Body-shaping Clinic    Face & Body shaping - Calf & Ankle

Features of calf and ankle treatment
• Generally, the satisfaction rate after 1 treatment is high
• Bruise commonly occurs after the treatment of arms
• Permanent fat reduction is possible
• In case of thick fat of arms, generally, repeated procedures or combination treatment with low level laser or LL injection are needed

Features, advantages, and benefits of JD clinic`s cryolipolysis
• No worry of skin frostbite
We use self developed safe gel pad.
This safe gel pad have a utility model patent
• Knowhow and skills of more than 10 years and over 10,000 cases
• Long procedure time (65minutes, in case of arms and flank 60minutes)
• Procedures of many parts of body at one time (we have 16 machines, 32 pads).
2~3 persons can be received at the same time
• Daily routine inspection of the machine by Dr. Park
• Routine check up of operating state by staff during each procedure
• You can take a shower after the procedure
• The cryolipolysis machine that we use is ‘CLATUU360’ made in Korea

Cryolipolysis principles
• Cold-induced inflammatory cell death (-9~-10 degrees Celsius, Apoptosis)
• Causes death of subcutaneous fat cell without apparent damage to the overlying skin and surrounding structures
• Destroyed fat cells are removed by macrophages

Procedure Features of cyolipolysis
• Do not affect daily routines
• Multiple sites treatment at one session
• No anesthesia is needed
• Minimal pain and swelling

The conditions that need consultation before procedure
• Raynaud's phenomenon
• Cold urticaria
• Cryoglobulinemia
• Paroxysmal nocturnal hemoglobinuria
• If you have any diseases or medications you take, contact us by e-mail(water8660@naver.com) before visit

Sites of procedure
• arm (lateral, medial)
• neck (posterior)
• breast (male, female)
• around armpit(vertical,horizontal)
• abdomen (upper, middle, lower)
• back (upper)
• bra line
• flank (lateral, posterior)
• buttock
• thigh(anterior medial, anterior, lateral, posterior, posterior medial)
• knee (medial, upper)
• calf (medial, lateral)

Operation process
• Gel pads are attached to the treatment areas without anesthesia
• Cryolipolysis device applicators are attached on the gel pads
Suction pain may occurs at the beginning of treatment, but gradually disappears through 10 minutes • The procedure takes 60~65 minutes, with no massage

Time of procedure
• 60~65 minutes

Interval of procedure
• Same area: more than 1 month
• Other areas: any time

Number of procedure
• Depends on patient’s expectations

Progress after procedure
• 10~30% reduction of fat thickness after 3~6 months

Effect
• The procedure takes 60~65 minutes which leads to 10-30% permanent reduction of the fat cells on treated areas. Fat rich area like thigh or abdomen, visible effect may be small in spite of reduction of fat thickness
• Depending on the experiences and skill of doctors and procedure time, the final result and safety may be different clinic by clinic
• The time that patient or others recognize the effect is vary. Some patients recognize the effect after 15 days, others after 6month.
• We make judgement about the final result after 6month. Until 6 months, fat recuction is possible.
• Because a few month is needed for effect, we recommend you to be treated a few month before the time of effect that you hope.

Cautions after procedure
• Avoid warming (warm bath, sauna etc.) at the treatment area during at least 7 days, if possible during 1 month. The effect may decease.
• Avoid NSAIDs (for example, ibuprofen) during at least 7 days, if possible during 1 month. If needed, acetaminophen(for example, Tyrenol) is alright
Decrease of inflammatory reaction may lower the final effect.
• Daily routine warm shower, exercise is alright
• Light drinking is alight

Possible side effects and progress
• Transient redness due to sucking negative pressure similar to cupping after the procedure may persist about 1 hours (3~15 days)
• Bruise commonly occurs in case of arms and complete removal of bruise needs about 15 days
• Increase of sensation
- itching, pain
- resolve spontaneously (within generally 3 weeks, up to 2 months)
• Decrease of sensation
- Numbness: most common side effects
- resolve spontaneously (within generally 3 weeks, up to 2 months)
• Frostbite
- the most serious side effect
- but our clinic can prevent this side effect
• Paradoxical adipose hyperplasia
- 0.0051% or about 1 in 20,000 treated patients
- can appear 8 to 24 weeks post-procedure
• Morphea(scleroderma) – 1 case globally
• Hyperpigmentation
- if occurs, it resolves spontaneously within generally 4 weeks, up to 6 months
• Pain immediately after the procedure
- generally lasts 30minutes
• Pain at the treatment area 1~7 days after the procedure
- delayed posttreatment pain, neuropathic pain, 0.015%~15%
- mainly abdomen
- the pain usually lasts 2 to 7 days.
- can take acetaminophen(not NSIADs)
• Transient nausea, dizziness after the procedure

