Trish: Hey well I’m here again with Professor Glen Calderhead who is from Clinic El Dermatology which is based in South Korea and we’re going to talk about another one of the electronic devices, today we’re going to have a little talk about the enCurve, and then we’ll have a bit of a chat of how it fits in with the Healite. What that actually is for people who don’t know, the enCurve is actually a body contouring device for want of a better word and the Healite is an LED light treatment service. We’re gonna get a whole lot of info from Professor Calderhead about this, so thank you so much for joining us today.
Glen Calderhead: Great pleasure as always.
Trish: Lovely, so look I’ve seen the results that the enCurve has done and I don’t get how it can actually work because it doesn’t touch the body so tell us what is the enCurve and it’s a bit of a game changer from what I can understand.
Glen Calderhead: Yes. The enCurve is part of a group of systems called “Field Radio Frequency” Most people associate radio frequency with a contact type system, it’s normally used for wrinkle reduction, for skin laxity, et cetera, et cetera. It’s a completely different animal. Conventional radio frequency relies on the conductivity of the skin and as Joule told us many, many, many years ago, when you pass electricity through a substance, and it meets resistance, it creates heat and that’s how normal radio frequency works. Radio frequency sounds like it should be radio waves or something highly science fiction like. In fact, it’s just electricity. If I take a cable that’s connected to a mains electric socket in your home, and plug it into your body, you’ll not be very happy. In fact, you’ll probably die.
Glen Calderhead: Because the frequency is very, very low. It’s 60Hz. 60 cycles per second. It was found in 1927 that if you cycle that at 200KHz, that’s 200,000 hertz. That’s 200,000 cycles per second, electricity can pass through the body without disrupting nerve tissue, As it passes through it creates heat and that was the beginning of the electrosurgical system. With non-contact field radio frequency, the enCurve, the frequency is even higher still. It’s actually 27.12 Mega Hertz, which is very, very fast. When you look at the enCurve system you will see an applicator. This is gently curved to kind of match the contour of the abdomen because that’s the primary target, then there are two little wings on either side that can be folded down to engage the flanks, so the whole area is covered with this applicator. The radio frequency electrodes are embedded in the applicator. As they generate this high frequency current, it develops a field, an electromagnetic field, fast oscillating that extends down from the radiator, the delivery head.
So you place that about one centimetre above the tissue. The interesting thing is that at this frequency, it doesn’t work anywhere like normal radio frequency. It works on a principle called Dipole heating.
Trish: How do you spell that? D?
Glen Calderhead: D I P O L E.
Glen Calderhead: When you get two little atoms beside each other, one positive, one negative, they form a little unit. Dipole. Two poles, positive and negative. In for example copper wire, all the dipoles are arranged nose to tail, nose to tail, nose to tail and that’s a conductor. Skin also has dipoles and they’re fairly well organised so yes, skin is a conductor of electricity. Fat on the other hand is not a conductor, fat is a dielectric and it has all its dipoles haphazardly arranged so that electricity does not pass through fat easily. However, this high, high frequency attracts these dipoles and as the frequency changed cycles 27.12 million times a minute, the wee dipoles rush around trying to match the polarity of the incoming radio frequency energy.
This means that they bump off each other, they bash off each other, they move around, they create kinetic energy only in fat, not in skin, not in nerves, not in blood vessels, not in muscle. So this selectively heats up fat, because as they’re bashing around, they generate kinetic energy, and kinetic energy generates heat.
Glen Calderhead: So we want to get the temperature in the fat above 43 degrees celsius. 43 degrees celsius is a borderline, above which cells will go into programmed cell death called apoptosis. If we compare contact radio frequency with two of the other methods of fat reduction, which are, Hifu, high intensity focused ultrasound and Cryotherapy, which is cryolipolysis where we freeze the fat cells. The first one generates heat and destroys the fat cells with the heat. The second one chills then freezes the fat cells, when they thaw they are dead. So they release all their triglycerides into the extracellular space, this can put a little bit of a load on the liver because the liver gets rid of the excess fat that’s rushing around the system. In the case of enCurve, this happens very gently.
