Simultaneous Application of High-Intensity Focused Electromagnetic and Synchronized Radiofrequency for Fat Disruption: Histological and Electron Microscopy Porcine Model Study

Dermatol Surg. 2021 Aug 1;47(8):1059-1064. doi: 10.1097/DSS.0000000000003091.

Abstract

Background: Radiofrequency (RF) and high-intensity focused electromagnetic (HIFEM) technologies are used for noninvasive body shaping as standalone modalities.

Objective: To examine the effects of novel synchronized RF and HIFEM on subcutaneous adipose tissue in a porcine animal model.

Materials and methods: Seven large white pigs aged 6 months received 3 abdominal treatments of simultaneous application of synchronized RF and HIFEM (30 minutes, once per week). Punch biopsies of treated and control subcutaneous tissue were collected at the baseline, 4 days, 2 weeks, 1 month, and 2 months. Specimens were examined by light and scanning electron microscopy. Adipocyte volume was analyzed. Fat tissue temperature was measured in situ (fiber optic probes) and superficially (thermal imager).

Results: Fat layer was heated to temperatures of 42 to 45°C. Signs of fat apoptosis (shape alternations and pyknotic nuclei) appeared at day 4 and peaked between 2 weeks and 1 month. Adipocyte volume decreased significantly (p < .001) by 31.1% at 2 weeks, 1 month (-23.6%), and 2 months (-22.0%). Control samples showed healthy adipocytes. Scanning electron microscopy micrographs corroborated histology findings, showing flattened, volume-depleted and disrupted adipocytes.

Conclusion: Synchronized RF with HIFEM procedure resulted in a significant and sustained fat reduction with no adverse events.

MeSH terms

  • Adipocytes / radiation effects
  • Adipocytes / ultrastructure
  • Animals
  • Body Contouring / adverse effects
  • Body Contouring / instrumentation
  • Body Contouring / methods*
  • Combined Modality Therapy / instrumentation
  • Combined Modality Therapy / methods
  • Female
  • Hot Temperature / adverse effects
  • Magnetic Field Therapy / adverse effects
  • Magnetic Field Therapy / instrumentation
  • Magnetic Field Therapy / methods*
  • Microscopy, Electron
  • Models, Animal
  • Radiofrequency Therapy / adverse effects
  • Radiofrequency Therapy / instrumentation
  • Radiofrequency Therapy / methods*
  • Subcutaneous Fat / cytology
  • Subcutaneous Fat / radiation effects*
  • Subcutaneous Fat / ultrastructure
  • Swine