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S e p t e m b e r 2 0 - 2 1 , 2 0 1 8 | R o m e , I t a l y
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Dermatology Congress 2018 & World Nephrology 2018 Archives of General Internal Medicine | ISSN: 2591-7951 | Volume 2
2nd WORLD NEPHROLOGY AND THERAPEUTICS CONGRESS
DERMATOLOGY AND TRICHOLOGY
&
International Congress on
Dell’Avanzato Roberto, Arch Gen Intern Med 2018, Volume 2 | DOI: 10.4066/2591-7951-C5-015
TISSUE STABILIZED-GUIDED SUBCISION®
(TS-GS): A REVOLUTIONARY MINI-
INVASIVE TREATMENT FOR CELLULITE
BLEMISHES IN 80 CONSECUTIVE PATIENTS
Dell’Avanzato Roberto
Espace Chenot Health Wellness Spa - L’Albereta Relais and Chateaux, Italy
Introduction: 18 months ago, in October 2016, the author started, as one of the
first in Europe, to experience with Cellfina®, a tissue stabilized-guided subcision®
(TS-GS), a new procedure that represents the only FDA-cleared minimally invasive
and clinically proven treatment to improve the cellulite blemishes for nearly four
years in only one session.
Materials and Methods: We report our experience in 80 patients (78F; 2M) with
cellulite treated in a single session, selected and classified with a simplified
cellulite severity scoring (CSS). Follow-up was scheduled after seven days (T7)
and 14 days (T14) for all the 80 patients; after 30 days (T30) for 77 patients; after
90 days (T90) for 72 patients; after 180 days (T180) for 65 patients; 50 patients
(49F; 1M) had a medical check at 12 months and 15 months; 3 patients (2F;
1M) at 18 months. Outcome measures included subject photographs, cellulite
severity scale (CSS) and global aesthetic improvement scale (GAIS) assessment.
Patient’s satisfaction with a 5-point Likert scale and pain rating with visual analog
scale (VAS) were also recorded. The treatment takes 45-65 minutes. Cellulite
dimples are marked, and the device is applied to stretch and stabilize tissue in a
vacuum chamber, while local anesthesia is delivered. Then, a precise minimally-
invasive subcutaneous release of the connective bands or TS-GS is performed
with a micro-blade, without cuts or incisions. We have safely treated 6 to 55 sites
in one session. After treatment, a light compression is applied, and patients can
return promptly to their daily life.
Results: The procedure treated successfully the primary structural cause of
cellulite blemishes in all the 80 patients with a range of 15-30 sites in 74% of
cases, 6-14 sites in 15% and 31-55 in 11%. Concerning patient’s satisfaction
at T90, 64 patients (88,89%) out of 72 were very satisfied (score of five) and
satisfied while eight patients (11,11%) were neither satisfied nor dissatisfied ;
these excellent results have been confirmed at T180, 12 months and 15 months,
with the first three patients that at 18 months were very satisfied and satisfied. In
our experience, 0% of the patients were dissatisfied or very dissatisfied. Transient
treatment-related adverse events were mild in severity and the most common
side effects reported were soreness and bruising and no serious adverse events
were reported. The GAIS showed that the mean baseline CSS score of 3.6 before
the treatment, decreased to 1.2 at T90, 1.1 at T180, 12 months and 15 months
and 1.0 in the first three patients at 18 months. The VAS was 2.2 at T7, 1.8 at T14
and 0 from T90 onwards. None of the 80 patients changed the weight by more
than 10%, otherwise they would have been excluded from the present study.
Discussion: This revolutionary FDA-cleared
procedure combines a proven approach
with an innovative technology to treat
the primary structural cause of cellulite
blemishes in posterior thighs and buttocks.
This study confirms his safety and efficacy
with vacuum-assisted precise tissue release
for the treatment of cellulite, which is also
strengthened by patient’s satisfaction.
Dell’Avanzato Roberto is a specialist in surgery with a
university master in Aesthetic Medicine and Surgery,
Professor of Laser and Laser Assisted Liposuction,
San Marino University (San Marino). He has university
diploma in Laparoscopic Surgery, Louis Pasteur Uni-
versity of Strasbourg (France). He is also the honorary
Member of the Israel Academy of Beauty, honorary
Member of the Italian Academy of Beauty and has
certificate of excellence awarded from The Pakistan
Medical Association, for humanitarian services ren-
dered to the burnt and scarred victims of Pakistan,
certificate of merit awarded from the Combined Mil-
itary Hospital of Islamabad (Pakistan), for humanitar-
ian services.
BIOGRAPHY