◈ Features
•Using fine cannula, we induce permanent fat cell death like the result of liposuction. There in no suction process
•Generally, we do this technique on the double chin fat, lateral cheek fat, nasolabial fat, inferior jowl fat, below ear fat. And we also on the arm, ankle and thigh immediately after the cryolipolysis for faster effect and more effect.
•We developed the procedure for better effect and less side effects than various liposuction techniques (actually no side effects until now)
•Local injection anesthesia is applied, so no worry about the side effects due to the sleep anesthesia.
•No incision scars or uneven result on the treatment area
•Daily routine activities are possible after the procedures though bruise and swelling on the treatment areas


◈ Areas and time of the procedures
• calf (medial): 60 minutes
• calf (lateral): 60 minutes
• around ankle: 60 minutes

◈ Pain during and after the procedures
•Almost no pain during the procedures but some pain after the procedures, but generally the pain after the procedures is controlled by icing


◈ Interval of the procedures
•Same areas : 4-8 weeks
(or after 6 month, because the final result appears after 6 months)
•Other areas : Any time


◈ Number of procedures
•Depends on patient`s expectations
•Generally 1~2 procedures


◈ Precautions
•Inform us that whether you have received filler injections.
•The solutions for fat destruction techniques contains hyaluronidase for reduction of swelling. Hyaluronidase dissolves the injected hyaluronic acid fillers. In that case, we make solutions without the hyaluronidase


◈Process of procedures
•1 step
Design of treatment areas
•2 step
local lidocaine injection and puncture with needle for cannula insertion.
•3 step
Insertion of solution using cannula for local anesthesia and promotion of fat cell death.
•4 step
Fat destruction using back and forth movements of cannula. There is no suction and no suture


◈Cautions after procedures
•After the procedure, we will put on the water proof band aid on the site of puncture. Keep the band aid for 24 hours. Be careful lest the water comes into the puncture site. Fixed with band aid, It`s alright to take a shower or wash your face after the procedure
•Avoid warming on the treatment area for about 1 month. We recommend also warm bath or sauna. Warming on the treatment areas may reduce the final effect or delay the time of effect


◈Progress after the procedure
•Nausea, dizziness immediately after the procedure
These occurs due to psychological factor or the ingredients of injected solutions. If it occurs, it gradually disappears through 1 hours

•Swelling on the treatment areas
Usually swelling persists about 3~7days. Application of ice pack fasten the reduction of swelling. We recommend cooling treatment areas as long as you can for 3 days

•Bruise
Bruise generally disappears through 15 days gradually. Cooling treatment areas is helpful. Bruise go down below the treatment areas due to gravity.

•Postinflammatory hyperpigmentation(PIH) on the puncture site:
It`s a very small pigmentation on the puncture site and disappears spontaneously and completely

•Hard nodules on the treatment areas
Infrequently, palpable hard nodules occur on the treatment areas and may persist over 1 month. This occurs due to inflammatory reaction and disappears spontaneously. Though NSIADs may fasten the resolution of hard nodules, we recommend not to take NSAIDs because that may reduce the final effect.

•Long lasting mild pain
Mild pain may persists over 1 month. Generally no medication is needed. But if you want, we recommend acetaminophen(not NSIADs)


◈Effect after procedure
Generally, after 1 month, you and others perceive the effect. The volume of treatment areas gradually will be shrunk until 6 months. But keep in mind that there is a difference person by person, site by site

◈ Features
• Using ultrasound, fat cells can be destructed specifically. Fat cells are killed by cavitation. Ultrasonic fat cell destruction shows permanent effect like liposuction or manual fat destruction methods.
• Generally, treatment area are face(inferior jowl fat, double chin fat, lateral cheek fat, nasolabial fat), arm pit, male breast, fat around knee, ankle or small local fat deposit area including arm, lateral thigh, abdomen.
• Large area treatment, generally, is not recommended for foreign patients. Area about 15cm diameter is treated
• Local injection anesthesia is applied, so no worry about the side effects due to the sleep anesthesia.
• Small incision scars, redness, hyperpigmentation may occur.
• Daily routine activities are possible after the procedures though bruise and swelling on the treatment areas

