Book a treatment

Why did I lose facial fat with HIFU / RF microneedling? They told me they would just target the SMAS to “lift” my face…

Why did I lose facial fat with HIFU / RF microneedling? They told me they would just target the SMAS to “lift” my face…

Everyone interested in facial anti-ageing these days is talking about the SMAS. Suddenly everyone is an (ignorant) “expert” in the SMAS, just like everyone interested in cellulite or massage suddenly became an (ignorant) “expert” in all things fascia a few years ago. But what is the SMAS, why is everyone talking about it and why is it not such a great idea to target it non-surgically?

Skin looseness in slim women

Skin looseness in slim women

Skin looseness in slim women occurs mainly due to two factors. Genetics: Tall, slim people in general tend to have more loose connective tissue. This means better flexibility but also more skin looseness. In the younger years this connective tissue looseness goes unnoticed. But as we get older, and collagen levels start to decline, skin laxity becomes more obvious. Strict dieting or…

Lipolysis vs adipolysis: what is the difference?

Lipolysis vs adipolysis: what is the difference?

You may have seen the terms adipolysis and lipolysis in marketing blurb of different cellulite / fat reduction treatments or even in scientific literature. And you may have correctly got the general impression that they both mean fat loss. But if they both mean fat reduction, why the two different words? The answer is: because those two words mean actually two different things.

The best time to have a course of cellulite treatments is now

The best time to have a course of cellulite treatments is now

Most people think that they have to wait to have a course of cellulite treatments until: “I first need to lose all my weight”; “2-3 weeks before the holidays, as, if I have my treatments too early, results will disappear by holiday time. However, as we will see below, both of these approaches are wrong…

For cellulite reduction and skin tightening 12 sessions are ideally needed for best results

For cellulite reduction and skin tightening 12 sessions are ideally needed for best results

Why 12 (intensive but SAFE) sessions are necessary for cellulite reduction and skin tightening. In aesthetics there are currently two methods to effect skin tightening and cellulite reduction. The stimulative method is safe, pain-free and effective, as long as it’s strong (but never excessive), and as long as treatments are regularly repeated. As multiple treatments are needed, prices should be moderate. Typical examples…

Tried RF microneedling for cellulite? Didn’t work? Perhaps you should try a safer, less hyped-up, more effective treatment.

Tried RF microneedling for cellulite? Didn’t work? Perhaps you should try a safer, less hyped-up, more effective treatment.

The last few years there is the generalised perception by the public that if a procedure is very painful, very medicalised, very unsafe, very hyped up, very “instant”, very expensive or all the above, the rewards of taking the risk with such a procedure will be higher and cellulite or skin looseness will apparently disappear “forever” (there is no forever in this universe, let alone the human body). RF microneedling fits all the above requirements and people flock to have it for both body and face. Hence all the RF microneedling horror stories in the media lately, including one of the latest RF microneedling disaster stories here…

Can you do too much radiofrequency?

Can you do too much radiofrequency?

Too much radiofrequency treatment can refer to three things: too strong treatment; treatment taken too often; too many sessions. High intensity, deep-acting radiofrequency is the strongest SAFE skin tightening and cellulite removal treatment available today, and aims to naturally stimulate collagen synthesis, collagen contraction, lipolysis and circulation with intensive - but never excessive - deep heat. With such radiofrequency all you feel during treatment is deep heat in your hypodermis and dermis, i.e. the deeper skin layers…

Cellulite all over the body: how is this possible?

Cellulite all over the body: how is this possible?

This is a common question: “I thought that cellulite only affects the thighs and bum, how come I have it on my arms, stomach and back?” Indeed, cellulite primarily appears on back of thighs, front of thighs and buttocks. But it is sometimes is is also visible on the arms, calves, stomach, flanks, sides of back and even on the breasts. Why is this the case?

RF microneedling for fibrosis after vaser liposuction?

RF microneedling for fibrosis after vaser liposuction?

When you suffer from post-lipo fibrosis you want to have a treatment that actually breaks down fibrotic collagen (i.e. progressively stronger massage and/or ultrasound) rather than one that creates more fibrotic collagen. On the other hand, RF microneedling is also based on burning the skin at 60-90ºC (depending on the machine used) and creating not that well “controlled” fibrotic collagen/“neocollagenesis” on the hypodermis and dermis. There is a reason that microneedling is called ‘collagen induction therapy’ and RF microneedling goes one step further in producing fibrotic collagen by combining needling with extreme RF heat…

Ultrasonic cavitation for cellulite: how does it work?

Ultrasonic cavitation for cellulite: how does it work?

It is widely accepted today that high-power, low-frequency ultrasound treatment represents one of the few effective methods of cellulite reduction and, to a limited extent, subcutaneous fat reduction too. It often provides good results on its own, if the right equipment is used with the right protocols, and even better results when combined with high-power, deep-tissue radio frequency. But what is ultrasound cavitation and how does it work?

Machine or expertise: what is more important when you choose a cellulite treatment?

