“I am sick and tired of plastic surgeons recommending fibrosis-producing treatments, such as RF microneedling, to their patients as a method of reducing post-liposuction fibrosis “fast”. Surgeons, I know you are great at surgery but please do some study and learn how RF microneedling works: by producing scar tissue (fibrosis) in the dermis / hypodermis, i.e. the exact thing that needs to be reduced after liposuction, vaser, smart lipo etc. With fibrosis there is no other way than going gradual and slow. If you try to reduce fibrosis “fast” or worse, instantly, with brute force (extreme intensity RF, radiofrequency microneedling, excessively strong massage, HIFU etc) you will irritate you tissues and will produce more of it, making it worse. Sometimes when you go too fast you crash and I have seen countless such examples at the clinic the past two decades...”
Fighting post-liposuction fibrosis with more fibrosis?
RF microneedling for fibrosis after vaser? How ignorant is that?
The solution to too much scar tissue quality collagen is not yet more scar tissue quality collagen
Instant fat loss! Instant skin tightening! Instant fibrosis removal! Well, it doesn’t work that way…
So what am I to do? How, as a consumer, am I to know what to choose?
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RF microneedling for fibrosis after vaser? How stupid is that?
I recently saw a client who suffered from fibrosis after vaser liposuction, a procedure which is known to quite often cause fibrosis.
In fact, vaser*, smart lipo* and bodytite* liposuction are based on burning the skin at 60-90ºC (they call it “coagulation”) and causing “controlled” fibrosis (they call it “neocollagenesis”) in the subcutaneous adipose tissue (deep fat layer) and the hypodermis (cellulite fat layer), in order to harden the skin and connective tissue with fibrotic collagen (they call it “skin tightening”).
The problem is that quite often the fibrosis is not that very well “controlled”, given that even plain liposuction* causes fibrosis* very, very often, let alone energy device assisted liposuction.
[* Check the links for plenty of real-life examples of fibrosis after these procedures]
The solution to too much scar tissue quality collagen is not yet more scar tissue quality collagen
So when you suffer from fibrosis you want to have a treatment that actually breaks down fibrotic collagen (i.e. progressively stronger massage and/or ultrasound, applied by an experienced therapist) rather than one that creates more fibrotic collagen.
Similarly to vaser, smart lipo and bodytite, RF microneedling* is also based on burning the skin at 60-90ºC (depending on the machine used) and creating not that well “controlled” fibrotic collagen / “neocollagenesis” on the hypodermis and dermis.
There is a reason that microneedling is called ‘collagen induction therapy’ and RF microneedling goes one step further in producing fibrotic collagen by combining needling with extreme RF heat to induce even more collagen, of the fibrotic, scar tissue type.
So I was really surprised that this client was recommended by his surgeon RF microneedling for fibrosis after his vaser liposuction surgery.
However, you don’t fight fibrosis by creating more fibrosis. You don’t break down collagen by creating yet more collagen.
This is dangerously ignorant, especially when it comes from a surgeon, who should know better how different skin technologies work and think twice about the recommendations they give to their patients.
[* Check the link for plenty of real-life examples of fibrosis after RF microneedling]
Instant fat loss! Instant skin tightening! Instant fibrosis removal! Well, it doesn’t work that way…
The problem is that in today’s instant gratification society people actively look for instant, painful, expensive miracle procedures (in this case vaser lipo) to magically tighten the skin and lose their fat “forever”.
Of course, nothing is “forever” in this universe and even more so on the human body.
And when things go wrong, people keep looking for yet another instant, painful, expensive miracle procedure to repair the damage of the previous instant, painful, expensive miracle procedure (in this case, RF microneedling) and blindly trust the first person of authority who will promise that to them.
Of course, this is not how the body works:
For proper skin tightening multiple SAFE skin tightening procedures are required (e.g. deep-acting, high-power radiofrequency provided by a well-trained, experienced and knowledgable therapist)
And to break fibrosis, again, multiple massage / ultrasound treatments are required by well-trained, experienced and knowledgable therapist. Especially with fibrosis there is no other way than going gradual and slow. If you try to reduce it faster you will irritate the tissues and you will produce more of it.
And I see that at the clinic all the time: people blindly trust instant miracle-type medical procedures and then they get their skin injured as a result.
And then, after the initial skin injury, authority figures in the aesthetic industry routinely propose HIFU, RF microneedling, extreme intensity RF and all sorts of other fibrosis-inducing procedures to break down fibrosis.
