There was a significant decrease in average body circumference, as well as appearance of cellulite, among women who received LPG endermologie sessions, according to recently published research.

The study, “Treatment of cellulite with LPG endermologie,” involved 33 healthy women, ages 26 to 62, with a mean age of 43 years. These subjects had cellulite grades ranging from one to three, based on the four-stage Nurnberger-Muller scale.

During the study, participants received two 35- to 40-minute LPG sessions per week, for a total of 15 sessions. Invented by French engineer Louis Paul Guitay and originally used to treat trauma and burn scars, LPG is an electrically powered hand-held machine that has two rollers and a vacuum chamber.

The mechanical massage provided by LPG is known as endermologie. It provides positive pressure to the skin and subcutaneous tissue by rhythmic folding and unfolding between its rollers, as well as negative pressure via aspiration.

Each endermologie session was performed with the LPG unit by the same LPG technician. Subjects wore a special LPG suite that protected skin from suction and allowed the hand-held part of the machine to move easily on the body.

Following the first session, subsequent LPG sessions were performed with endermogym, which occurs when the patient contracts the muscles under the skin that’s being massaged by the LPG unit.

Sessions began with the participant prone, and endermologie was applied to the back of the upper arms and back, then to the gluteal region and posterior legs. In the supine position, the abdomen and anterior legs were addressed. By lying on one side and then the other, endermologie also was performed on the waist, as well as the lateral and medial legs.

Digital photos of each participant’s hips and thighs were taken before and after LPG sessions, for the purpose of cellulite grading. Pre- and post-intervention photographs were paired and reviewed by a blinded dermatologist.

Each photograph was graded according to the Nurnberger-Muller cellulite scale. On this scale, zero represents no alterations on skin; one equates to orange-peel appearance by pinch test or muscle contraction; two is orange-peel appearance at rest; and three is orange-peel appearance at rest, along with raised areas or nodules.

Body circumference was measured pre- and post-intervention as well, by evaluating thickness at eight specific, consistent body sites. In addition, participants completed a questionnaire on the tolerability and efficacy of LPG, and subject weight was recorded at each session.

Results of the research revealed that five of the 33 subjects, or 15 percent, had a reduced cellulite grade at the end of the study. All 33 subjects showed a significant mean body circumference loss, with maximum loss obtained at the hips. The decreased overall body size showed up not only on those women who lost weight during the study, but also on the subjects who gained weight during the research.

“In conclusion, LPG endermologie is well-tolerated and an effective means of reducing the diameter of body contours, even in patients who do not lose weight,” state the study’s authors. “However, it is mildly effective in improving the appearance of cellulite.”

Author: A. Tülin Güleç.

Source: Department of Dermatology, Baskent University Faculty of Medicine, Ankara, Turkey. Originally published in the International Journal of Dermatology (2009) 48: 265-270.

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