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چکیده:   (1824 مشاهده)
Background: Cryolipolysis has emerged as a promising, non-invasive body contouring technique that employs controlled cooling to selectively eliminate adipocytes without damaging surrounding skin or tissues. As global demand rises for non-surgical aesthetic treatments, cryolipolysis offers an appealing alternative to traditional liposuction for individuals seeking fat reduction with minimal recovery time and fewer complications.
Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search of PubMed, Scopus, and Web of Science was conducted up to November 2024. Studies included were randomized controlled trials and prospective cohort studies evaluating the outcomes of cryolipolysis on body contouring. Statistical analysis was performed using Review Manager 5.4 software, calculating mean differences (MD) and 95% confidence intervals (CI).
Results: The use of cryolipolysis was associated with decreased BMI showing MD= -1.71 (95%CI: -2.6, -0.82, P=0.0002). However, no significant difference was observed regarding weight with MD= -1.81 (95%CI: -3.93, 0.31, P=0.09). The use of cryolipolysis was also associated with decreased circumference of different body parts with MD= -3.45 (95%CI: -5.55, -1.34, P=0.001), and I2=92%, P<0.00001 and decreased fat thickness with MD= -3.56 (95CI: -4.63, -2.48, P<0.00001), and I2=95%, P<0.00001.
Conclusion: Cryolipolysis is effective in reducing BMI, local circumference, and fat thickness, confirming its utility for non-invasive body contouring. However, it does not significantly affect overall weight. The benefits are more pronounced in short-term follow-up and vary by body region. Further long-term and comparative studies are recommended.
 
     
نوع مطالعه: مروری | موضوع مقاله: تخصصي

فهرست منابع
1. Pinto H. Local fat treatments: classification proposal. Adipocyte 2016;5(1):22-6. [DOI:10.1080/21623945.2015.1066534]
2. Amir R, Rosenberg A, Dubitsky D, Nahshon G, Nachlieli T. A novel high power bipolar RF technology for non invasive body contouring. Journal Of The American Academy Of Dermatology; 2011: Mosby-Elsevier 360 Park Avenue South, New YorK, NY 10010-1710 USA; 2011. p. AB2-AB.
3. Coleman KM, Coleman WP, 3rd, Benchetrit A. Non-invasive, external ultrasonic lipolysis. Semin Cutan Med Surg 2009 Dec;28(4):263-7. [DOI:10.1016/j.sder.2009.10.004]
4. Jalian HR, Avram MM. Body contouring: the skinny on noninvasive fat removal. Semin Cutan Med Surg 2012 Jun;31(2):121-5. [DOI:10.1016/j.sder.2012.02.004]
5. Manstein D, Laubach H, Watanabe K, Farinelli W, Zurakowski D, Anderson RR. Selective cryolysis: a novel method of non-invasive fat removal. Lasers Surg Med 2008 Nov;40(9):595-604. [DOI:10.1002/lsm.20719]
6. Nelson AA, Wasserman D, Avram MM. Cryolipolysis for reduction of excess adipose tissue. Semin Cutan Med Surg 2009 Dec;28(4):244-9. [DOI:10.1016/j.sder.2009.11.004]
7. Avram MM, Harry RS. Cryolipolysis for subcutaneous fat layer reduction. Lasers Surg Med 2009 Dec;41(10):703-8. [DOI:10.1002/lsm.20864]
8. Zelickson B, Egbert BM, Preciado J, et al. Cryolipolysis for noninvasive fat cell destruction: initial results from a pig model. Dermatol Surg 2009 Oct;35(10):1462-70. [DOI:10.1111/j.1524-4725.2009.01259.x]