As a result they end up producing yet more skin injury. The amount of ignorance and misinformation is astounding.
I have seen it so many times happening in the past:
People are recommended vaser to break down vaser-induced fibrosis (obviously it was a disaster) or cryolipolysis-induced fibrosis (also ended up in disaster)
People are recommended HIFU to break down post-RF microneedling fibrosis (who hallucinates of that stuff?)
And on and on and on…
So what am I to do? How, as a consumer, am I to know what to choose?
It’s simple, you don’t need to have any specialist knowledge, you just need to know two things.
Firstly, anything instant or one-off carries very high risks, which are ALWAYS underplayed by the practitioners who offer them. If you try to go from A to B with a supercar at 200mph on Britain’s narrow roads, chances are that you will crash. Opt for low-risk, gradual results, instead of high-risk instant miracles - COMMON SENSE.
So avoid anyone who promises you instant (instant means trouble), permanent (there is no “forever”) with 1-4 (too few), very painful (no need for pain), extortionately expensive (can you smell a rat?) procedures.
Secondly, to choose the right person or clinic, talk to 3-4 practitioners/clinics, hear what they have to say and then use your COMMON SENSE to decide who only wants your money, promises you instant miracles or are ignorant; and who is honest, down to earth and/or knows what they are talking about.
Thirdly, for fibrosis reduction, be prepared for lots and lots of massages and (responsibly applied) ultrasound treatments (we are talking 10, 15, even 20 sessions). 1-4 sessions of either massage or ultrasound will not cut it.
And never go for RF microneedling, HIFU or other collagen-producing treatments to break down already too much, low quality, scar tissue-like collagen (which is what fibrosis is).
COMMON SENSE again, which is lacking more and more in our industry, due to the pursuit of fast profit and due to poor training and understanding of the underlying science.
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At LipoTherapeia we have specialised 100% in skin tightening and cellulite reduction for more than two decades and 20,000+ sessions.
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As strong, deep acting radiofrequency and deep-acting, high-power ultrasound cavitation are the technologies of choice for skin tightening and cellulite reduction, we have invested in the best RF/ultrasound technologies in the world.
(Of course, we keep looking for new technologies every day and if/when a better technology materialises we will be the first to provide it. However, we will never follow the latest ineffective gimmick, just because it’s good marketing to offer the latest hyped up - yet ineffective and/or unsafe treatment.)
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Look Inside Your Skin™ with a Cellulite Ultrasonography™ scan, exclusive to LipoTherapeia in London, and assess your cellulite, skin laxity, post-liposuction fibrosis and more
We are proud to be the first and only cellulite clinic in the world to offer Cellulite Ultrasonography™ to our clients, for accurate assessment, better treatment and enhanced results. Since 2022 we have assessed and provided valuable insights to hundreds of clients to better understand their specific case, see how their skin looks from inside and make informed decisions.
You can now book your Cellulite Ultrasonography™ session and assess your:
Cellulite
Skin laxity
Lipedema
Subcutaneous fat levels
You can also assess the presence and severity of fibrosis and adhesions after:
Liposuction in all its forms, including vaser, smart lipo, bodytite, abdominoplasty/tummy tuck, thigh lift, arm lift, lipedema surgery etc
Cellulite surgery, such as cellulaze, cellutite, cellfina, subcision etc
Face-lift surgery
Non-surgical procedures, such as RF microneedling, extreme intensity HIFU, extreme intensity RF, extreme intensity ultrasound etc
Everything will be shown and explained to you clearly and you can see and understand how the different structures inside your skin affect your appearance.
If there is scar tissue / fibrosis, those will be clearly seen and you can differentiate between fibrosis, water retention or unremoved fat after all types of cosmetic surgery or harsh non-surgical procedures such as RF microneedling, extreme intensity HIFU etc.
(DISCLAIMER: Please note that this service is for your informational purposes only and does not constitute medical diagnosis or advice.)
The 45’ appointment includes full assessment and consultation and optional treatment plan for cellulite reduction and/or skin tightening.
If you do wish to have treatment with us, the ultrasound scan, assessment and consultation will be used to optimise your course of treatments and maximise your results.
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We all know that training in cellulite reduction and skin tightening is as basic as it gets. It is typically a 4-6 hour training, involving only basic instruction from the manufacturer on how operators can use the machine; lots of myths, erroneous information and misconceptions; and some basic health and safety on how to use the machine.
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