Miyata Plastic Surgery / Skin Clinic
Japanese Society of Plastic Surgery Specialist Councilor of the Japan Society for Cosmetic Surgery (JSAPS) Councilor of Japan Laser Medical Society Member of Japan Society of Aesthetic Dermatology Member of the Japan Burn Association Member of the Japanese Society for Medical Hair Removal medical doctor
As we age, our basal metabolic rate declines, and even if we pay attention to our diet and exercise, we are unable to achieve a slimming effect. However, the medical slimming machine, SculpSure, is said to work on subcutaneous fat, which is difficult to improve with a normal diet, in just a few minutes regardless of age, leading to a tighter body line .
Scalp Shure reduces fat cells with the thermal energy of laser irradiation. Fat cells damaged by heat energy are metabolized and discharged outside the body, so they will not increase again. Therefore, the possibility of rebound is said to be low.
In order to obtain a satisfactory slimming effect with Scalp Shure, it is important to check in advance the number of treatments required, when the effect will appear, and the points to be aware of.
Scalp Shure is a medical slimming machine that can partially slim down, announced by a major American laser equipment developer in 2016 .
Aesthetic medicine includes slimming treatments such as cooling, high frequency (RF waves/radio waves), and HIFU. Scalpsure is a machine (external laser) that irradiates the laser from above the skin (outside the body) to heat the subcutaneous fat and damage the fat cells. In addition, for medical slimming machines that use lasers, the FDA (US Food and Drug Administration), which is the Ministry of Health, Labor and Welfare of Japan, has approved the effect and safety of reducing fat cells for the first time in the world.
Slimming machines that use lasers are divided into internal lasers and external lasers. The internal laser is a method in which a hole is made in the skin and a thin tube is inserted to irradiate the fat layer with the laser, which leaves a scar on the skin.
On the other hand, Scalp Shure, which is an external laser, irradiates the laser from the surface of the skin, so there is no burden on the skin.
Fat cells are damaged by being heated to a temperature of about 45°C for a certain period of time. Scalp Shure uses this principle.
Fat cells damaged by the thermal energy of the laser by Scalp Shure become dysfunctional and enter a state of cell death (apoptosis). Dysfunctional adipocytes are excreted from the body along with feces and urine over a period of about three months by macrophages, a type of white blood cell.
There is no effect on the liver during the excretion process, and there are no reports of complications such as fatty liver (a condition in which triglycerides accumulate in the liver) caused by scalp shure.
One laser irradiation time is 25 minutes. In the first 4 minutes, the laser is irradiated so that the subcutaneous temperature reaches 42 to 47 ° C, and then for 21 minutes, the laser is irradiated intermittently for 1 to 20 seconds while maintaining the temperature. Scalp Shure, which is equipped with a cooling system, cools the skin surface at the same time as laser irradiation, so it is said that pain caused by heat is reduced.
The higher the temperature, the greater the force acting on the fat layer, but the higher the temperature, the greater the burden on the skin. However, the subcutaneous temperature maintained by Scalp Shure is 42 to 47°C, and by irradiating heat energy that keeps the temperature below 50°C for 25 minutes, it creates enough heat to reduce fat cells. increase. Normally, if you continue to irradiate the laser for a long time, you are worried about the effect on the skin, but Scalp Shure irradiates while cooling the skin surface, so there is no big risk while affecting the fat layer, and it is safe. It can be said that it is expensive.
Scalp Shure attaches four 4 x 6 cm parts (applicators) to the area where you want to reduce fat and irradiates the laser. When the laser is irradiated, thermal energy spreads to the surroundings, so the area where thermal energy is transmitted is approximately 5 x 7 cm per applicator.
In order to install the applicator, attach the frame (attachment frame) to the part to be irradiated with the laser. At this time, 4 can be lined up to irradiate a single area over a wide area (20 x 7 cm, 10 x 14 cm, etc.), or 2 on each side of the flank (10 x 7 cm, 2 locations, etc.) You can also irradiate. Depending on the combination of attachments, it is possible to change the range of treatment and perform irradiation according to each individual.
Scalp Shure can treat multiple areas at once.
Irradiation under the chin (double chin) uses a dedicated applicator and attachment frame that are different from treatments on the body. The depth of heat energy reaches is shallow compared to the body, and the area where heat is transmitted is also narrow, so the risk of burns etc. is said to be low.
Scalp Shure acts on the fat layer by irradiating the laser, and the thermal energy also stimulates fibroblasts in the dermis layer. As a result, collagen and elastin are produced , reducing the thickness of the fat layer while giving the skin firmness and elasticity, leading to a youthful impression.
