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:

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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.


Dr. Robert Troell, MD, FACS.


Summer Castillo, RN, CAC

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Estrella Aesthetics & Surgical Arts
4.2
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Gary Paul
Gary Paul
08:55 29 Jul 20
A year ago, I underwent a wrinkle removal procedure at this facility and it was a success. I would recommend them to anyone seeking similar services
Jarry Rox
Jarry Rox
04:39 29 Jul 20
I bought some skin products there and they have served me well so far. It’s a nice facility with good quality products.
Shannon Grager
Shannon Grager
15:23 28 Jul 20
I highly recommend them for tattoo removal. They offer fair/standard pricing but use a high quality laser at the appropriate setting to get results quickly.This is not one of those trickster places trying to get you back 15 times $$$ to remove your tattoo! So happy we found them!
Smiley Sandra
Smiley Sandra
07:21 28 Jul 20
My experience at Estrella was a good one. I was there for micro-needling and it turned out perfectly.
Marry Jonathon
Marry Jonathon
03:44 27 Jul 20
They respect customer time. They never keep me waiting whenever I book an appointment and that’s valuable.
Dean Taylor
Dean Taylor
16:27 26 Jul 20
I would never trade the quality of service I get from Estrella from anything else. The prices are good and the quality of service is exceptional.
Amelia Joseph
Amelia Joseph
06:30 26 Jul 20
I used to get costly facial injections that were eating into my savings. That’s until I discovered Estrella. I now get the same service with a more flexible payment plan and from very friendly people.
Jack Rivers
Jack Rivers
13:20 25 Jul 20
Their services are affordable. I am a regular client for facial services and they always meet my expectations.
Steve Deboer
Steve Deboer
16:55 24 Jul 20
They have a wide array of services that I always find very useful. Their injectable treatments have helped me maintain a smooth face for some time now.
Dora liya
Dora liya
03:45 24 Jul 20
They are very friendly. I went there inquiring about facial services and they gave me detailed information, including info on financing options.
Stave Banger
Stave Banger
12:41 22 Jul 20
I am a happy Estrella customer. For the past 3 years, they have helped me maintain a youthful-looking face. Even my friends have noticed my transformation.
Jhon Callum
Jhon Callum
06:24 22 Jul 20
Estrella’s body toning services have really helped me develop self-confidence. I feel much better about myself than in the past.
Julia Burton
Julia Burton
13:34 21 Jul 20
Their reception staff are friendly and well informed about the company’s services. I like them and I am a regular at the facility for body toning.
Taylor Martin
Taylor Martin
03:07 21 Jul 20
Their medical team is good at the job. Special thanks to Dr. Khan. He is such an amazing guy.
Leon Moore
Leon Moore
10:37 20 Jul 20
It’s been three years doing facial procedures at Estrella. They never disappoint.
Juan Torres
Juan Torres
05:25 20 Jul 20
Their services are incomparable to any other I have tried in the past. Quality defines them, and they are exceptionally friendly.
Melanie Foerster
Melanie Foerster
06:35 19 Jul 20
Thank you guys for helping regain my beauty after a failed procedure at another clinic. I am deeply grateful for your services.
Travis Hobbs
Travis Hobbs
16:32 18 Jul 20
I was there for a facial procedure and was mainly dealing with Susan Velesquez. She is an amazing person and listens to the needs of her clients.
Christopher Hudson
Christopher Hudson
09:28 18 Jul 20
Some people complain that Estrella services are a bit pricey but I see it differently. These guys offer exceptional services that match the cost. I never have to worry about botched procedures at Estrella.
Derrick Fuquay
Derrick Fuquay
15:32 17 Jul 20
Rarely do I leave reviews but for the friendly services I got at Estrella, I have to leave one. Thank you guys for your services and keep it up.
Maaiz Al-Kaleel
Maaiz Al-Kaleel
05:33 17 Jul 20
Never had an issue with them and I am a regular there for Botox. Every time I go there, I am received with respect and ever smiling faces.
Cruz Hitch
Cruz Hitch
14:06 16 Jul 20
I was there for a facelift procedure and they did great. On a scale of 1 to 10, I would give them a 10 for quality service, and the friendliness of their staff.
Noah Katie
Noah Katie
05:33 16 Jul 20
Estrella is worthy of a 5-star and more. I got a very warm welcome when I went enquiring about their body sculpting procedures. The procedure itself was equally smooth and flawless.
Dora kochran
Dora kochran
12:15 15 Jul 20
I took their 24-month financing plan and it has worked for me. I have been able to afford the best quality facial procedures
