Endermology versus Unison – why do 4 treatments beat a series of 20 sessions?

Find out the facts about endermology and BTL Unison. View the clinical trials and results, and choose an effective treatment.

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You can sweat buckets during your workouts, spend a fortune on firming lotions and book a course of a dozen or so vacuum massage sessions. The truth is brutal: if cellulite Once the tissue has become fibrotic, simply draining the excess fluid will only mask the problem for a few dozen hours. Your fat cells will remain trapped within a rigid corset of connective tissue, and the swelling will return after your first sleepless night. You have a simple choice: to waste months on treatments that offer nothing but temporary smoothing, or to tackle the root cause of the problem head-on and bring about a lasting restructuring of your body’s tissue architecture.

Endermology for cellulite and oedema: why do diet and exercise fail?

Cellulite It is not a superficial cosmetic flaw that you can get rid of simply by cutting your calorie intake. It is a chronic oedematous-fibrous condition of the subcutaneous tissue.

When microcirculation slows down, and the intercellular spaces turn into a metabolic waste bin. Retained water and toxins cause oedema, which compresses the capillaries. Deoxygenated fat cells (adipocytes) they start to clump together.

Over time collagen scaffold It stiffens. The fibres lose their elasticity and pull the epidermis downwards, creating characteristic unevenness. You can’t burn off this stiffened armour through cardio training alone. This is where endermologie – a treatment aimed at mechanically breaking up blockages and attempting to restore proper circulation in the body’s tissues.

What does an endermology treatment involve? How vacuum massage works

Endermologie It is not a relaxing massage. It is a treatment based on the phenomenon of mechanotransduction, that is, the induction of a biological response through a controlled physical stimulus.

Specialist head It draws in a fold of skin using negative pressure, whilst independently driven rollers massage the tissue at various depths. A stretchy bodysuit is required for the body treatment to protect the skin from being pulled taut and to prevent bruising.

The physiological response to vacuum massage includes:

  • Stimulation fibroblasts for the production of new collagen and elastin.
  • Mechanical stretching of stiffened connective-tissue septa.
  • Restoring lymph flow and draining accumulated oedematous fluid into the lymph nodes.
Endermologie

Endermology – results you can realistically expect

A properly planned course of treatment yields measurable biological results:

  • Reduction of water-based cellulite – the removal of excess fluid and an immediate feeling of lightness in the legs.
  • Smoothing out unevenness – mechanical softening of superficial areas of connective tissue hardening.
  • Firming of loose skin – improving the firmness of the abdominal or thigh skin, particularly after pregnancy or weight loss.
  • Tissue firming and oxygenation – restoring the skin’s healthy colour thanks to improved blood circulation.

How many endermology treatments are needed, and why is a single session a waste of money?

A single endermology session reduces superficial swelling for around forty-eight hours. Lasting results require strict discipline:

  • Treatment record: Between 10 and as many as 15–20 sessions, repeated regularly 2–3 times a week.
  • Reminder sessions: At least 1–2 sessions a month to prevent lymphatic congestion from blocking the tissues again.
  • Hydration guidelines: Drink at least 2–2.5 litres of water a day. Without this, the released metabolites put a strain on the kidneys, and the swelling returns as soon as the course is finished.

Endermology – contraindications and limitations of the procedure

Despite its non-invasive nature, the intensive use of negative pressure means that some patients are not suitable for the treatment. The main contraindications are:

  • Active cancer and acute systemic infections.
  • Deep vein thrombosis and advanced varicose veins.
  • Taking blood-thinning medication.
  • Severe rosacea and extreme fragility of the blood vessels.
  • Fresh dermal fillers and tissue stimulators in the treatment area.
unison

The end of the ‘20-repetition’ era – why do conventional training methods fall short compared to BTL UNISON technology?

Endermology is popular, but it has a fundamental limitation: is based solely on mechanics. It requires you to buy a bodysuit, set aside time for 15 to 20 sessions and repeat the procedure regularly to ensure the results last. You waste time and money, with no guarantee that the cellulite will disappear permanently

A breakthrough brings BTL UNISON – a world leader in the treatment of cellulite, holding a prestigious FDA medical certificate. Rather than dragging the treatment out over months, the device combines two powerful energy sources in a single applicator: monopolar radio wave and a directional sound wave. Both forces act on the tissue in the same fraction of a second, simultaneously eliminating the five main causes of cellulite.