◈ Areas and time of the procedures
• Lateral portion of arm: 60 minutes
• Medial portion of arm: 60 minutes
• Cryolipolysis + LL (Lipolysis) solution injection+ fat destruction techniques (areas needed) : 120 minutes

◈ Pain during and after the procedures
•Almost no pain during the procedures but some pain after the procedures, but generally the pain after the procedures is controlled by icing

◈ Interval of the procedures
•Same areas : 4-12 weeks
(or after 6 month, because the final result appears after 6 months)
•Other areas : Any time

◈ Number of procedures
•Depends on patient`s expectations
•Generally 1~2 procedures

◈ Precautions
•Inform us that whether you have received filler injections.
•The solutions for fat destruction techniques contains hyaluronidase for reduction of swelling. Hyaluronidase dissolves the injected hyaluronic acid fillers. In that case, we make solutions without the hyaluronidase

◈Process of procedures
•1 step
Design of treatment areas
•2 step
local lidocaine injection and puncture with needle for cannula insertion.
•3 step
Insertion of solution using cannula for local anesthesia and promotion of fat cell death.
•4 step
Fat destruction using ultrasound.
•5 step
1~2 point suture for minimization of scars. Suture removal is needed 5~7 days after the procedure.

◈Cautions after procedures
• After the procedure, apply the water proof band including small gauze. Fixed with water proof band aid, washing and shower is alright. If the band aid is blood stained, exchange with a new one.
• If water seeps beneath the band aid, exchange with a new one.
• Avoid warming on the treatment area for about 1 month. We recommend also warm bath or sauna. Warming on the treatment areas may reduce the final effect or delay the time of effect.
• If doctor recommend compression garments, pu it on for recommended period.

◈Progress and possible side effects
• Nausea, dizziness immediately after the procedure
These occurs due to psychological factor or the ingredients of injected solutions. If it occurs, it gradually disappears through 1 hours
•Swelling on the treatment areas
Usually swelling persists about 3~7days. Application of ice pack fasten the reduction of swelling. We recommend cooling treatment areas as long as you can for 3 days
•Bruise
Bruise generally disappears through 15 days gradually. Cooling is helpful. Bruise go down below the treatment areas due to gravity.
•Redness and postinflammatory hyperpigmentation(PIH) on the incision site:
Redness may persists 7days~3month and PIH may persists 7days~6month
•Scars on the incision site
•Irregular surface
•Hard nodules on the treatment areas
Infrequently, palpable hard nodules occur on the treatment areas and may persist over 1 month. This occurs due to inflammatory reaction and disappears spontaneously.
•Long lasting mild pain
Mild pain may persists over 1 month. Generally no medication is needed.
•Numbing sensation at the treatment area
Numbing sensation may occur and persists until 4 month

◈Effect after procedure
Generally, after 1 month, you and others perceive the effect. The volume of treatment areas gradually will be shrunk until 6 months. But keep in mind that there is a difference person by person, site by site

◈ Features, Principles
•LL solution is a drug mixtures with 10 years of Dr. Park`s research and experience
•We do not recommend LL solution monotherapy generally, because there is low possibility of ‘permanent’ effect when LL solution alone is injected.
•But combination with cryolipolysis, LL (Lipolysis) solution injection shows synergistic effect.
•The principles of LL solution are osmosis and cell membrane potential difference
•LL solution injection immediately after cryolipolysis fasten the time of effect and induce more lipolytic effect
•500ml of solution injected at one time (maximum volume per day)


◈ Areas and time of the procedures
•Only 1~2 site injection is possible (for example, upper+lower abdomen, lower abdomen+both lateral thigh, both lateral arm+both flank etc.)
•Time: 10 minutes using infusion pump


◈ Interval of the procedures
•Recommend combination treatment with cryolipolysis


◈ Pain during and after the procedures
•There is almost no pain when injected immediately after cryolipolysis


◈ Number of procedures
•Recommend combination treatment with cryolipolysis


◈Side effects
•For maximum effect, we mix maximum amounts of medications in 500ml solution. Most people show no side effects. But few patients show nausea or dizziness after injection and that symptoms subside with time spontaneously


◈Progress after the procedure
•The swelling due to injection gradually disappears through 6 hours
•Because 500ml solution injection cause swelling on the injection sites, we recommend you wear comfortable, roomy clothes.

