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Comparing safety and efficacy of acoustic subcision at two different rapid acoustic pulse rates to improve the appearance of cellulite

The study compared the novel acoustic subcision device in its standard mode and a new, faster mode to determine if increasing the treatment rate would affect outcomes for improvement in the appearance of cellulite.

By Andrea Alstad | Oct 27, 2023

Cellulite is a common and bothersome aesthetic condition that historically has been challenging to treat. Acoustic subcision is a novel energy-based approach to cellulite treatment. In a recent study, the authors compared two rapid acoustic pulse rates to determine if the faster mode affects the treatment outcome.

The study, led by Brian S. Biesman, MD, FACS, is titled “Comparing safety and efficacy of acoustic subcision at two different rapid acoustic pulse rates to improve the appearance of cellulite.”  The study, published in Lasers in Surgery and Medicine (LSM), the official journal of the American Society for Laser Medicine and Surgery, Inc. (ASLMS), was selected as the October 2023 Editor’s Choice.

lsm23718-fig-0002-mThe study enrolled 15 female participants to receive the rapid acoustic pulse treatment on both the left and right buttock and thigh, with the same number of pulses on each side using either a 100 Hz or 50 Hz pulse rate. Both 100 Hz and 50 Hz treatments improved cellulite appearance, noted by blinded independent physician photo review, participant satisfaction ratings, and a significant reduction in Cellulite Dimple - At Rest scores.

“Delivering rapid acoustic pulses at 100 Hz has similar safety and efficacy to 50 Hz, producing meaningful improvements to the appearance of cellulite with minimal pain and high satisfaction among participants,” Biesman said. ”This study is important as it shows that acoustic subcision, a novel approach to cellulite treatment, can be performed more efficiently than initially reported while maintaining safety and efficacy.”

Dr. Brian Biesman is a renowned cosmetic and reconstructive eyelid and facial surgery expert specializing in minimally invasive techniques. He serves as a Clinical Assistant Professor at Vanderbilt University Medical Center and holds appointments in the divisions of Ophthalmology, Dermatology, and Otolaryngology-Head and Neck Surgery. Dr. Biesman also has his own practice in Nashville and actively engages in clinical research to evaluate new drugs and technologies for minimally invasive rejuvenation procedures.

Dr. Biesman is a member of and has served in leadership roles for professional organizations, including the American Society for Laser Medicine and Surgery (ASLMS), where he has served as Vice-President, President, and Laser Safety Officer. Dr. Biesman has received national awards from ASLMS and has been consistently named one of America's Best Doctors since 2004.

Editor’s Choice is an exclusive article published in LSM, the official journal of ASLMS. View the complete manuscript.

The American Society for Laser Medicine and Surgery, Inc. (ASLMS) is the largest multidisciplinary professional organization dedicated to the development and application of lasers and related technology for health care applications. ASLMS promotes excellence in patient care by advancing biomedical application of lasers and other related technologies worldwide. ASLMS membership includes physicians, surgeons, nurses, and allied health professionals representing multiple specialties, physicists involved in product development, biomedical engineers, biologists, industry representatives and manufacturers. For more information, visit


The American Society for Laser Medicine and Surgery, Inc. is the world’s largest scientific organization dedicated to promoting research, education and high standards of clinical care in the field of medical laser applications. It provides a forum for the exchange of scientific information and participation in communicating the latest developments in laser medicine and surgery to clinicians, research investigators, government and regulatory agencies, and the public.

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