Accent XL has two treatment heads, producing radiofrequency waves which are absorbed at different depths in the skin; the bipolar head delivers energy to the second layer of the skin, the dermis, at a depth of about 2mm- which is used to induce skin tightening; and the unipolar head, which diffuses thermal energy through the subcutaneous fat layer, resulting in a shrinking and smoothing effect. (Unlike HIFU, eg Liposonix, Radiofrequency does not permanently destroy fat cells)
CELLULITE is a term used to describe lumpy, bumpy fat usually seen in the thighs, buttocks and occasionally abdomen and upper arms; it almost always affects women, and may occur regardless of whether the person is of a normal weight, or overweight. Oftentimes it may be accompanied by large dimples, or depressions in the skin. It may also present as peau d ‘orange, with smaller dimples that resemble the pores on the surface of an orange, indicative of lymphedema, or trapping of lymphatic fluid.
It is a disorder of the collagenous supportive matrix*, where disordered collagen fibres allow fingers of fat cells to poke out causing palpable lumps, while tethering of the skin by other collagen fibres causes hollows , or dimples .
*Think of the fat cells as eggs in an egg box; the egg box would be the collagen fibres
Large dimples can be improved by cutting the fibres of collagen which tether the skin with a scalpel or needle tip, a process called subcision, which is done under local anaesthesia; or by injecting the area with an enzyme called collagenase, which dissolves the tethering fibres (chemical subcision – a form of mesotherapy).
SKIN TIGHTENING : Accent XL Bipolar head
Accent XL Bipolar treatment head delivers energy to the lower dermis, about 2 millimeters below the surface of the skin, stimulating collagen formation, and resulting over a course of 4-6 treatments in SKIN TIGHTENING – above the layer of shrunken or removed fatty tissue.
- Accent can be used to tighten overlying skin after fat reduction (post Liposonix , post liposuction, following weight loss)
If we did not employ this dual approach to treatment, shrinkage or removal of fat could result in wrinkling and folds of the overlying skin – as sometimes happens after surgical removal of adipose tissue. The Accent laser can be employed to smooth tissue irregularities post liposuction
- Body After Baby– Accent Skin tightening, reduction of stretch marks
Lazer Room Patient – Body after Baby – skin tightening and roller therapy
- Tightening of loose skin of upper arms, neck
Note: some patients with excessive folds of skin may be more suited to surgical interventions eg brachioplasty (upper arms), abdomen (tummy tuck) or neck (lift): patients should be aware that laser treatments of these areas may result in modest improvements only and are not a substitute for surgery.