{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T19:33:34Z","timestamp":1766432014761,"version":"3.41.2"},"reference-count":28,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T00:00:00Z","timestamp":1713830400000},"content-version":"vor","delay-in-days":113,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The body shaping market has long been at the forefront of the aesthetic industry. With technological advances, patient demand for body sculpting in terms of reduction in subcutaneous tissue and enhancement of muscle has seen continual growth. Several devices have emerged in the space; however, few achieve both subcutaneous tissue reduction (SQR) and voluntary muscle increase (VMI) as measured by thickness, during the same treatment session.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This article presents the results of a pilot study on a unique approach to subcutaneous tissue reduction and increasing muscle thickness using a dual-modality, energy-based device.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Twelve compliant patients (8 females and 4 males with an average age of 40 years) were enrolled in this single center, prospective study. All patients were treated with the dual-modality device (850\u2005nm superluminescent diode matrix and electrical muscle stimulation), with external applicators being placed over the lower abdomen. The patients received 5 weekly treatments. Ultrasound measurements, photographs, weight, and waist measurements were taken at baseline, prior to the start of the fifth treatment, and at the 2-week and 2-month follow-up visits.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>At the 2-month follow-up visit, the average SQR was 34.03% and the VMI measured 22.97% in all patients who completed the study. All patient and physician evaluations rated the results as satisfactory or better. There were no complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Preliminary data show this dual-modality, electrical muscle stimulation\/superluminescent diode matrix system provides both a safe and effective treatment for the reduction of subcutaneous tissue thickness and an increase in muscle definition and thickness. Objective and subjective evaluations demonstrated high levels of efficacy and satisfaction in all patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of Evidence: 2<\/jats:title>\n                  <jats:p\/>\n               <\/jats:sec>","DOI":"10.1093\/asjof\/ojae024","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T18:30:36Z","timestamp":1713897036000},"source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of a Combination Approach to Improving Muscle Tone and Decreasing Subcutaneous Tissue Thickness Using a Sequential, Dual-Modality, Energy-Based Device"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0698-5790","authenticated-orcid":false,"given":"Kenneth","family":"Rothaus","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,4,23]]},"reference":[{"author":"Ugalmugle","key":"2024060617062431700_ojae024-B1"},{"issue":"6","key":"2024060617062431700_ojae024-B2","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1002\/lsm.22153","article-title":"Low-level laser therapy for fat layer reduction: a comprehensive review","volume":"45","author":"Avci","year":"2013","journal-title":"Lasers Surg Med"},{"key":"2024060617062431700_ojae024-B3","first-page":"66","article-title":"The effects of neuromuscular stimulation training on abdominal strength, endurance and selected anthropometric measure","volume":"4","author":"Porcari","year":"2005","journal-title":"J Sports Sci Med"},{"issue":"1","key":"2024060617062431700_ojae024-B4","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1111\/j.1749-6632.1977.tb38182.x","article-title":"Fiber types and metabolic potentials of skeletal muscles in sedentary man and endurance runners","volume":"301","author":"Saltin","year":"1977","journal-title":"Ann N Y Acad Sci"},{"issue":"4","key":"2024060617062431700_ojae024-B5","doi-asserted-by":"publisher","first-page":"CD011890","DOI":"10.1002\/14651858.cd011890.pub2","article-title":"Transcutaneous electrical nerve stimulation (TENS) for chronic pain\u2014an overview of Cochrane Reviews","volume":"4","author":"Gibson","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"2024060617062431700_ojae024-B6","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1007\/s11926-008-0080-z","article-title":"Effectiveness of transcutaneous electrical nerve stimulation for treatment of hyperalgesia and pain","volume":"10","author":"DeSantana","year":"2008","journal-title":"Curr Rheumatol Rep"},{"issue":"3","key":"2024060617062431700_ojae024-B7","doi-asserted-by":"publisher","first-page":"197","DOI":"10.2217\/pmt.14.13","article-title":"Using TENS for pain control: the state of the evidence","volume":"4","author":"Vance","year":"2014","journal-title":"Pain Manag"},{"issue":"2","key":"2024060617062431700_ojae024-B8","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1164\/ajrccm.160.2.9808067","article-title":"Function magnetic stimulation of the abdominial muscles in humans","volume":"160","author":"Polkey","year":"1999","journal-title":"Am J Respir Crit Care Med"},{"issue":"1","key":"2024060617062431700_ojae024-B9","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1002\/lsm.23024","article-title":"High intensity focused electromagnetic therapy evaluated by magnetic resonance imaging: safety and efficacy study of a dual tissue effect based non-invasive abdominal body shaping","volume":"51","author":"Kinney","year":"2019","journal-title":"Lasers Surg Med"},{"issue":"2","key":"2024060617062431700_ojae024-B10","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/s0924-980x(98)00007-1","article-title":"Variability in the amplitude of skeletal muscle responses to magnetic stimulation of the motor cortex in man","volume":"109","author":"Ellaway","year":"1998","journal-title":"Electroencephalogr Clin