9. Shek SY, Chan NP, Chan HH. Non-invasive cryolipolysis for body contouring in Chinese--a first commercial experience. Lasers Surg Med 2012 Feb;44(2):125-30. [DOI:10.1002/lsm.21145]
10. Klein KB, Zelickson B, Riopelle JG, et al. Non-invasive cryolipolysis for subcutaneous fat reduction does not affect serum lipid levels or liver function tests. Lasers Surg Med 2009 Dec;41(10):785-90. [DOI:10.1002/lsm.20850]
11. Stevens WG, Pietrzak LK, Spring MA. Broad overview of a clinical and commercial experience with CoolSculpting. Aesthet Surg J 2013 Aug 1;33(6):835-46. [DOI:10.1177/1090820X13494757]
12. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 2009;339:b2535. [DOI:10.1136/bmj.b2535]
13. Rayyan. [cited; Available from: https://rayyan.ai/
14. Sterne JAC, Savović J, Page MJ, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ 2019 Aug 28;366:l4898. [DOI:10.1136/bmj.l4898]
15. Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg 2003 Sep;73(9):712-6. [DOI:10.1046/j.1445-2197.2003.02748.x]
16. RevMan: Systematic review and meta-analysis tool for researchers worldwide | Cochrane RevMan. [cited; Available from: https://revman.cochrane.org/info
17. Mahmoud ELdesoky MT, Mohamed Abutaleb EE, Mohamed Mousa GS. Ultrasound cavitation versus cryolipolysis for non‐invasive body contouring. Australas J Dermatol 2016;57(4):288-93. [DOI:10.1111/ajd.12386]
18. Savacini MB, Bueno DT, Molina ACS, et al. Effectiveness and Safety of Contrast Cryolipolysis for Subcutaneous-Fat Reduction. Dermatol Res Pract 2018;2018:5276528. [DOI:10.1155/2018/5276528]
19. Wanitphakdeedecha R, Sathaworawong A, Manuskiatti W. The efficacy of cryolipolysis treatment on arms and inner thighs. Lasers Med Sci 2015 Nov;30(8):2165-9. [DOI:10.1007/s10103-015-1781-y]
20. Coiante E, Pensato R, Hadji I, et al. Assessment of the Efficacy of Cryolipolysis on Abdominal Fat Deposits: A Prospective Study. Aesthetic Plast Surg 2023 Dec;47(6):2679-86. [DOI:10.1007/s00266-023-03369-0]
21. Choi SY, Park JW, Koh YG, et al. Cryolipolysis for abdominal subcutaneous fat reduction: A prospective, multicenter, single arm, clinical study. Dermatol Ther 2022 Sep;35(9):e15717. [DOI:10.1111/dth.15717]
22. Khedmatgozar H, Yadegari M, Khodadadegan MA, et al. The effect of ultrasound cavitation in combination with cryolipolysis as a non-invasive selective procedure for abdominal fat reduction. Diabetes Metab Syndr 2020 Nov-Dec;14(6):2185-9. [DOI:10.1016/j.dsx.2020.10.034]
23. Mostafa MS, Elshafey MA. Cryolipolysis versus laser lipolysis on adolescent abdominal adiposity. Lasers Surg Med 2016 Apr;48(4):365-70. [DOI:10.1002/lsm.22475]
24. McKeown DJ, Payne J. Significant improvement in body contour with multiple cycles of CoolSculpting: Results of a prospective study. Dermatol Ther 2021 Mar;34(2):e14850. [DOI:10.1111/dth.14850]
25. Suvaddhana Loap S, SidAhmed-Mezi M, Meningaud JP, Hersant B. A Prospective, Comparative Study (before and after) for the Evaluation of Cryothermogenesis' Efficacy in Body Contouring: Abdomen and Saddlebags. Plast Reconstr Surg 2022 Mar 1;149(3):424e-8e. [DOI:10.1097/PRS.0000000000008857]
26. Zelickson BD, Burns AJ, Kilmer SL. Cryolipolysis for safe and effective inner thigh fat reduction. Lasers Surg Med 2015 Feb;47(2):120-7. [DOI:10.1002/lsm.22320]
