Estrella Aesthetics & Surgical Arts

Estrella Aesthetics & Surgical Arts - Non-Surgical Laser Skin Care Clinic, Botox, Restylane & Dermal Fillers, Corona, California

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Cellulite Treatment Options
Procedures » Body Procedures » Non-Invasive Procedures » Cellulite Treatment Options
CALL US TODAY: (951) 272-4455

Cellulite Treatment

Rahil Khan, M.D.
Estrella Aesthetics & Surgical Arts
Corona, California


Cellulite is the herniation of fat within fibrous connective tissue that manifests itself as skin dimpling and nodularity, usually on the buttocks, legs, and abdomen. This usually starts in women after puberty and rarely occurs in men. Here is a list of current treatment modalities for Cellulite, which includes Z Wave Pro – the newest addition to Estrella Aesthetics & Surgical Arts. Ray Khan, M.D. at Estrella Aesthetics is also performing the first world-wide study objectively analyzing the cellulite treatment options:

A.Advanced Non-Invasive Cellulite Treatment

1. Cellulite Treatment with Z WavePRO Radial Pulse Technology

B. Non-invasive Technologies

1. Endermologie vs Vasershape followed by Endermologie
2. Vasershape vs Vasershape followed by Endermologie
3. Vasershape vs Velashape II

C. Minimally Invasive Technologies

1. Vasersmooth vs Cellulaze
2. Vasersmooth vs Slim Lipo cellulite device
3. Vasersmooth vs Vasersmooth adding autologous stem cells
4. Vasersmooth vs Vasersmooth adding autologous fat transfer
5. Vasersmooth vs Vasersmooth adding stem cells & fat transfer
6. Vasersmooth vs Vasersmooth adding Platelet Rich Plasma (PRP) & fat transfer

Cellulite is present in about 85% of post-pubescent woman, which usually affects the thighs and buttocks.1,2 The pathogenesis of cellulite includes fibrous septae attachments of the skin extending into the subcutaneous fat connecting to the underlying muscle, a thickened hypodermal fat layer, hypodermal fat lobules herniating into the dermal-hypodermal interface and reduced microcirculation.3,4 Ultrasound imaging has been used to view both the skin thickness and the dermis-hypodermis interface.5

There are currently numerous medical technologies, both minimally invasive and non-invasive, marketed for the treatment of cellulite. However, if one current technology is superior to all the others, this study would be unnecessary. This study is designed to compare both minimally invasive and non-surgical technologies.

The first modality for the treatment of cellulite was developed in the 1970’s known as Endermologie (LPG Systems, Valence, France). This is a non-invasive motorized mechanical roller that mobilizes subcutaneous fat, temporarily improves microcirculation up to four fold up to 6 hours post-treatment, increases flow velocities in the subcutaneous veins within the adipose tissue, and improves lymphatic drainage by three fold up to 3 hours post-treatment, however, in vivo redistribution of fat was not demonstrated.6

Additionally, biopsies revealed that Endermologie increases elastin or oxytalan fiber diameter and density, and collagen fibers show a more compact appearance with increased density in the papillary and upper reticular dermis (although the collagen effect is weaker than the elastic fiber effect). Despite these histological changes, there was no change in skin elasticity as measured by a Cutometer. There is no evidence to document if this is a temporary or permanent effect. There was a subjective observed reduction in adipose volume, however, this observation lasted only two weeks after treatment.7 A porcine study revealed accumulation of dense, longitudinal collagen bands in the mid and deep sub-dermis with distortion and disruption of adipocyte cell membranes. No inflammatory response, skin or muscle injury was observed. The skin and subcutaneous tissue thickness remained constant.8

Patient’s lost a mean weight of 1.35 pounds and a mean body circumference of 0.54 inches undergoing 7 sessions.9 Another study confirmed these findings with a mean weight reduction of 0.45 pounds and body circumference of 0.45 inches after undergoing 20 sessions of treatment, although no long term follow-up was performed.10

Endermologie

Additionally, Endermologie demonstrated softening of superficial skin surface irregularities and cellulite with a 50% improvement by objective blind photographic grading and a 92% patient satisfaction rate. However, objective measures of body contouring were minimal and proportional to weight loss. Thus, Endermologie alone should not be considered an effective body contouring method.10 Endermologie is approved by the Food and Drug Administration for the temporary improvement in the appearance of cellulite.

