.

How does it work?

Water molecules and ions in and under the skin are activated and heated in a controlled way up to a specific temperature. Temperature is aimed to reach between 40-43 °C. With this calculated temperature, aimed areas are enabled to get affected in the desired direction, without harming the other tissues of the individual.

What is the goal?

Water level of fat cells is higher than the other tissues around them. So this way, fat tissues can be dissolved with heat, by leaving the environmental tissues healthy. At the end of this application, dissolved fat tissues are again thrown away via lymph and blood.

By radiofrequency, we can also assure the renewal of the tissue, which is called collagen tissue and is located under skin enabling it to hold tight and surrounds as a net. It starts reproducing this tissue by increasing the activation of cells that are located in the connective tissue and are called fibroblast. This new tissue will be much stretched and tighter than the old done. Thanks to this, a serious reduction will be assured in wrinkles.

How is the temperature prevented to be too much?

Skin temperature is measured during the treatment via special infrared thermometers. Therefore, undesired temperatures are prevented.

Is the same processing done in both slimming and wrinkles?

No. Different ferrules are used, it has two different ferrules. One is the bipolar ferrule that is used in face area, since it can go down to 5-6 mm and reaches to less depth. Second one is the monopolar ferrule that is generally used on the body, since it can reach more depth, around 20-22 mm.

What are the session times, numbers and treatment phases?

Facial area applications last around 20 minutes, while body applications are generally between 40-60 minutes. On average 10 sessions are applied and 2 sessions in a week are done.

Is there a feeling of pain?

Since controlled heating is provided, patient only feels mild heat. The patient does not feel any pain.

Can it be applied to everybody?

No. It cannot be applied to patients with Parkinson, MS, epilepsy and cancer histories, patients who are pregnant, breastfeeding, patients who have cardiac pacemaker and big metal prosthesis. Skin color has no importance; it is not a color sensitive device. It can even be applied to tanned skin in summer.

What can be experienced after the processing?

Patients go out with mild rush and a mild burning sensation. It reduces in minutes and patients can continue their daily lives.


Pressotherapy is a multi-functional drainage system, which activates the circulation system, eases the throwing away of excess liquid, fat and toxins accumulated in the body, and increases the effectiveness of cellulites treatment, regional slimming and body toning.

What does it do?

• It eases the elimination of metabolically wastes by increasing the circulation with the pressure it makes to lymph roads.

• It improves the circulation system by increasing the oxygen amount of the body and removes the tenseness in extremities.

• It eases cell renewal by accelerating lymphatic and venous circulation.

• It is quite effective in building up body sagging, weight, varicose and edema problems, cellulite and regional slimming treatments.

Is it a painful operation?

It does not create any pain during the processing. On the contrary it is a relaxing and enjoyable application.

Who can be applied?

It can be applied to all adults without any gender and age differences.


• A decision should be made by a Specialist, about which regional slimming method is appropriate for the patient, after a detailed dermatological examination.

• In a situation, in which more than one method is used, treatment success will increase.

• Patients are advised to go on a diet poor in fats, drink 2-2.5. It of water per day and support with sports if possible.

• After every type of regional slimming processing, pressotherapy or manual massage should be applied, in order to ease the throwing away of damaged fat cells.

• If the patient has excess weight according to his/her body mass index, losing weight with help of a dietician and then doing regional slimming processing will of course increase the success of the treatment

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