360º body contouring through combined techniques

By PFMA News Journal

The worldwide demand in Body Contouring is in constant increase. This growth is expected to reach +14.7%[1] a year until 2022. Today, patients are looking for non-invasive and custom aesthetic procedures with no downtime. They want a global body treatment for a natural and harmonious result.

Years of experience in aesthetic medicine leads me to understand that to get the best possible results, treatments have to be combined. It is rare for the fat element to be the sole culprit in some unsightly forms. Oftentimes, saggy skin or muscle is also present.

360º Body Contouring is a new figure treatment approach in aesthetic medicine that allows a redefinition of the body contours in a targeted and harmonious manner. For the first time in figure treatment, it is possible to treat all these elements: adipocytes, muscles and skin.

This request is for men and women of all ages willing to tone their figure and strengthen their muscles.

The first step: fat. To redefine our patients’ figure and eliminate unsightly fat deposits. To this effect, I studied a cryolipolysis device equipped with 4 handpieces, thanks to which it is possible to treat global areas. For example, it is possible to treat love handles and the superior part of the stomach, or even the inner and outer thighs in one session.

Let’s not forget that this technique allows the reduction of fat deposits. The coldness crystallises adipocytes and triggers the apoptosis process. Macrophages eliminate the crystallised fat cells, which will be permanently evacuated through the lymphatic system. Once freed of this excess of adipocytes, the body progressively transforms over the following weeks until the final results are reached within 2 months. It is important to explain to the patients clearly that the improvement in the figure changes with time.

I recommend to follow a healthy diet so as to not go against the results.

This treatment is suitable for men and women of all ages suffering from localised fat deposits. A session lasts between 45 and 90 minutes according to the protocol used. One to three sessions per area with two months interval are necessary according to the volume of the fat deposits and the patient’s response to treatment.

The efficiency of cryolipolysis has been proven by the multiple clinical studies on the topic. However, this technology only works on the fat cells and must be combined with other techniques to get a global redefinition of the body.

The second step: muscle. The high intensity electromagnetic stimulation is one of the latest innovations in body contouring.

This technology uses a focalised electromagnetic field. Its intensity is measured in Tesla and is based on the Faraday electromagnetic induction law. The electromagnetic field goes through the body in a non-invasive and non-ablative manner. It interacts with the motor neurons to trigger forced muscle contractions. Unlike voluntary muscle contractions, these forced contractions are independent from the brain function and way more efficient. These contractions will increase the volume of the existing muscle fibre and create muscular hyperplasia, to then develop the muscle mass over the treated area.

This technique is different from simple electrostimulation as we know it because of its intensity. Four to six sessions of 30 minutes are recommended with one to two weeks interval according to the muscle soreness suffered by the patient after treatment.

This technology tones and strengthens muscles and the figure is more defined and harmonious.

The third step: the skin. Once the fatty tissues and muscles have been treated, the skin must also be worked on to perfect the results. Various technologies are available for this purpose, that tighten the skin and reduce cellulitis. HIFD (High Intensity Focused Diode) and radiofrequency devices are some of these technologies.

The high intensity diodes’ infrared thermal energy stimulates the fibroblasts to induce the neocollagenesis process. At the same time, the modular aspiration stimulates the fibroblasts through mechanical stress and stretches the septa to reduce the appearance of cellulite considerably.

Six to eight 30 minutes sessions twice a week are recommended. A minimum of 72 hours must be followed between sessions to give time to the patient’s skin and body to recover properly.

Today, body contouring must not be seen as a single choice of technology according to the application but rather as a 360º treatment plan taking all the elements necessary for a harmonious figure in order to reach durable global results.

Convincing results for our patients will only be obtained through a combination of these techniques.

[1] AESTHETIC INSIGHT – August 28, 2018

Doctor Jean-Marc ADDA

Aesthetic & Laser Praticien

55 Bd Jean Jaurès, 92100 Boulogne Billancourt FRANCE



  • 20 years of experience in aesthetic medicine
  • Former internship in Paris hospitals
  • Winner of the Faculty of Medicine in Paris
  • Graduated from the European Inter-University Diploma of Medical Laser
  • Graduated from the National College of Aesthetic Medicine
  • University Diploma of Face Injection with Aesthetic Aim
  • University Diploma Evaluation and Control of Injection and Filling Techniques in Dermatology and Plastic Surgery
  • University diploma of Mesotherapy
  • University degree in Medical Expertise
  • Member of the French Association of Aesthetic Medicine
  • Member of the Aesthetic Medicine and Mesotherapy Association