Velasmooth

Technology using a mechanical roller, infrared light at 700 nm and bipolar radiofrequency was developed and underwent two alterations, known as Velasmooth, Velashape I and the newest model, Velashape II (Syneron Medical Inc., Irvine, California). Heat generated by the infrared light and radiofrequency is theorized to increase the dissociation of oxygen from oxyhemoglobin and diffusion into adipose tissue. As with Endermologie, the mechanical massage improves circulation and may stretch the connective tissue bands in the fat layer.11 Velashape II is approved by the Food and Drug Administration for the temporary improvement in the appearance of cellulite.

A non-focused ultrasound device, Vasershape, manufactured by General Projects (Florence, Italy) and distributed in the United States by Sound Surgical Technologies (Louisville, Colorado) was FDA approved as a non-invasive device for the temporary treatment of cellulite in 2010. The Vasershape system delivers a non-invasive treatment that uses therapeutic massage and ultrasound diathermy using the combined action of two low-frequency ultrasound heads cross-sectioned onto the area being treated. This advanced ultrasound hand piece is placed over the skin so that the deep penetrating action of the ultrasound, up to 5 cm, is concentrated onto the affected tissue only, offering a treatment has been shown to be both safe and effective.12

The action of the low-frequency ultrasound (ultrasound diathermy) must always be followed with lymphatic drainage. This is performed through the use of the suction/massage hand piece and a special elastomeric membrane, which applies movement to the tissue. This membrane operates in an undulating motion, which gently lifts, folds and compresses the tissue following a sequence of movements specific to each area being treated. This manipulation of the cutaneous and subcutaneous tissues improves lymphatic, arterial and venous circulation. With the same hand piece, the lymph nodes are opened prior to drainage, thus allowing the elimination of potential toxins and lipids in the interstitial spaces caused by the action of the ultrasound.

In the first published series using Vasershape in the US, the multi-center study revealed reductions of 2.1 inches in the abdomen and 1.0 inch in the thighs over 5 treatments performed once per week, and reductions of 0.8 in and 0.5 in, respectively, were achieved after the first treatment. These results were achieved with no adverse events and no patient discomfort.13

Due to the less than optimal outcomes for cellulite treatment using any of the non-invasive medical technologies, minimally invasive techniques used for the treatment of cellulite have been brought to market.

The minimally invasive medical technologies to be investigated in this study are the laser and ultrasound energy based devices. The two laser technologies to be investigated are Cellulaze (Cyanosure, Westford, Massachusetts) side light fiber at 1440 nm and the Slim Lipo Cellulite device (Palomar Medical Technologies, Burlington, Massachusetts) side light fiber at 924 nm. The non-focused minimally invasive ultrasound device at 36 kHz to be studied is known as Vasersmooth (Sound Surgical Technologies, Louisville, Colorado). Variants of the Vasersmooth device technique include the addition of autologous fat grafting, autologous stem cell grafting and a combination of the fat and stem cell grafting methods.

Minimally invasive laser cellulite treatment was recently evaluated for efficacy, safety and duration of clinical benefit in ten patients using Cellulaze (Cyanosure, Westford, Massachusetts), a pulsed laser that delivers energy at 1440 nm using a side firing light fiber.13 The study revealed with a single treatment observed for at least one year produced a “good” rating by survey. The results showed a patient survey of 3.2 and a physician survey of 3.4 (5 point scale) with a patient satisfaction rate of 93%. Objective measures revealed improved skin elasticity of 29%, by elastometry, and increased skin thickness of 25%, by diagnostic ultrasound. The author concluded the following: 1) uneven dermal-hypodermal interface by melting the hypodermal fat to prevent its expansion into the hypodermis, 2) the connective tissue septae were thermally subcized and 3) the dermal layer due to heat production to increase skin thickness, producing skin tightening and stimulate collagen synthesis.13

Palomar Medical Technologies has no published data on their new minimally invasive side firing 924 nm laser cellulite device. Sound Surgical Technologies has no published data on their new minimally invasive Vasersmooth side cutting ultrasound probe device.

Vasershape

The non-invasive technologies to be evaluated in this study include: non-focused ultrasound (1 mega Hz) or Vasershape (Sound Surgical Technologies, Louisville, Colorado), mechanical massage or Endermologie (LPG Systems, Valence, France) and a combination of infrared light (700 nm), mechanical massage and bipolar radiofrequency or Velashape II (Syneron Medical Inc., Irvine, California).

The goal is to determine the efficacy and the side effects observed of each device in a direct comparison. An additional non-invasive investigation will combine two recognized cellulite treatments, non-focused ultrasound (Vasershape) and mechanical massage (Endermologie) to improve the outcome of each used separately. The universal cellulite grading system developed in 1972, the Nurenberger-Muller Grading Scale, was chosen to ensure uniformity in cellulite assessment. There are four grades of cellulite ranging from grade 0-3:

Grade 0: “No cellulite”. There is no visible cellulite while standing. With pinching the skin, there is no appearance of cellulite. This grade of cellulite is rare and very desirable.

