case_images: PMC11210067_01
case_images: Case study 1. A 32-year-old female patient is shown at baseline (A-E), 6 weeks following the second of 2 rounds of CaHA/MFU-V treatment (F-J) at which time Targeted Verifiable Subcision (TVS) was carried out. Treatment markings for TVS are shown in K-O. The patient is shown 6 months after treatment with TVS (P-T).
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case_images: A 32-year-old female presenting with posterior and outer thigh skin laxity and cellulite depressions (Figure 1A-E) underwent 2 rounds of skin tightening, 5.5 months apart, to the outer and posterior thighs with microfocused ultrasound with visualization (MFU-V; Ultherapy; Merz North TVS to release cellulite depressions on her outer and posterior thighs (treatment markings are shown in Figure 1K-O). The patient opted to delay the release of her buttocks and some of her posterior thigh cellulite depressions until a later date. Figure 1P-T. For TVS, there were 2 entry points per side, one on the gluteal fold and the other on the outer thigh.
case_images: PMC11210067_02
case_images: Case study 2. A 40-year-old female patient at baseline (A-E) with treatment plan markings for Targeted Verifiable Subcision (TVS) (F-H). The patient was treated with TVS, and beginning at 7 weeks following TVS was treated with radiofrequency microneedling, administered as 3 separate sessions, 4 and 8 weeks apart. The patient is shown 5 months following treatment with TVS (I-M).
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case_images: TVS (Figure 2A-E) and with treatment plan markings for TVS (Figure 2F-H). The patient was treated with TVS, and after 7 weeks, the patient was treated with radiofrequency (RF) microneedling (Morpheus8; InMode, Inc., Irvine, CA), administered as 3 separate sessions, 4 and 8 weeks apart (Figure 2I-M).
case_images: PMC11210067_03
case_images: Case study 3. A 36-year-old female patient at baseline (A-C), with treatment markings for Targeted Verifiable Subcision (TVS) (D-F). The patient was treated with radiofrequency microneedling and TVS on the same day and is shown 6 months following treatment (G-I).
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case_images: A 36-year-old female patient presented with significant laxity and cellulite (Figure 3A-C). TVS (markings shown in Figure 3D-F) and RF microneedling (Genius; Lutronic Co., Korea) using the M49 dermal applicator on the same day, employing The goal for RF microneedling was to reach 40 to 60 mJ per pin, with the first pass at a depth of 2.5 mm and the second pass at a depth of 2 mm. The patient is shown 6 months following treatment (Figure 3G-I). This case is an important reminder that even patients with substantial laxity can be treated successfully.
case_images: PMC11210067_04
case_images: Case study 4. A 43-year-old female patient at baseline (A-C) and 6 weeks after liposuction and fat grafting (D-F). Ten months later, the patient received additional lipousuction, radiofrequency microneedling and Targeted Verifiable Subcision, performed on the same day, in that order. The patient is shown 7 weeks (G-I) and 1 year and 11 months postprocedure (J-L).
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case_images: TVS in the buttocks and posterior thighs (markings are shown in Figure 4D-F). The patient is shown 4 months after TVS in Figure 4G-I. This case is an example of a common phenomenon: patients are often bothered more by cellulite following augmentation.
case_images: PMC11210067_05
case_images: Case study 4. A 43-year-old female patient at baseline (A-C) and 6 weeks after liposuction and fat grafting (D-F). Ten months later, the patient received additional lipousuction, radiofrequency microneedling and Targeted Verifiable Subcision, performed on the same day, in that order. The patient is shown 7 weeks (G-I) and 1 year and 11 months postprocedure (J-L).
case_images: ojae031f4b.jpg
case_images: PMC11210067_05_ojae031f4b.jpg
case_images: ojae031-F4
case_images: TVS in the buttocks and posterior thighs (markings are shown in Figure 4D-F). The patient is shown 4 months after TVS in Figure 4G-I. This case is an example of a common phenomenon: patients are often bothered more by cellulite following augmentation.
case_images: Case study 5. A 48-year-old female is shown after liposuction, fat grafting, and abdominoplasty (A-C). One year and 8 months following the initial procedure, the patient was treated with Targeted Verifiable Subcision (TVS) in the buttocks and posterior thighs (markings are shown in, D-F). The patient is shown 4 months after TVS (G-I).
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case_images: The patient is shown after liposuction to the upper abdomen, upper back, and flanks; fat grafting to the buttocks (400 cc transferred to the right buttock and 400 cc transferred to the left buttock); and abdominoplasty (Figure 5A-C).