Shock Wave Therapy

Medical research has demonstrated the human body's capacity to renew and repair tissues damaged by age or trauma. For Golf&Turismo magazine, we clarify the techniques used in this field with Professor Carlo Tremolada, Scientific Director of Image Regenerative Clinic. To infiltrate only cells with high regenerative potential, adipose tissue must be harvested via syringe and undergo a specific mechanical microfragmentation process before being introduced where needed. Among various methods of harvesting and infiltrating cells from adipose tissue, Lipogems has demonstrated, through numerous independent scientific publications, to be a system that maximizes the potential of all regenerative cells involved in tissue repair and regeneration processes, without age or gender limitations. Compared to other techniques, Lipogems tissue maintains intact regenerative and anti-inflammatory cell potential for longer periods, remaining active even in elderly patients, with clinical results exceeding expectations across multiple applications. Sports In athletes, Lipogems tissue infiltration has demonstrated high anti-inflammatory potential, healing, and tissue regeneration following muscle, tendon, and ligament injuries, cartilage wear damage, fractures, and in treating osteoarthritic pain and back pain, which affect numerous professional and amateur athletes during and after their sports careers. Menopause and Gynecology In menopausal women, Lipogems has proven effective in resolving or alleviating various urogynecological conditions including vaginal atrophy and dryness, urinary incontinence, painful intercourse, chronic pain, and certain pelvic floor disorders. Aesthetics In aesthetics, regenerative medicine has achieved natural and lasting results for skin rejuvenation, using either Lipogems tissue infiltration alone or in synergy with other treatments and aesthetic surgical procedures. Lipogems utilizes both the regenerative properties of fat-derived cells - enabling natural and lasting results with post-treatment improvements - and their anti-inflammatory properties to accelerate scar healing, reduce redness, swelling, and post-operative pain. Osteoarthritis In osteoarthritis, the world's most common articular cartilage disease, the Lipogems method stimulates natural biological repair mechanisms, helping the body heal cartilage and halting osteoarthritis progression. Depending on disease severity, Lipogems tissue infiltration into the affected joint may help avoid joint replacement surgery. Lipogems is utilized daily worldwide for various conditions. The Lipogems method is a patent registered by Professor Carlo Tremolada, Scientific Director of Image Regenerative Clinic, certified by MedTech Outlook Europe as one of the top 10 Regenerative Medicine Clinics in Europe in 2023.

Summer is approaching, and the question remains the same: how to achieve toned and slim legs before swimsuit season? The solution lies in an integrated approach combining a healthy lifestyle with advanced medical-aesthetic treatments. While maintaining a proper low-sodium diet rich in fruits and vegetables, adequate hydration, and regular physical activity is essential, Image The Urban Medi Spa has developed a specific protocol combining three scientifically validated treatments for enhanced results. 1. Storz® Shock Wave Therapy: Acoustic waves stimulate natural repair processes through mechanotransduction. This process promotes blood circulation, dilation, and reconstruction of the venous-lymphatic microcirculatory system vessels. Cell membranes become temporarily more permeable, optimizing metabolic exchanges and reducing oxidative stress, resulting in firmer and more compact tissue. 2. Mesotherapy: Given the multifactorial etiology of PEFS (Edematous-Fibro-Sclerotic Panniculopathy), mesotherapy treatment comprises various substances injected into the mid-dermis, providing trophic action on microcirculation and promoting drainage, lipolysis, revitalization, and firmness of connective tissues. 3. Oxygen Ozone Therapy: This therapy improves blood circulation and cellular oxygenation, accelerating the body's repair mechanisms. It is particularly effective in treating cellulite caused by water retention and circulatory insufficiency, visibly reducing the orange-peel effect. The synergy of these three treatments constitutes the Perfect Legs Protocol, specifically designed to address cellulite in its various manifestations. The protocol targets the accumulation of fluids and fatty acids that compromise microcirculation in specific areas such as hips, thighs, and buttocks. For more information and personalized consultations, contact 02-76280736.

Shock wave therapy represents an innovative treatment for addressing cellulite at Istituto Image in Milan. "These are acoustic pressure impulses, similar to those used to break down kidney stones," explains Dr. Paolo Salentina, aesthetic physician at Istituto Image in Milan. "They are transmitted using a handpiece (V-Actor 200 Awt applicator) that is passed over the treatment areas. The impulses break down both the fibrous tissue causing cellulite and the adipose cell membranes. A complete cycle consists of 5-8 sessions." The treatment acts deeply on connective tissue structure, stimulating microcirculation and promoting excess fluid drainage. The mechanical energy of shock waves also promotes new collagen production, contributing to improved skin elasticity.

Stem cells and aesthetic surgery: medicine discovers how to apply them in anti-aging procedures. The topic was discussed in the magnificent 17th-century setting of Palazzo Visconti, in the frescoed honor hall with balconies that served as authentic music-listening boxes. Here, the conference 'Regenerative Aesthetic Medicine: Stem Cells - The New Frontier of Anti-aging' took place. In addition to the center's president, Marialuisa Trussardi, and the 'Dino Ferrari' association, Professor Carlo Tremolada and Professor Camillo Ricordi were present to introduce a program of unique but equally qualified interest: the application of stem cells. The first, a surgeon-scientist, and the second, a plastic surgeon, presented various applications with the support of a large screen. The conference highlighted how mesenchymal stem cells derived from adipose tissue, through Lipogems technology, can be safely and effectively utilized in regenerative medicine treatments. This innovative technology preserves adipose tissue integrity and its vascular network, providing a cutting-edge approach for anti-aging treatments and tissue regeneration.