27. Wang Y, Beydoun MA, Min J, Xue H, Kaminsky LA, Cheskin LJ. Has the prevalence of overweight, obesity and central obesity levelled off in the United States? Trends, patterns, disparities, and future projections for the obesity epidemic. Int J Epidemiol 2020 Jun 1;49(3):810-23. [DOI:10.1093/ije/dyz273]
28. de Onis M, Blössner M. Prevalence and trends of overweight among preschool children in developing countries. Am J Clin Nutr 2000 Oct;72(4):1032-9. [DOI:10.1093/ajcn/72.4.1032]
29. Rashidy-Pour A, Malek M, Eskandarian R, Ghorbani R. Obesity in the Iranian population. Obes Rev 2009 Jan;10(1):2-6. [DOI:10.1111/j.1467-789X.2008.00536.x]
30. Bhurosy T, Jeewon R. Overweight and obesity epidemic in developing countries: a problem with diet, physical activity, or socioeconomic status? ScientificWorldJournal 2014;2014:964236. [DOI:10.1155/2014/964236]
31. Mazzoni D, Lin MJ, Dubin DP, Khorasani H. Review of non-invasive body contouring devices for fat reduction, skin tightening and muscle definition. Australas J Dermatol 2019 Nov;60(4):278-83. [DOI:10.1111/ajd.13090]
32. Nassab R. The evidence behind noninvasive body contouring devices. Aesthet Surg J 2015 Mar;35(3):279-93. [DOI:10.1093/asj/sju063]
33. Widgerow AD, Moradi A, Poehler J. A Double-Blind Randomized Controlled Trial Evaluating the Efficacy and Tolerability of a Topical Body Treatment in Combination With Cryolipolysis Procedures. J Drugs Dermatol 2019 Apr 1;18(4):342-8.
34. Alizadeh Z, Halabchi F, Mazaheri R, Abolhasani M, Tabesh M. Review of the Mechanisms and Effects of Noninvasive Body Contouring Devices on Cellulite and Subcutaneous Fat. Int J Endocrinol Metab 2016 Oct;14(4):e36727. [DOI:10.5812/ijem.36727]
35. Kilmer SL, Burns AJ, Zelickson BD. Safety and efficacy of cryolipolysis for non-invasive reduction of submental fat. Lasers Surg Med 2016 Jan;48(1):3-13. [DOI:10.1002/lsm.22440]
36. Suh DH, Park JH, Jung HK, Lee SJ, Kim HJ, Ryu HJ. Cryolipolysis for submental fat reduction in Asians. J Cosmet Laser Ther 2018 Feb;20(1):24-7. [DOI:10.1080/14764172.2017.1368564]
37. Bernstein EF, Bloom JD. Safety and Efficacy of Bilateral Submental Cryolipolysis With Quantified 3-Dimensional Imaging of Fat Reduction and Skin Tightening. JAMA Facial Plast Surg 2017 Sep 1;19(5):350-7. [DOI:10.1001/jamafacial.2017.0102]
38. Garibyan L, Sipprell WH, 3rd, Jalian HR, Sakamoto FH, Avram M, Anderson RR. Three-dimensional volumetric quantification of fat loss following cryolipolysis. Lasers Surg Med 2014 Feb;46(2):75-80. [DOI:10.1002/lsm.22207]
39. Dover J, Burns J, Coleman S, et al. A prospective clinical study of noninvasive cryolipolysis for subcutaneous fat layer reduction-Interim report of available subject data. Lasers Surg Med 2009;41(S21):43. [DOI:10.1002/lsm.20864]
40. Boey GE, Wasilenchuk JL. Fat reduction in the inner thigh using a prototype cryolipolysis applicator. Dermatol Surg 2014 Sep;40(9):1004-9. [DOI:10.1097/01.DSS.0000452628.99209.4f]
41. Stevens WG, Bachelor EP. Cryolipolysis conformable-surface applicator for nonsurgical fat reduction in lateral thighs. Aesthet Surg J 2015 Jan;35(1):66-71. [DOI:10.1093/asj/sju024]
42. Carruthers JD, Humphrey S, Rivers JK. Cryolipolysis for Reduction of Arm Fat: Safety and Efficacy of a Prototype CoolCup Applicator With Flat Contour. Dermatol Surg 2017 Jul;43(7):940-9. [DOI:10.1097/DSS.0000000000001134]