Immediately after the start of laser irradiation, the laser is absorbed by the fat cells, causing a sudden temperature rise, so you may feel a slight pain. In many cases, it is a sensation such as "tingling pain" or "feeling heat deep in the skin". However, the scalp Shure is equipped with a cooling function, and since laser irradiation and cooling are performed alternately, the pain is said to be minor.
Thermal energy is applied to the subcutaneous fat up to a maximum depth of 2 to 3 cm while protecting the skin surface with a cooling function. Scalp Shure has a temperature-regulating function that heats the fat layer to 42-47°C while avoiding the risk of burns and keeps it at a constant temperature that causes fat cell damage.
The irradiation power of Scalp Shure can be adjusted, so if you experience any abnormal heat or pain during the treatment, do not put up with it and immediately tell the doctor.
After the procedure, pain and swelling such as muscle pain may occur due to damage to fat cells, but it is said to subside in a few days to two weeks.
Scalp Shure reduces the thickness of subcutaneous fat by damaging the fat cells themselves with the thermal energy of the laser and metabolizing and excreting them.
In dieting and daily life, fat decreases or increases due to the reduction or enlargement of fat cells, and the number of fat cells does not change.
Fat cells store lipids and sugars taken in from meals as energy and supply energy to the body when needed. There are individual differences in the number of fat cells, and it is said that the obese type tends to have more fat cells than the lean type. Also, the number of fat cells will not decrease unless you undergo medical slimming treatment.
As you age, your basal metabolic rate decreases as you lose muscle mass. Therefore, it becomes difficult to maintain the same diet and amount of exercise as when you were young, especially in the upper arms, lower abdomen, flanks and thighs.
With age, collagen and elastin, which maintain the elasticity and firmness of the skin, decrease, resulting in wrinkles and sagging. Scalp Shure is said to be able to stimulate fibroblasts by irradiating a laser, produce collagen and elastin, and restore skin elasticity at the same time as slimming.
In order to irradiate the laser from the outside of the body with the external laser Scalp Shure to produce a slimming effect, a laser with a wavelength that meets the following conditions is used.
The near-infrared laser used in Scalp Shure meets these conditions.
At wavelengths that are easily absorbed by the black pigment of melanin and moisture, the wavelengths are absorbed before reaching the fat layer, so the heat energy does not reach the fat layer. The laser used in Scalp Shure has a wavelength of 1,060 nm, and has the advantage of being difficult to be absorbed by the black pigments such as melanin in the skin, the red pigments of hemoglobin, and the moisture of the skin .
The laser wavelength has the property of not reacting to anything other than the target, so it does not damage the surrounding tissue.
In aesthetic medicine, hair removal and blemish treatments are often performed using a laser with a wavelength that is absorbed by the black pigment of melanin. However, if the skin color is dark due to sunburn, etc., the laser wavelength reacts strongly and there is a risk of burns, so there are restrictions such as not being able to perform the treatment .
On the other hand, the wavelength of the Scalp Shure laser is not easily absorbed by the black pigment of melanin, so it is less affected by skin color and sunburn, making it possible to perform the treatment.
It is said that the effect of scalp Shure treatment begins to be felt about 3 weeks after irradiation, the effect peaks about 3 months later, and the average reduction rate of the fat layer is 24%.
Some people feel the effect after one treatment, but it is recommended to irradiate the same area 2 to 3 times every other month, and the effect can be felt after 2 to 3 treatments. It is said that there are many
The average reduction rate of the fat layer by Scalp Shure is 24% (about 80g) in 3 months. If you want a more slimming effect, it is said that treatment every other month is desirable because it is necessary to perform additional irradiation before the dysfunctional fat cells are completely discharged from the body.
There is no limit on the number of scalp Shure treatments. It is said that the more the number of treatments, the higher the slimming effect.
In addition to lasers, there are many medical slimming machines that can be expected to reduce fat cells that use energy sources such as fat cooling, HIFU, and high frequency (RF waves/radio waves).
It can be said that each machine has the same effect of damaging fat cells and eliminating dysfunctional fat cells from the body through metabolism, leading to slimming. In addition, the number of treatments, applicable parts of treatment, fees, etc. differ depending on the machine.
Scalp Shure treatment areas are mainly targeted to the body. On the other hand, many slimming machines that use high frequency or HIFU can approach the fat around the eyes and face line, and HIFU is said to be particularly effective for sagging.
Coolsculpting, which is often compared to scalpsure, is a medical slimming machine that cools the fat layer and destroys only fat cells without affecting other tissues or blood .
For cool sculpting, it is necessary to change the special applicator for each part to be irradiated, such as the upper arm, abdomen, and thighs, and irradiation is one part per treatment. Immediately after the treatment, a massage will be given to the frozen area.
Scalp Shure's applicator can be used without limiting the body shape, but cool sculpting irradiates while sucking the fat area, so it may be difficult to attach the applicator to lean or curved areas. I have.