Procedure parameterClassic endermologyBTL UNISON (Wellclinic)
Mechanism of actionExclusively mechanical vacuum massageMonopolar radiofrequency + Acoustic wave
Number of treatments in a course10–20 treatments1 - 4 treatments
Frequency of visits2–3 times a weekEvery 7–14 days
Duration of the procedure45 minutes15–45 minutes (just right for a lunch break)
The need for a jumpsuitRequiredUnnecessary (conductive gel)
Effect on fat cellsFluid drainage onlyThermal reduction of adipocytes and the breakdown of fibrosis
SeasonalityAll year round100% all-year-round (does not make the skin more sensitive to the sun)

How does BTL UNISON work? A synchronised approach to tackling the 5 causes of cellulite

Traditional treatments are selective. BTL UNISON It is the first technology in the world to tackle all five biological causes of the problem simultaneously:

  1. It reduces the volume of enlarged fat cells.
  2. It repairs damaged collagen fibres.
  3. Restores the skin’s lost elasticity.
  4. It improves blood flow and oxygenation of the tissues.
  5. It clears lymphatic congestion by removing toxins.

1. Monopolar radio frequency (RF)

It raises the temperature in the dermis and subcutaneous tissue to 40–45°C in just 90 seconds. For the remainder of the treatment, the process works to bring about genuine tissue remodelling. The overheating of the tissues causes slack collagen fibres to contract and triggers the synthesis of new collagen and elastin. Adipocytes They deplete stored fat reserves, and their number decreases. The skin becomes thicker, firmer and resistant to sagging.

2. Directional acoustic wave

Introduces connective tissue into powerful mechanical vibrations, ruthlessly breaking down the rigid fibrous strands that form the orange peel texture. Shock waves They break down the membranes of fat cells, accelerating lipolysis. At the same time, microcirculation and lymphatic drainage are rapidly stimulated, which immediately removes the released fat from the body.

The procedure: clinical comfort and absolute safety

A gentle conductive gel is applied to cleansed skin. The beautician moves the treatment head in smooth, circular motions. The treatment is completely non-invasive and pleasant – you feel intense heat, similar to a hot-stone massage, as well as gentle vibrations.

An innovative feature ensures your safety Smart Touch– the system immediately and automatically stops the energy output the moment the applicator loses full contact with the skin, thereby eliminating the risk of burns.

The treatment lasts between 15 and 45 minutes, requires no recovery time and does not make the skin more sensitive to the sun. Treatment areas, which you can take care of are: stomach, love handles, whole legs, breeches, buttocks, arms, back.

unison

Solid evidence from clinical trials and FDA certification: 93% efficacy

Effectiveness BTL UNISON is not based on marketing claims, but on clinical trials published in Journal of Cosmetic Dermatology (Fritz K., Salavastru C., Gyurova M., 2018):

  • 93% female patients Those who took part in the study achieved a significant, objective reduction in cellulite.
  • The greatest improvement was observed in people with advanced fibrotic cellulite.
  • The average reduction in hip circumference was 2.31 cm, and the circumference of each thigh – 2.13 cm without resorting to restrictive diets or changes in body weight.
  • Imaging Ultrasound scan confirmed a thickening of the dermis alongside a reduction in the thickness of the subcutaneous fat layer.
  • Thermal imaging studies have shown complete homogenisation of the tissues, which provides clear evidence that normal blood supply to the cells has been restored.

Endermology and UNISON – a summary of the differences and results

Every body reacts differently. For one person, the problem may be water retention and sagging skin; for another, it may be hard, stubborn lumps of cellulite. That is why, during a consultation at Wellclinic, we do not make guesswork. We carefully assess the severity of the condition, the thickness of the fat tissue and the condition of your skin.

It is only on this basis that we select the BTL UNISON settings and tell you straight away whether this treatment will deliver the results you’re hoping for. If we decide that another method will work better – we’ll tell you straight out. However, if you’ve had enough of endless drainage treatments and are keen to achieve lasting body contouring, book an appointment for a consultation at Wellclinic. We’ll draw up a plan tailored precisely to your tissues, before any unevenness becomes permanent.

Sources:

  1. PubMed „Clinical evaluation of simultaneously applied monopolar radiofrequency and targeted pressure energy as a new method for the non-invasive treatment of cellulite in post-pubertal women” https://pubmed.ncbi.nlm.nih.gov/29524305/
  2. Wiley Online Library „Clinical evaluation of simultaneously applied monopolar radiofrequency and targeted pressure energy as a new method for the non-invasive treatment of cellulite in post-pubertal women” https://onlinelibrary.wiley.com/doi/10.1111/jocd.12525
  3. U.S. Food and Drug Administration (FDA) „510(k) Premarket Notification K171911: ”BTL-899 System for Cellulite Reduction and Pain Relief’ https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K171911
  4. PubMed „”Mechanotransduction in skin biology: Physical force-induced activation of hyaluronan synthase and neocollagenesis”
    https://pubmed.ncbi.nlm.nih.gov/33804821/
  5. PubMed „Simultaneous application of monopolar radiofrequency and targeted ultrasound to stimulate the production of hyaluronic acid, collagen and elastin in human skin” https://pubmed.ncbi.nlm.nih.gov/38321685/
  6. PubMed „Non-invasive body contouring and improvement of skin laxity in the abdomen and arms using combined energy modalities”
    https://pubmed.ncbi.nlm.nih.gov/35213904/

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