{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T08:33:14Z","timestamp":1695112394659},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T00:00:00Z","timestamp":1517961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Lumenis Ltd."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the short\u2010 and long\u2010term thermal impact of subclinical and clinical regimens of a single, non\u2010invasive uniform ultrasound treatment session on subcutaneous adipose tissue (SAT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective, open\u2010label, single\u2010arm, split\u2010side study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients (<jats:italic>n<\/jats:italic>\u2009=\u200917) were subjected to uniform ultrasound treatment, delivered in a single session with the SlimME device. The device was set to one of four treatment regimens, which differed in their durations and energy fluences during the raise and maintenance phases. Up to six abdominal regions were treated, with six patients receiving a different treatment on each side of the abdomen. Safety was assessed by measuring skin surface temperature, evaluating expected skin responses immediately and 30\u2009min after treatment and via patient ratings of pain and discomfort. Efficacy of raising and then maintaining SAT temperatures at 48\u00b0C, was determined by routinely measuring SAT temperatures during the treatment session and by histological analysis of samples collected 7 (<jats:italic>n<\/jats:italic>\u2009=\u200913) or 90 (<jats:italic>n<\/jats:italic>\u2009=\u20094) days after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Trace to mild erythema was observed in up to 48% of the treated zones, which, in most cases, resolved within 30 minutes. No significant rise in mean skin surface temperature (\u226426.5\u00b0C) was recorded following any of the four tested regimens. Overall, patients reported tolerability to treatment, with the highest mean pain score registered for the moderate and high intensity regimens (4.4\u2009\u00b1\u20091.5 and 4.9\u2009\u00b1\u20091.4, respectively). Mean SAT temperatures did not exceed 48.4\u2009\u00b1\u20092.5\u00b0C and were effectively maintained throughout the maintenance phase of the treatment session. Low\u2010energy fluence led to localized fat coagulative necrotic lesions, surrounded by subacute rim of inflammation, while high\u2010energy fluence induced fat coagulative necrosis alongside granulomatous panniculitis, which resolved within 90 days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The tested uniform ultrasound regimens elicited SAT temperature elevations, with a subsequent energy\u2010dependent increase in degree of fat necrosis. At the same time, the unique design spared the surrounding tissue from thermal damage and was associated with minimal discomfort. Taken together, the SlimME device constitutes an effective tool for destruction of stubborn hypodermal fat deposits. Lasers Surg. Med. 50:745\u2013754, 2018. \u00a9 2018 The Authors. <jats:italic>Lasers in Surgery and Medicine<\/jats:italic> Published by Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lsm.22796","type":"journal-article","created":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T07:08:40Z","timestamp":1517987320000},"page":"745-754","source":"Crossref","is-referenced-by-count":1,"title":["Safety, tolerability, and efficacy evaluation of the SlimME device for circumference reduction"],"prefix":"10.1002","volume":"50","author":[{"given":"Giovanni","family":"Ferrando","sequence":"first","affiliation":[{"name":"Queen Anne Street Medical Centre 18\u201022 Queen Anne St Marylebone W1G 8HU London"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,7]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"107","volume-title":"Procedures in Cosmetic Dermatology Series: Body Contouring","author":"Leal H","year":"2010"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12994"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31819c59c7"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp048115"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000128423.84607.61"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000131022.98481.6E"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000201477.30002.ce"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199811000-00063"},{"key":"e_1_2_7_10_1","unstructured":"ASPRS Task Force on Lipoplasty J. 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