43. Park JT, Kwon SH, Shin JW, Park KC, Na JI, Huh CH. The efficacy and safety of cold-induced lipolysis in the treatment of pseudogynecomastia. Lasers Surg Med 2016 Aug;48(6):584-9. [DOI:10.1002/lsm.22510]
44. Fatemi A, Kane MA. High-intensity focused ultrasound effectively reduces waist circumference by ablating adipose tissue from the abdomen and flanks: a retrospective case series. Aesthetic Plast Surg 2010 Oct;34(5):577-82. [DOI:10.1007/s00266-010-9503-0]
45. Adjadj L, SidAhmed-Mezi M, Mondoloni M, Meningaud JP, Hersant B. Assessment of the Efficacy of Cryolipolysis on Saddlebags: A Prospective Study of 53 Patients. Plast Reconstr Surg 2017 Jul;140(1):50-7. [DOI:10.1097/PRS.0000000000003433]
46. Lipner SR. Cryolipolysis for the treatment of submental fat: Review of the literature. J Cosmet Dermatol 2018 Apr;17(2):145-51. [DOI:10.1111/jocd.12495]
47. Hwang IC, Kim KK, Lee KR. Cryolipolysis-induced abdominal fat change: Split-body trials. PLoS One 2020;15(12):e0242782. [DOI:10.1371/journal.pone.0242782]
48. Falster M, Schardong J, Santos DPD, et al. Effects of cryolipolysis on lower abdomen fat thickness of healthy women and patient satisfaction: a randomized controlled trial. Braz J Phys Ther 2020 Sep-Oct;24(5):441-8. [DOI:10.1016/j.bjpt.2019.07.005]
49. Meyer PF, Davi Costa ESJ, Santos de Vasconcellos L, de Morais Carreiro E, Valentim da Silva RM. Cryolipolysis: patient selection and special considerations. Clin Cosmet Investig Dermatol 2018;11:499-503. [DOI:10.2147/CCID.S146258]
50. La Padula S, Hersant B, Chatel H, et al. One-step facial feminization surgery: The importance of a custom-made preoperative planning and patient satisfaction assessment. J Plast Reconstr Aesthet Surg 2019 Oct;72(10):1694-9. [DOI:10.1016/j.bjps.2019.06.014]
51. Hersant B, SidAhmed-Mezi M, Aboud C, et al. Synergistic Effects of Autologous Platelet-Rich Plasma and Hyaluronic Acid Injections on Facial Skin Rejuvenation. Aesthet Surg J 2021 Jun 14;41(7):Np854-np65. [DOI:10.1093/asj/sjab061]
52. Meningaud JP, SidAhmed-Mezi M, Billon R, Rem K, La Padula S, Hersant B. Clinical benefit of using a multifractional Er:YAG laser combined with a spatially modulated ablative (SMA) module for the treatment of striae distensae: A prospective pilot study in 20 patients. Lasers Surg Med 2019 Mar;51(3):230-8. [DOI:10.1002/lsm.23042]
53. La Padula S, Hersant B, Bompy L, Meningaud JP. In search of a universal and objective method to assess facial aging: The new face objective photo-numerical assessment scale. J Craniomaxillofac Surg 2019 Aug;47(8):1209-15. [DOI:10.1016/j.jcms.2019.03.014]
54. Ruiz R, Hersant B, La Padula S, Meningaud JP. Facelifts: Improving the long-term outcomes of lower face and neck rejuvenation surgery: The lower face and neck rejuvenation combined method. J Craniomaxillofac Surg 2018 Apr;46(4):697-704. [DOI:10.1016/j.jcms.2018.01.013]
55. La Padula S, Hersant B, Pizza C, et al. Striae distensae: in vitro study and assessment of combined treatment with sodium ascorbate and platelet-rich plasma on fibroblasts. Aesthetic Plastic Surgery 2021;45:1282-93. [DOI:10.1007/s00266-020-02100-7]
56. Ingargiola MJ, Motakef S, Chung MT, Vasconez HC, Sasaki GH. Cryolipolysis for fat reduction and body contouring: safety and efficacy of current treatment paradigms. Plast Reconstr Surg 2015 Jun;135(6):1581-90. [DOI:10.1097/PRS.0000000000001236]

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