Machine or expertise: what is more important when you choose a cellulite treatment?

The best technologies for effective AND safe cellulite reduction are deep-acting, high-power radiofrequency and deep-acting, high-power ultrasound cavitation. However, RF and ultrasound machines come in all shapes and sizes. But then the same applies to knowledge and expertise. A good therapist can squeeze the most out of a mediocre machine. On the other hand, a bad therapist can underutilise a really good machine or - worse - cause…

Obesity is now a major driver of cellulite worldwide

Obesity is now a major driver of cellulite worldwide

At the time of first writing this article (February 2024) it was revealed that obesity worldwide has surpassed the 1 billion mark. In the last three decades obesity has increased 4x among children and 2x among adults. Furthermore, more than 2.5 billion adults are overweight, worldwide. On this blog we have maintained that cellulite is a Western civilisation aesthetic condition that is not found in developing countries, where people consume more natural foods and where physical activity comprises a large part of people's days.

Ultra-processed foods and cellulite

Ultra-processed foods and cellulite

At the time of first writing this article (February 2024) a lot has been written about how ultra-processed foods can cause heart disease, cancer and undermine health overall. But what about cellulite? We have made it clear on this blog that there is a big overlap between Western civilisation diseases (diabetes, heart disease, cancer etc) and cellulite. Sure, cellulite does not kill but the same things that cause these diseases to a large extent also cause cellulite. There is no complete overlap but there is a quite extensive one. Ultra-processed foods (UPF), i.e. the exact opposite for fresh, clean foods, rob food from all its nutrients to leave almost empty calories and various chemicals…

I’m currently losing weight, how often should I have skin tightening treatment to avoid skin looseness?

I’m currently losing weight, how often should I have skin tightening treatment to avoid skin looseness?

Weight gain leads to excess skin to accommodate the extra fat volume. As a result, when weight is lost skin looks loose. The best way to prevent skin laxity after weight loss is to have a skin tightening treatment whilst you lose weight. Of course, if you have already lost the weight and have skin laxity, you can always have a course of treatments then, but it is always best to arrive at your ideal weight with the least possible skin laxity. The most effective SAFE skin tightening technology is deep-acting, high-power radiofrequency…

What is worse for cellulite, fat or sugar?

What is worse for cellulite, fat or sugar?

This is a common question, both for cellulite prevention and overall health as well and the answer could not be other than a straightforward, sugar is worse than fat for cellulite. Firstly, there are good fats, i.e. omega-3 fatty acids (flax seeds, chia seeds, walnuts, oily fish etc), which are protective. Furthermore, neutral fats (e.g. extra virgin olive oil, nuts, avocado) are fine as long as they are not over-consumed…

Does radiofrequency kill fat cells? The facts and the myths.

Does radiofrequency kill fat cells? The facts and the myths.

The fact is the properly applied STIMULATIVE radiofrequency / ultrasound cavitation can both lead to adipocyte apoptosis, i.e. programmed cell death of fat cells. This is fat cell death that gradually happens over days and weeks with a course of SAFE treatments provided under the pain threshold (less than 41-43ºC on the skin surface or 43-47ºC in the deeper skin layers). This ensures safety of all other tissues, except fat cells, and in fact also stimulates fibroblast (collagen cell) function, which leads to skin tightening, especially with RF.

For an impressive non-surgical butt lift, the upper buttocks must also be treated with RF

For an impressive non-surgical butt lift, the upper buttocks must also be treated with RF

Droopy, loose skin on the buttocks is common these days, due to literally “sitting on our butt” too many hours a day, due to yo-yo dieting and also due to other factors.

Not everyone wants to go through the dangers inherent with brazilian butt lift surgery (BBL). Neither it is a wise idea to go for fillers / liquid BBL, which are ridiculously expensive for a 6-month fix and can ruin the buttocks for several months or years if something goes wrong. So many people opt for three technologies: either radiofrequency, the largely inefficient and ineffective HIFU or the barbaric RF microneedling for a non-surgical bum lift…

How does radio frequency treatment feel? Is it painful?

How does radio frequency treatment feel? Is it painful?

What you will feel when you have proper, i.e. high-power, deep-acting, radiofrequency treatment is mainly deep heat. If RF is properly applied, with the correct protocol, the right treatment medium and proper equipment, the surface of your skin (epidermis) will feel warm, while deep skin layers (hypodermis and dermis) will feel very hot…

Does drinking water help with cellulite?

Does drinking water help with cellulite?

It’s official: according to a study published in The Lancet and detailed below, drinking lots of water throughout your life helps ward off body ageing and degenerative diseases - and their respective subsets: skin ageing and cellulite. Women should aim to drink 2-3 litres of water and non-caffeinated drinks and men should aim for 3-4 litres a day. Still or sparkling, makes no difference. Contrary to popular belief, sparkling water does NOT cause cellulite. But please do not count sugary/sweetened fizzy drinks, juices and juice drinks, as part of this advice.