Pillar article

What is aesthetic ultrasound cavitation?

Long established in salons and clinics, cavitation is one of the non-invasive techniques used to reshape the body. Here is what it is, how sessions work and where its limits lie.

In short

Aesthetic cavitation is a non-invasive technique applying low-frequency ultrasound — typically tens of kilohertz — to the skin. It targets localised subcutaneous fat and body shape, is performed as a course of sessions and is not a substitute for weight loss.

Where the word comes from

In physics, cavitation is the formation of gas microbubbles in a liquid exposed to strong pressure changes. Ultrasound creates exactly those changes: very rapid cycles of compression and rarefaction. In aesthetics, “lipocavitation” or “low-frequency cavitation” uses this mechanical effect on the fat beneath the skin, without incisions or needles.

Cavitation, HIFU, cryolipolysis: not the same thing

TechniqueEnergyMain mode of action
Low-frequency cavitationUnfocused ultrasound (kHz)Mechanical (microbubbles)
HIFUHigh-intensity focused ultrasound (MHz)Concentrated thermal effect
CryolipolysisControlled coldFat cells' sensitivity to cold
RadiofrequencyHigh-frequency currentTissue heating

How many sessions?

There is no universal number: it depends on the device, protocol and area. Salon protocols usually involve a course of spaced sessions followed by maintenance. For AdipoXtrem, the manufacturer recommends 6 to 8 sessions, then one session every two weeks to once a month, as needed.

Does it hurt?

Cavitation is generally well tolerated. A buzzing sound or sensation may be noticed, particularly near bones. Warmth or tingling should be reported to the practitioner.

What the literature shows

Reviews of non-invasive body contouring list ultrasound among technologies used for localised fat. They emphasise the best-suited candidates — people close to their ideal weight with localised fat — and the heterogeneity of data between devices [1] [2]. Results published for one device cannot be transferred to another.

Key takeaways

  • Aesthetic cavitation uses unfocused low-frequency ultrasound.
  • It targets localised fat, not weight loss.
  • It is performed as a course of sessions with maintenance.
  • Evidence varies between devices: be wary of numerical promises.

Sources

  1. Ortiz AE, Avram MM. Noninvasive body contouring: cryolipolysis and ultrasound. Semin Cutan Med Surg. 2015;34(3):129-133. doi:10.12788/j.sder.2015.0171
  2. Alizadeh Z, et al. Non-invasive Body Contouring Technologies: An Updated Narrative Review. Aesthetic Plast Surg. 2024;48(4):659-679. doi:10.1007/s00266-023-03647-x

References identified via PubMed. For information only; not medical advice.


Read next: cavitation on AdipoXtrem · cavitation vs cryolipolysis

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