Grade 1: “Tight cellulite”. There is no cellulite when standing, however, when one pinches the skin of the thigh/buttock or when the thigh/buttock muscles are contracted, one will see the appearance of orange peel or mattress appearance of the skin. The pinch test should be painless and the skin-fold small.

Grade 2: “Loose cellulite”. There is visible cellulite while standing, but it is not visible when lying. The cellulite is visible when the subject contracts the buttocks or when the skin is pinched. The skin is generally loose and has a painless skin pinch.

Grade 3: There is visible cellulite while standing and in the supine position. Some refer to this as “painful cellulite”, any type of cellulite, which is characterized by significant tenderness during the pinch test.

References:

1. Draelos Z, Marenus KD. Cellulite: etiology and purported treatment. Dermatol Surg 1997;23:1177-1181.
2. Rosenbaum M, Prieto V, Hellmer J, et al. An exploratory investigation of the morphology and biochemistry of cellulite. Plast Reconst Surg 1998; 101:1934-1939.
3. Avram MM. Cellulite: areview of its physiology and treatment. J Cosmet Laser Ther 2004;6:181-185.
4. Draelos Z. The disease of cellulite. J Cosmet Dermatol 2005;4:221-222.
5. Querlox B. Cellulite characterization by high-frequency ultrasound and high-resolution magnetic resonance imaging. In: Goldman MP, Bacci PA, Leischof G, Haxel D, Angelini F, editors. Cellulite: Pathophysiology and Treatment, New York, NY: Taylor & Francis;2006:105-114.
6. Watson J, Fodor PB, Cutcliffe B, et al. Physiological effects of Endermologie: A preliminary report. Aesthetic Surg J 1999;19(1):39-45.
7. Revuz J, Adhoute H, Cesarini JP, et al. Clinical and histological effects of the Lift6 device used on facial skin ageing. Les Nouvelles Dermatologiques, 2002;21:335-342
8. Adcock D, Paulsen S, Davis S, et al. Analysis of the cutaneous and systemic effects of Endermologie in the porcine model. Aesthetic Surg J 1998;19:414-420.
9. Ersek RA, Mann GE, Salisbury S, et al. Noninvasive mechanical body contouring: a preliminary clinical outcome study. Aesthetic Plast Surg 1997;21:61-67.
10. La Trenta, G. Endermologie versus liposuction with external ultrasound assist. Aesthetic Surg J 1999;19(6):24-30.
11. Sadick NS, Mulholland RS. A prospective clinical study to evaluate the efficacy and safety of cellulite treatment using the combination of optical and RF energies for subcutaneous tissue heating. J Cosmet Laser Ther 2005;7:81-85.
12. Atluri P, Barone F, Cervone J. Clinical Effects of Noninvasive Ultrasound Therapy for Circumferential Reduction Am Journal Cosmet Surg 2012; 29(2):114-120.
13. DiBernardo BE. Treatment of cellulite using a 1440-nm pulsed laser with one-year follow-up. Aesthetic Surg J 2011;31:328-341.

Contact Estrella Aesthetics Office for Your Free Consultation:

Please feel free to call our offices in Corona CA (951) 272-4455.

Click here for your free private consultation or appointment

Estrella Aesthetics & Surgical Arts

2550 Tuscany St. Suite 103
Corona, CA 92881
P: (951) 272-4455

Operating Hours

Monday to Saturday: 9.30am to 8.00pm
Sundays Closed

 

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Judi Castro, RN, MEP-C, CAC


Rahil Khan, M.D.


