title: Circumference reduction and cellulite treatment with a TriPollar radiofrequency device: a pilot study.
abstract: BACKGROUND
  A wide variety of treatments for circumference reduction and cellulite are available, but most procedures offer suboptimal clinical effect and/or delayed therapeutic outcome. Objective To determine the safety and efficacy of the TriPollar radiofrequency device for cellulite treatment and circumference reduction.
  
  
  METHODS
  Thirty-nine females with cellulite received eight weekly TriPollar treatments. Treatment areas included the abdomen, thighs, buttocks and arms. Subjects were evaluated using standardized photographs and measurements of body weight, circumference, subcutaneous thickness, and skin elasticity of the treatment sites at baseline, immediately after and 4 weeks after the final treatment. Physicians' evaluation of clinical improvement scores using a quartile grading scale was recorded.
  
  
  RESULTS
  Thirty-seven patients (95%) completed the treatment protocol. There was significant circumference reduction of 3.5 and 1.7 cm at the abdomen (P = 0.002) and thigh (P = 0.002) regions, respectively. At 4 weeks after the last treatment, the average circumferential reductions of the abdomen and thighs were sustained. No significant circumferential reductions of the buttocks and arms at the last treatment visit compared to baseline were demonstrated (P = 0.138 and 0.152, respectively). Quartile grading scores correlating to approximately 50% improvement in cellulite appearance were noted.
  
  
  CONCLUSIONS
  Tripollar radiofrequency provided beneficial effects on the reduction of abdomen and thigh circumference and cellulite appearance.
authors.affiliation: Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. siwmn@mahidol.ac.th
authors.forename: W
authors.initials: W
authors.lastname: Manuskiatti
authors.forename: C
authors.initials: C
authors.lastname: Wachirakaphan
authors.forename: N
authors.initials: N
authors.lastname: Lektrakul
authors.forename: S
authors.initials: S
authors.lastname: Varothai
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D003357:Cosmetic Techniques; D062109:Dermatologic Surgical Procedures; D006801:Humans; D028022:Low-Level Light Therapy / Q000379:methods*; D010865:Pilot Projects; D011846:Radio Waves; D013848:Thigh / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D014463:Ultrasonography