It is important to consider the advantages and disadvantages of each slimming machine and perform the optimal treatment under the diagnosis of a doctor.
Fat mainly consists of visceral fat around the internal organs and subcutaneous fat that causes sagging under the skin such as the upper arms and waist. Visceral fat is easy to accumulate, but it is said that it can be easily improved by reviewing exercise and diet. However, subcutaneous fat is considered to be difficult to remove due to the structure of the human body, as it acts as a buffer material that softens external stimuli and shocks, and also acts as a heat insulator.
Scalp Shure is not intended to lose weight, but to reduce the thickness of subcutaneous fat and adjust the body line. Since fat has a lower density and a lighter specific gravity than water, it can be said that there is almost no change in body weight even if the number of fat cells decreases.
Scalp Shure is not applicable for treatment around the eyes and cheeks. Treatment on the face line can only be irradiated under the chin (double chin).
Scalp Shure is a machine that leads to slimming by discharging fat cells after cell death (apoptosis), so it is said that the body line does not change much immediately after the treatment. According to the results of clinical trials, the effect appears after about 3 weeks , so it can be said that immediate effect cannot be expected.
In some cases, you may feel the effect with one treatment, but it is usually said that a solid slimming effect can be obtained by receiving the treatment 2 to 3 times.
Immediately after irradiation, redness occurs due to laser irradiation and cooling for about 20 minutes. In addition, damage to fat cells may cause muscle pain-like pain, swelling, and internal bleeding, but it is said to subside in a few days to two weeks.
The price per area (irradiation area 5 x 7 cm) when 4 areas are performed once is about 7,500 yen to 16,500 yen .
There are several ways to apply the applicator. You can choose the area to be treated, such as the upper arm, flank, left and right thighs, etc.
Aesthetics are required in slimming treatment, and in the case of treatments such as Scalp Shure, once destroyed fat cells do not regenerate, and the area of fat reduction cannot be confirmed immediately after the treatment, the doctor assumes a slimming finish and irradiation. It can be said that it is necessary to perform Therefore, even with the same Scalp Shure treatment, the finish will differ depending on the doctor in charge.
In order to aim for a healthy and beautiful body line with scalp Shure slimming treatment, it is important to have a doctor who has a lot of experience in slimming treatment and is familiar with the properties of fat cells, muscle structure and skeleton .
Mr. Shigeaki Miyata, who supervised the article, taught me about Scalp Shure.
(1) Fill out the medical questionnaire
Write down what you want to consult, areas of concern, symptoms, etc.
(2) Body shape confirmation and planning
After the doctor's examination, the nurse will check your body shape and make a plan to reduce fat and what kind of body shape you want to achieve.
(3) Mounting the applicator on the machine
Attach 4 applicators directly above the area of concern. A total area of 7x20 cm can be treated, and it is also possible to divide the applicator into two on the left and right (2 places of 7 x 10 cm, etc.) and apply (other than under the chin). When the lamp that confirms contact with the skin lights up, the treatment starts.
(4) Start treatment
The treatment area will be heated for 25 minutes. The temperature rises in the first few minutes, and after reaching a certain temperature, the laser is irradiated to maintain the temperature. When the temperature rises, pain may occur, so adjust the output so that the high temperature can be maintained as much as possible without unreasonableness.
Scalp Shure treatment is a free medical treatment, so you will be responsible for the full amount. The treatment fee varies depending on the medical institution.
|area||1 time (tax included)|
|4 parts, total area of 140㎠||33,000 yen|
Introduction of supervising doctor
Dr. Shigeaki Miyata, director of Miyata Plastic Surgery and Skin Clinic, was one of the first to adopt laser skin quality improvement treatment, and currently owns more than 40 cosmetic medical machines. All treatments other than skin care, hair removal, and slimming are performed by the director himself. He presents many studies every year at academic conferences in Japan and overseas, and utilizes his wealth of medical knowledge and experience to establish joint development and treatment protocols with medical device manufacturers. He has written many books on aesthetic medicine, and is a leader in general aesthetic medicine as a plastic surgeon.
|Scalp Shure is an unapproved device by the Ministry of Health, Labor and Welfare.|
| Acquisition route of medical equipment: Acquisition route is personal import from the manufacturer by the doctor of the medical institution.|
About medicines to be careful about when importing for personal use (Ministry of Health, Labor and Welfare page)
|Approval in Japan: There is no device that has the same performance as Scalp Shure and has been approved in Japan.|
| Information on safety in other countries: The FDA (US Food and Drug Administration) in the United States has approved its efficacy and safety for fat loss.|
Side effects in this approval: tenderness/pain, nodule, swelling/swelling, hardness, redness/erythema, bruise