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Streszczenie:
The purpose of the research was to evaluate the role of high frequency ultrasound in monitoring and efficacy assessment of anti-cellulite treatments. A group of 66 women used 3 different types of anti-cellulite treatments; additionally a placebo group (n = 18) was created. The μ-Scan ultrasound device with a 35 MHz mechanical probe was used for the examinations. The following parameters were subjected to the ultrasound evaluation: epidermis thickness, dermis thickness, dermis echogenicity, the length and area of subcutaneous tissue bands projecting into the dermis (dermis-hypodermis junction), as well as the presence/absence of edema within the dermis. As a result of anti-cellulite treatment, the length and area of dermis-hypodermis junction significantly decreased, and dermis echogenicity significantly increased. Ultrasound imaging made it possible to evaluate the efficacy of the applied treatments. The high frequency ultrasound is a useful imaging technique for the application in aesthetic dermatology and cosmetology.

Słowa kluczowe:
Aesthetic Medicine, Cellulite, Anti-Cellulite Treatment, High Frequency Ultrasound, Skin Ultrasound

Streszczenie:
Background
Cellulite affects nearly 85% of the female population. Given the size of the phenomenon, we are continuously looking for effective ways to reduce cellulite. Reliable monitoring of anticellulite treatment remains a problem.

Objective
The main aim of the study was to evaluate the effectiveness of anticellulite treatment carried out using radiofrequency (RF), which was monitored by classical and high-frequency ultrasound.

Methods
Twenty-eight women underwent anticellulite treatment using RF, 17 women were in the placebo group. The therapy was monitored by classical and high-frequency ultrasound. The examinations evaluated the thickness of the epidermal echo, dermis thickness, dermis echogenicity, the length of the subcutaneous tissue bands growing into the dermis, the presence or absence of oedema, the thickness of subcutaneous tissue as well as thigh circumference and the stage of cellulite (according to the Nurnberger–Muller scale).

Results
Cellulite was reduced in 89.286% of the women who underwent RF treatment. After the therapy, the following observations were made: a decrease in the thickness of the dermis and subcutaneous tissue, an increase in echogenicity reflecting on the increase in the number of collagen fibres, decreased subcutaneous tissue growing into bands in the dermis, and the reduction of oedema. In the placebo group, no statistically significant changes of the above parameters were observed.

Conclusion
Radiofrequency enables cellulite reduction. A crucial aspect is proper monitoring of the progress of such therapy, which ultrasound allows.

Słowa kluczowe:
anticellulite treatment, high-frequency ultrasound

Streszczenie:
Background: The development of ultrasonography allowed for skin imaging used in dermatology and esthetic medicine. By means of classic and high-frequency ultrasonographies, changes within the dermis and subcutaneous tissue can be presented.
Objective: The aim of this study was to show the possibi­lities of applying classic and high-frequency ultrasonogra­phies in esthetic dermatology based on monitoring various types of anti-cellulite therapies.
Methods: Sixty-one women with cellulite were assigned to two smaller groups. One group was using anti-cellulite cream and the second group was a placebo group. The ultrasound examin;ition was carried out before the initiation and after the completion of the treatment and evaluated epidermal echoes, the thickness of the subcutaneous tissue and the dermis, dermis echogenicity, the length and surface rea of the subcutaneous tissue fascicles growing into the dermis, and the presence or absence of edemas.
Results: After the completion of the treatment, a statistically significant difference was observed. The most useful para­meters were as follows: the thickness of the subcutaneous tissue, echogenicity, the surface area and length of the sub­cutaneous tissue, as well as the presence of edemas. The discussed changes were not observed in the placebo group.
Conclusion: Classic and high-frequency ultrasonographies are useful methods for monitoring anti-cellulite therapies.

Słowa kluczowe:
high-frequency ultrasonography - cellulite classic ultrasonography ultrasonography