Treatment area
• fat around armpit (anterior, posterior)
• fat around knees (medial, upper)
• double chin
• other fat rich area

Injection volume(Dose)
2~3 vial per 1 treatment

Procedure
• Injections 1cm apart on the double chin area

Treatment time, interval, number of times
• Treatment time: anesthetic cream 40 minutes + treatment 30 minutes
• Treatment interval: 4-6 weeks
• Number of procedures: 1 to 3 times (up to 6 times)
• Maximum treatment dose: Up to 5 vials a day can be injected

Contraindication
• possible pregnancy or pregnancy and a person who is breastfeeding
• children and adolescents under the age of 18
• infection at the treatment site
• infection at the treatment site
• If you have any diseases or medications you take, contact us by e-mail(water8660@naver.com) before visit

Cautions after procedure
• Immediately after the procedure, symptoms such as swelling, pain, itching, redness, and burning sensation appear.
• For those who are worried about pain or itching, acetaminophen (such as Tylenol) and antihistamines are prescribed prophylactically.
• To relieve pain and itching, a ice pack applicaton at the treatment area can be helpful
• If you have any questions, please contact us via e-mail.

Progress and possible side effects
①Local side effects
• The burning sensation and itching occurs immediately after the procedure [usually lasts 3 to 5 days],
• erythema [redness - usually lasts 3 to 5 days]
• Swelling [edema - usually lasts 3 to 7 days]
• Feeling of skin tightness
• Bruise [It usually resolves after 2 weeks]
• Itching
• Sensory abnormality, usually numbing sensation
• Hematoma [usually resolves after about two weeks]
• Pain [appears in various degrees, it may occur not only at the injection site but also below the injection site, usually lasts 3 to 5 days],
• Inflammatory nodules [lumpness- resolves through about a month gradually]
• Skin necrosis [if the injection is done in the epidermis or excessive pressure is applied to the treatment area, etc.,]
• Hyperpigmentation [If it occurs, it disappear after 1 to 12 months]
• Panniculitis caused by infection
• New angiogenesis
• Neural damage, muscle paralysis [caused by nerve damage, can last about 44 days on average, sometimes up to 300 days]
• Difficulty in swallowing food, On average, it lasts about three days, but can last up to three months.)
• Hair loss at the injection area [The time and duration of symptoms vary from patient to patient, and the possibility of permanent hair loss should be considered]
②Systemic side effects
• Headache
• Nausea, vomiting
• Syncope
• Allergic reaction
• Anaphylaxis
• Elevation of blood pressure

Generally, The shape of calf is determined by 80% of muscles and 20% of fat.
If you want noticeable change, botulinum toxin injection is essential.
But the ratio of fat and muscle is differ from person to person.


◈Process of procedures
•Design
•Injection of botulinum toxin (about 15 points at one calf muscles)
•No anesthesia

◈The amout of units of botulinum toxin
•200 units

◈Time of the procedures
•30minutes

◈ Interval of procedures
•6 month

◈Possible side effects
•Difficulties in exercises or daily routines using calf muscles
•Pain and discomfort
•Swelling and bruise
•Uneven contour of calf

◈ Features of iLipo Ultra (low level laser)
• Non-invasive treatment that does not affect daily routines.
• Creates a temporary hole in the fat cell, cause the fat in the fat cell to leak, induce lipid peroxidation and cause damage to the fat cell membrane.
• However, low-level laser alone does not cause permanent fat cell death.
• The waist circumference is reduced by 1 to 2 inches after 12 procedures generally.
• No pain and downtime.
• Uses a wavelength of 650 to 660 nm.
• Can return to your daily life immediately after the procedure.

◈ Treatment area and time
• Low-level laser only: 40 minutes
• When combined with cryolipolysis: 40 minutes + 65 minutes = 105 minutes required
• Maximum 4 pads treatment (e.g., upper abdomen + lower abdomen + outer thigh + inner thigh) is possible at one session.

◈ Pain during and after the procedure
• There is no pain during and after the procedure. There is just warm sensation at the treatment area.

◈ Anesthesia
No Anesthesia is needed

◈ Interval and number of procedures
• Low level laser only
- We recommend twice a week during six weeks. The number of total treatments is 12 times.
• When combined with frozen lipolysis.
- We recommend more than one month interval.

◈ Procedure process
• 1st step
Design the treatment area.
• 2nd step
40 minutes with a low-level laser pad attached.

◈Effect
• When performing the procedure with a low-level laser alone.
Generally, 12 times procedures reduce the waist circumference by 1 to 2 inches.
• Cryolipolysis + low level laser
Faster and more fat thickness reduction than each single procedure.