Today we want to explore anti-cellulite mesotherapy and specifically a new product at our disposal. We discuss this with Dr. Salentina. What is cellulite? How to combat cellulite? To combat cellulite, it is essential to adopt a healthy and balanced lifestyle and implement a multi-step strategy. All steps are important: from nutrition to exercise, including the application of body creams. An integrated approach combining different therapeutic methodologies offers the best results. Mesotherapy Treatment Given the multifactorial causes of cellulite, mesotherapy treatment consists of different substances delivered to the mid-dermis through micro-injections. The aim is to generate a trophic action on microcirculation, promote drainage, lipolysis, and strengthen connective tissues. What is new about this mesotherapy? This is the first injectable device specifically indicated for cellulite treatment. It works by removing extracellular toxic agents deposited due to microcirculation alterations, which are a contributing factor in the genesis of cellulite. Can areas with laxity and sagging also be treated? In this case, I typically combine the action of polynucleotides, which interact with the dermal matrix increasing collagen release. My experience is not limited to common areas such as abdomen and gluteal regions but has extended with excellent results to toning inner arms, breasts, inner thighs, knees, and other areas.

An Additional Tool to Combat Orange Peel Skin Anti-cellulite massage is performed by combining various manual techniques. The objective is to combine mechanical-biochemical effects to achieve toning, drainage, and improved superficial and deep circulation to reduce orange peel skin appearance and alleviate lower limb heaviness typical during warm seasons. Anti-cellulite Massage: Phase 1 The massage is performed on the entire lower limbs, gluteal area, and trochanteric region, with possible extension to hips and abdomen. To combat cellulite, manual techniques progress from superficial to deep, increasing the treatment area temperature and promoting cellular exchange. Anti-cellulite Massage: Phase 2 The second phase focuses on mobilizing excess fluids toward main lymphatic and venous pathways. Rhythmic and deep effleurage techniques drain toxins and metabolic waste from subcutaneous and fascial layers. Effectiveness is achieved through the therapist's hand positioning and gravity assistance. The limb may be elevated during treatment to enhance fluid displacement and prevent stagnation. Anti-cellulite Massage: Phase 3 For Enhanced Effectiveness... The basal metabolism of massaged tissues remains accelerated post-treatment, especially when combined with physical exercise, proper nutrition, and professional cream application. To maintain continuous biochemical effects, daily application of a professional cream such as Zein Obagi Cellulite Control is recommended during the treatment period. Anti-cellulite massage is effective for early stages of cellulite and can be combined with other specific treatments such as shock waves and oxygen-ozone therapy, providing both therapeutic and relaxation benefits. Recommended Treatment Cycle For optimal results, two massages per week are recommended, complemented with home application of Zein Obagi Cellulite Control cream.

Melasma presents as brown patches or flat spots with irregular borders, darker than the skin tone, affecting the cheeks, temples, both sides of the forehead, upper lip, nose, and sometimes even the chest. It primarily affects darker phototypes, particularly olive complexions characteristic of Mediterranean countries, as well as those with family history. It is exclusively a cosmetic condition that often causes discomfort and embarrassment. Why Do Dark Spots Form? The etiology remains largely unknown, but it is hypothesized that excessive hormonal stimulation increases melanocyte activity, compromising their functionality and inducing overproduction of melanin transfer to keratinocytes in the basal layer or dermal macrophages. This results in the characteristic hyperpigmentation of dark spots. Due to its hormonal relationship, melasma is frequently associated with prolonged oral contraceptive use, irregular menstrual cycles due to estrogen imbalances, and pregnancy - hence its alternative names chloasma or pregnancy mask. However, despite the idiopathic nature of this condition, certain factors and behaviors can significantly exacerbate it. UV exposure, for example, intensifies hyperpigmentation: melasma tends to worsen, and in some cases initially appear, in individuals with frequent sun exposure or those who repeatedly expose themselves with insufficient or no protection. Other aggravating factors include autoimmune thyroid diseases and the use of certain photosensitizing medications such as hydantoin for epilepsy. While melasma tends to resolve spontaneously after pregnancy or discontinuation of oral contraceptives, in all other cases, systematic treatment is necessary for elimination, particularly as it tends to recur over time. Effective Solutions and Treatments At the forefront of tailored protocol development, Image Regenerative Clinic specialists have developed various combined therapeutic regimens for maximum efficacy. Treatment options always include customized topical home therapy formulated specifically for the patient, combined with one or more therapeutic modalities. Depending on the case, sessions range from 1 to 10 and can be performed throughout the year. (*) by Mathilde Bonetti, with consultation from Dr. Caterina Bristot

On iodonna.it dated January 29, 2020, Luciana Caramia interviews our Dr. Valeria Colombo about how to identify and eliminate cellulite. On iodonna.it dated January 29, 2020, Luciana Caramia interviews our Dr. Valeria Colombo about how to identify and eliminate cellulite. Publication iodonna.it Year 2020