Neurophysiol"},{"issue":"3Pt 1","key":"2024060617062431700_ojae024-B11","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1164\/ajrccm.161.3.9906020","article-title":"Abdominal muscle strength in patients with tetraplegia","volume":"161","author":"Estenne","year":"2000","journal-title":"Am J Respir Crit Care Med"},{"issue":"5","key":"2024060617062431700_ojae024-B12","doi-asserted-by":"publisher","first-page":"1696","DOI":"10.1164\/ajrccm.156.5.9702008","article-title":"Simulation of cough in man by magnetic stimulation of the thoracic nerve roots","volume":"156","author":"Kyroussis","year":"1997","journal-title":"Am J Respir Crit Care Med"},{"issue":"2","key":"2024060617062431700_ojae024-B13","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1519\/1533-4287(2002)016%3C0165:eoemso%3E2.0.co;2","article-title":"Effects of electrical muscle stimulation on body composition, muscle strength, and physical appearance","volume":"16","author":"Porcari","year":"2002","journal-title":"J Strength Cond Res"},{"issue":"9","key":"2024060617062431700_ojae024-B14","doi-asserted-by":"publisher","first-page":"2600","DOI":"10.1519\/jsc.0b013e31823f2cd1","article-title":"Electromyostimulation\u2014a systematic review of the effects of different electromyostimulation methods on selected strength parameters in trained and elite athletes","volume":"26","author":"Filipovic","year":"2012","journal-title":"J Strength Cond Res"},{"issue":"4","key":"2024060617062431700_ojae024-B15","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1002\/jcsm.12332","article-title":"Electromyostimulation to fight atrophy and to build muscle: facts and numbers","volume":"9","author":"Adams","year":"2018","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"3","key":"2024060617062431700_ojae024-B16","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1016\/j.cps.2016.03.014","article-title":"Aesthetic applications of radiofrequency devices","volume":"43","author":"Sadick","year":"2016","journal-title":"Clin Plast Surg"},{"issue":"02|2","key":"2024060617062431700_ojae024-B17","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1055\/s-0031-1280660","article-title":"Radiofrequency ablation complicated by skin burn","volume":"28","author":"Huffman","year":"2011","journal-title":"Semin Intervent Radiol"},{"issue":"3","key":"2024060617062431700_ojae024-B18","doi-asserted-by":"publisher","first-page":"201","DOI":"10.4103\/0019-5154.55625","article-title":"Cutaneous remodeling and photorejuvenation using radiofrequency devices","volume":"54","author":"Elsaie","year":"2009","journal-title":"Indian J Dermatol"},{"key":"2024060617062431700_ojae024-B19","doi-asserted-by":"crossref","DOI":"10.1002\/0471213748","volume-title":"Fundamentals of Photonics","author":"Saleh","year":"1991"},{"issue":"1","key":"2024060617062431700_ojae024-B20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/lsm.20286","article-title":"Complications of laser dermatologic surgery","volume":"38","author":"Willey","year":"2006","journal-title":"Lasers Surg Med"},{"issue":"3","key":"2024060617062431700_ojae024-B21","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1097\/dss.0000000000001298","article-title":"Safety and efficacy of a noninvasive 1,060-nm diode laser for fat reduction of the flanks","volume":"44","author":"Katz","year":"2018","journal-title":"Dermatol Surg"},{"issue":"8","key":"2024060617062431700_ojae024-B22","doi-asserted-by":"publisher","first-page":"2486","DOI":"10.1111\/jocd.14206","article-title":"Preclinical and clinical evaluation of the performance and safety of a novel energy-based device for body shaping: a pilot study","volume":"20","author":"Mezzana","year":"2021","journal-title":"J Cosmet Dermatol"},{"key":"2024060617062431700_ojae024-B23"},{"issue":"4","key":"2024060617062431700_ojae024-B24","doi-asserted-by":"publisher","first-page":"541","DOI":"10.4300\/jgme-5-4-18","article-title":"Analyzing and interpreting data from Likert-type scales","volume":"5","author":"Sullivan","year":"2013","journal-title":"J Grad Med Educ"},{"issue":"Suppl_2","key":"2024060617062431700_ojae024-B25","doi-asserted-by":"publisher","first-page":"S43","DOI":"10.1093\/asj\/sjy066","article-title":"Prediction of treatment outcomes for neck rejuvenation utilizing a unique classification system of treatment approach using a 1440-nm side-firing laser","volume":"38","author":"Dibernardo","year":"2018","journal-title":"Aesthet Surg J"},{"issue":"8","key":"2024060617062431700_ojae024-B26","first-page":"B5377","article-title":"Plasticity and function of human skeletal muscle in relation to disuse and rehabilitation: influence of ageing and surgery","volume":"64","author":"Suetta","year":"2017","journal-title":"Dan Med J"},{"issue":"1","key":"2024060617062431700_ojae024-B27","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1152\/japplphysiol.00363.2020","article-title":"Nonuniform loss of muscle strength and atrophy during bed rest: a systematic review","volume":"131","author":"Marusic","year":"2021","journal-title":"J Appl Physiol (1985)"},{"author":"Roth","key":"2024060617062431700_ojae024-B28"}],"container-title":["Aesthetic Surgery Journal Open Forum"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/asjopenforum\/advance-article-pdf\/doi\/10.1093\/asjof\/ojae024\/57312374\/ojae024.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojae024\/58141661\/ojae024.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojae024\/58141661\/ojae024.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T18:45:25Z","timestamp":1717699525000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article\/doi\/10.1093\/asjof\/ojae024\/7656908"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":28,"URL":"https:\/\/doi.org\/10.1093\/asjof\/ojae024","relation":{},"ISSN":["2631-4797"],"issn-type":[{"type":"electronic","value":"2631-4797"}],"subject":[],"published-other":{"date-parts":[[2024]]},"published":{"date-parts":[[2024]]},"article-number":"ojae024"}}