Joseph Preece
Joseph Preece
03:40 15 Jul 20
I first took an interest in Estrella after they did an amazing facial procedure on a colleague at work. I went there seeking a similar procedure and they outdid my expectations. They are friendly and their prices are affordable.
Eloise Higgins
Eloise Higgins
12:19 14 Jul 20
Estrella has the best doctors for cosmetic procedures. Thank you, Susan Velasquez, for the good work. I will be sending my friends your way.
Talesha Lance
Talesha Lance
03:08 14 Jul 20
It’s been two months since I did the flawless carbon peel. They were very friendly and the service was affordable.
Oliver George
Oliver George
06:34 13 Jul 20
Thanks to the good doctors at this facility, my modeling career has taken off very well. Their facial procedures work.
Henry Lucero
Henry Lucero
18:25 24 Jun 20
I got a Vampire Facelift at Estrella and I now look many years younger than my actual age. These guys are amazing!
Sami Mak
Sami Mak
13:18 22 Jun 20
I only get my Botox shots at Estrella. Never had a bad moment there. The doctors are experienced and very friendly.
Seiff Jumah
Seiff Jumah
12:21 22 Jun 20
Two months ago, I had a micro-needling procedure at Estrella Aesthetic and it was a success. The procedure was flawless and their prices are reasonable.
Gregory Luton
Gregory Luton
16:44 18 Jun 20
Every member of staff I interacted with at Estrella was very friendly. From the front office staff to the doctor I was dealing with, they were genuinely interested in taking care of my needs.
Samuel Riley
Samuel Riley
07:39 26 Apr 20
I did a facial procedure at Estrella and for the quality of service I got, these guys are worth every penny I spent there. Keep up the good work!
Sandra Miller
Sandra Miller
13:08 07 Apr 20
Their staff is very friendly. I was mainly dealing with Dr. Troell and he listened to everything I wanted out of the aesthetic procedure and executed it perfectly.
Hugo Treviño
Hugo Treviño
00:25 03 Apr 20
5 stars is not enough for this place, 100% recommended. Amazing results! I like the people, they take care of you. I called them after my treatment with several questions and they were awesome. I am planning my next visit and try now their botox injections. I absolutely trust this place.
Estefanía Cundapí
Estefanía Cundapí
00:19 03 Apr 20
Place is always very organized and I am always greeted with a smile. They are so knowledgeable and friendly. I liked the results of my wrinkle forehead treatment.
Pamela Williams
Pamela Williams
23:03 02 Apr 20
I decided to go through Hydrafacial treatment to prevent wrinkles and I don’t regret. Results are awesome and my skin looks smooth. I recommend it to all my friends. I also recommend their products. Thank you Dr Judy and her team.
Esther Muñoz Rivero
Esther Muñoz Rivero
03:15 02 Apr 20
Team is excellent! Very professional, and kind! She takes her time to really hear you. She is the best for facial fillers! Excelente doctora!
leyextremo2008
leyextremo2008
17:59 23 Mar 20
Loyal since 2018. I always feel confident and comfortable that my results are going exceed my expectations. I highly recommend to my friends and family.
Lionel Jean Francois
Lionel Jean Francois
17:37 23 Mar 20
I had fillers and botox injected, staff was very knowledgeable and professional. Definitely recommended.
Andrea Del Rio
Andrea Del Rio
18:10 16 Mar 20
Judy and her team are great! I Had a Juvederm procedure and I'm very happy with the results. My lips not only look great and naturally plumped, but feel awesomely hydrated too. I trust them 100% for any treatment.
Ramin Sarshad
Ramin Sarshad
14:56 16 Mar 20
Attended many CME courses with Dr Troell for many years. He's always on top of the latests lipo and body countering techniques.
Susana Williams
Susana Williams
19:07 14 Mar 20
I had a chin wrinkle treatment with sculptra to stimulate collagen growth, very happy with results. I am coming for my second injection next month.
Noah Finch
Noah Finch
10:42 11 Mar 20
Their JC Complete products are effective and affordable. I don’t intend to use any other products soon. Estrella products serve me well.
Julio Andre
Julio Andre
19:52 06 Mar 20
My experience was positive. They are professionals, listened to my aesthetic needs, and proposed me with a personalized plan that adapts not only to my needs but also wallet $.
Jorgelina Aroca
Jorgelina Aroca
18:36 06 Mar 20
(Translated by Google) Thank you for the excellent attention at Estrella, I felt very comfortable during the procedure and the staff was very gentle!(Original)Gracias por la excelente atención en Estrella, me sentí muy cómoda durante el procedimiento y el personal fue muy gentil!
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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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