{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:44:43Z","timestamp":1755798283331,"version":"3.44.0"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pregnancy induces a range of physical changes in the female body, some of which may persist long after delivery. This can result in body dissatisfaction and reduced quality of life. Skin laxity, diastasis recti, and stretch marks pose a challenge to achieving the desired appearance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aims to investigate the potential benefits of the consecutive use of Radiofrequency (RF)\u2009+\u2009Targeted Pressure Energy (TPE) and HIFEM + RF for the treatment of postpartum abdomen and improvement of appearance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective study enrolled 38 postpartum participants for the consecutive treatments of Targeted Pressure Energy plus radiofrequency and HIFEM plus radiofrequency on their abdomen. Follow\u2010up visits were scheduled at 3\u2009months and 12\u2009months. Global Aesthetic Improvement Scale (GAIS) evaluation, weight measurements, and circumference measurements were performed at 3 levels corresponding with 5\u2009cm above the navel (circumference A), at navel level (circumference B), and 5\u2009cm below the navel (circumference C).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study results show a reduction in circumference. At 3\u2009months post\u2010treatment, circumference A decreased by 1.57\u2009cm, circumference B by 2.09\u2009cm, and circumference C by 1.83\u2009cm. At 12\u2009months post\u2010treatment, circumference A decreased by 3.16\u2009cm, circumference B by 4.69\u2009cm, and circumference C by 4.06\u2009cm. The GAIS evaluation at 3\u2009months post\u2010treatment showed average improvements of 1.53 points for stretch marks, 1.58 points for skin laxity, 1.77 points for muscle toning, and 1.64 points for slimming effect. At 12\u2009months post\u2010treatment, the GAIS evaluation showed improvements of 1.6 points for stretch marks, 1.8 points for skin laxity, 1.9 points for muscle toning, and 1.9 points for slimming effect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The consecutive use of RF\u2009+\u2009TPE and HIFEM + RF has shown to be effective in the treatment of postpartum abdomen and has resulted in desirable effects. Overall appearance has improved significantly, which may also indicate an increased quality of life. The study results show that both devices complement each other, and their combined use leads to better outcomes than standalone therapy, particularly in terms of enhanced results in body contouring and skin tightening.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.70330","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T07:45:32Z","timestamp":1752133532000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Evaluation of a Combination of Non\u2010Invasive Technologies to Improve the Effectiveness of Postpartum Abdominal Treatment"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7014-7951","authenticated-orcid":false,"given":"Hannah Lo Fui","family":"Jun","sequence":"first","affiliation":[{"name":"Clique Clinic Bangsar Clique Clinic  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6637-3836","authenticated-orcid":false,"given":"Tingsong","family":"Lim","sequence":"additional","affiliation":[{"name":"Clique Clinic Petaling Jaya Clique Clinic  Petaling Jaya Selangor Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace Tay Wen","family":"Yue","sequence":"additional","affiliation":[{"name":"Gloria Confinement Centre  George Town Pulau Pinang Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chua Chong","family":"Hwee","sequence":"additional","affiliation":[{"name":"Clique Clinic Bangsar Clique Clinic  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tee Xiang","family":"Jie","sequence":"additional","affiliation":[{"name":"Clique Clinic Bangsar Clique Clinic  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwen","family":"Ong","sequence":"additional","affiliation":[{"name":"Clique Clinic Bangsar Clique Clinic  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yap Ching","family":"Shi","sequence":"additional","affiliation":[{"name":"Clique Clinic Bangsar Clique Clinic  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ding Siew","family":"Wen","sequence":"additional","affiliation":[{"name":"Clique Clinic Petaling Jaya Clique Clinic  Petaling Jaya Selangor Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lim Sook","family":"Wah","sequence":"additional","affiliation":[{"name":"Clique Clinic Petaling Jaya Clique Clinic  Petaling Jaya Selangor Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2020.1820470"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41038\u2010018\u20100129\u20109"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzy008"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2017.1314853"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15020472"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2017.10.019"},{"volume-title":"Advances in Cosmetic Surgery, 2024: Advances in Cosmetic Surgery, 2024, E\u2010Book","year":"2024","author":"Branham G. H.","key":"e_1_2_12_8_1"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10103\u2010017\u20102238\u20102"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13206"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13235"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.12525"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14554"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000009030"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0b013e3181e840f3"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.23024"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/asjof\/ojac087"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.34297\/AJBSR.2021.12.001717"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000003387"},{"key":"e_1_2_12_20_1","unstructured":"R. A.Weiss B.Kinney andC.Jacob \u201cEmsculpt _Neo Simultaneous emission of novel Synchronized Radiofrequency and HIFEM (magnetic fields) in a single applicator for fat elimination and muscle building \u201d (2020) https:\/\/351face.com\/wp\u2010content\/uploads\/2020\/11\/."},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.15280"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.91537"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000003086"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjab002"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000003091"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102648.2001.02032.x"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006527\u2010200323010\u201000005"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T05:30:23Z","timestamp":1755581423000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.70330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":26,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1111\/jocd.70330"],"URL":"https:\/\/doi.org\/10.1111\/jocd.70330","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"type":"print","value":"1473-2130"},{"type":"electronic","value":"1473-2165"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2024-12-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70330"}}