Summer Castillo, RN, CAC

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Estrella Aesthetics & Surgical Arts
3.5
Based on 41 reviews
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erika_n_chett
erika_n_chett
01:19 04 Dec 19
The only place I trust!!! I have got my lip injections about 5 times. I love their staff and nurses. They are so nice and they make me feel comfortable.
Kathryn E Amezquita
Kathryn E Amezquita
14:15 21 Oct 19
They have very friendly staff. I went there for a facial procedure and I was treated like a queen.
Liam Jack
Liam Jack
07:10 15 Oct 19
I have been using their skin care products for the past 3 years, and I have never experienced any issues. I am a big fun of the JC Ferulic.
Leticia Bouse
Leticia Bouse
05:53 12 Oct 19
I’ve been coming here for years.... for those who say they are overpriced i beg to differ. You get what you pay for. I love that they educate you first and then only do what you feel comfortable with. The ladies are amazing. I’ve had great results and i love that they don’t push procedures like many places do. I am always conservative in what i want and they respect it and don’t make me feel pressured to do something i don’t want or can afford.
Rosanne Paige
Rosanne Paige
07:08 17 Aug 19
My friend introduced me to this place and I am hooked. Such a friendly place. Thanks a lot Susan.
Davis Deven
Davis Deven
06:50 14 Aug 19
What I love most about this place is its ambience. It looks nice, and welcoming. The nurses have amazing skills too, and they are cute.
Luigi Ghilardi
Luigi Ghilardi
09:48 06 Aug 19
I have been a regular here for the past 5 years, and I love what they have done to my face. I especially like Susan, she is very professional.
Toni Montiel
Toni Montiel
07:37 04 Aug 19
I go there for facials every 3 weeks. I can afford it because it is so pocket-friendly.
Trotter William
Trotter William
05:12 24 Jul 19
I did HydraFacial here and it was amazing. I would rate this place 5 stars.
Simms Steve
Simms Steve
05:31 14 May 19
I hope you are reading this Dr. Khan. I really appreciated your help. Will be back with my friends.
Steve Kenneth
Steve Kenneth
04:25 24 Apr 19
I have always had self-esteem issues due a skin breakout on my face. I visited 3 clinics without any help until I discovered Estrella Aesthetics. Best decision ever.
Lucas Mueller
Lucas Mueller
12:12 20 Apr 19
Best place for all skin care needs. Dr. Khan has years of experience in skin-related matters, and this alone inspires lots of confidence.
Angel Fierro
Angel Fierro
22:31 11 Feb 19
I absolutely love this place! All of the staff are amazing. Natalee, Susan, Summer, and Ashley are all top level. Nothing but love for these amazing ladies!!!
Matt Peters
Matt Peters
20:36 10 Dec 18
My gf got botox done here. She looks 5 years younger :)
Silvia Rodriguez
Silvia Rodriguez
17:24 09 Jun 18
Giselle Torres
Giselle Torres
00:00 08 May 18
Jessica Castellanos
Jessica Castellanos
23:24 10 Apr 18
I’ve only had very good experiences here. I love and use the Diamond Skin Care line. I’ve had other services performed as well (the hydra facial is amazing)! All services have worked for me. The entire staff are professional and very informative (Judi, Susan, Natalie, Summer). My last visit was with Summer, which was my first session with her. She was nice and I was happy with my results. I felt like she had a lot of experience.
Ines Garcia
Ines Garcia
05:04 02 Mar 18
It’s a good place
Evelyn C
Evelyn C
06:54 11 Jan 18
I love their products, it really helps my skin get healthier and glower. Highly recommended!
Jim Moreno
Jim Moreno
12:55 14 Sep 17
Johnny Lozada Flores
Johnny Lozada Flores
14:54 11 Aug 17
Definitely worth your money, best place I have been in a while for a skin rejuvenation procedure!!! Highly recommended! Thanks
Luis Castro
Luis Castro
23:34 09 Aug 17
Very happy with Dr. Marguerite Bernett. She clearly has a passion for plastic surgery and allowing every patient to obtain a desired result. Tons of Celebrities’ reviews for Estrella Aesthetics in Corona.
Be Flawless Skin LLC
Be Flawless Skin LLC
08:56 17 Jul 17
Best Dysport Injections Extremely Happy With My Results I would Recommend This Medica Spa To Anybody.Very Beautiful Place..Best Facial
Michael Brandrup
Michael Brandrup
17:06 28 Nov 16
Very Professional-Excellent Customer Service-came here with my wife for some minor work. Thank you to the Whole Team, definitely will be returning.
Renzo Zavaleta
Renzo Zavaleta
16:39 07 Oct 15
Great place, loving people and attendance...Thanks for registering us to the aspire reward program
zM Nómada
zM Nómada
22:04 10 Sep 15
"Great facial! Definitely recommended for anyone in Corona! Thank you so much,"
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Contact Estrella Aesthetics & Surgical Arts for Your Free Consultation:

Estrella Aesthetics’ staff is happy to discuss the Dermal Filler procedures with you and answer your questions. Please feel free to call us in Corona California at (951) 272-4455.

Click here for your free private consultation or appointment

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Monday to Saturday:
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Sundays Closed

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ESTRELLA AESTHETICS & SURGICAL ARTS

Dr. Rahil Khan, M.D. and Estrella Aesthetics & Surgical Arts have achieved Suneva Medical’s Bella Diamond provider status, placing the Corona practice among the top 1% of Bellafill® and Allergan® providers in the United States and Canada.

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Estrella Aesthetics
& Surgical Arts

2550 Tuscany St. Suite 103
Corona, CA 92881
P: (951) 272-4455

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