Glen Calderhead: That’s why we call it apoptosis induced non contact field radio frequency. So they die but they die gently and this means that the slow exodus of fat into the lymphatic system doesn’t put a load on the liver. We’ve done a number of pre clinicals to make sure that this is correct.
Trish: That’s probably what makes it a little bit different to other body contouring devices on the market, so it’s a bit more gentle on the body.
Glen Calderhead: Bit more gentle on the body, it’s gently warm, with Hi Fu it can be a little bit painful.
Trish: Ouch I’ve had it done, very painful.
Glen Calderhead: Cryo also, the thing is this applicators have to be moved around the skin whereas with the enCurve it covers the whole abdomen and flanks in one fell swoop.
Trish: And you can just lie there watching a movie on your phone.
Glen Calderhead: Lie there watch a movie on your phone or listen to music or go to sleep. A lot of patients go to sleep.
Trish: Of course, yeah. Be warming.
Glen Calderhead: It’s a 30 minute treatment.
Trish: Alright so what sort of training to the enCurve practitioners require, how can patients be sure that a practitioner has had sufficient training in the enCurve device to ensure that minimum risk is obtained and maximum result.
Glen Calderhead: Well in Retronic we take our training very seriously. Here in Australia we’re very lucky to have Advanced Cosmeceuticals as our distributor. They take that training equally seriously, they come on out to Korea and they’re trained up and then they come back here to Australia and then they do the training for their prospective purchasers so that we make sure that everybody gets exactly what’s required. The nice thing about enCurve is, you don’t need a degree in science to run it.
Trish: It’s almost switch on the button.
Glen Calderhead: Set it up at the right distance, make sure that it’s not touching the skin, make sure it’s not too far away and then make sure that you’ve blotted any perspiration and that’s it, turn it on.
Trish: Pretty easy.
Glen Calderhead: 30 minutes.
Trish: Will the results be the same for each patient or does it vary depending on that person, is there anyone it’s not suitable for?
Glen Calderhead: Funnily enough one would think that people with a high body mass index, BMI, would be more suited because we think of them of being a little bit on the side with a few extra pounds.
Trish: Is that French?
Glen Calderhead: That is French.
Trish: What does it mean?
Glen Calderhead: It means-
Glen Calderhead: Chubby yes. Chubby is a very nice way of putting it.
Glen Calderhead: I would apply that to myself. Interestingly, some people with BMIs below 25 have responded brilliantly.
Trish: For spot areas they might want to get rid of?
Glen Calderhead: Abdomen yes, abdomen flanks, above the buttocks. It also can be applied with a different treatment head to the upper arms and to the thighs. So all of these areas, we see at least one centimetre reduction. In some patients it’s been as high in the abdomen as 24 centimetres.
Glen Calderhead: Yeah, pretty… On average, we see about five to six.
Trish: I know that it does skin tightening at the same time, or that’s what I’ve heard, but how can that work?
Glen Calderhead: There’s a little bit of gentle warmth radiates up from the fat. The fat is running at a temperature of 43. In fact, it’s running up about 45, 47. By the time that reaches the epidermis it’s come down to the low 43, usually about 42 so warm. Normally we’re 35.6 on average. However, that warmth in the dermis can trigger collagen growth and it can trigger skin tightening of the skin above the heated area but indirectly, not directly.
Trish: Okay, and I know that a treatment takes 30 minutes is that right?
Glen Calderhead: Yes that’s correct.
Trish: How many treatments do you need?
Glen Calderhead: Normally we again recommend round about four to six treatments. We think six is ideal. That can be at weekly or biweekly intervals.
Trish: Okay, six treatments done one to two weeks apart.
Glen Calderhead: Yes.
Trish: Is there a maintenance thing or should you go back?
Glen Calderhead: I think we see how the patients respond and if they respond really well then I would imagine maybe in about six months time they might want to look at coming back for a little top up but the nice thing is, once you lose these Adipocyte they never come back, Adipocyte are finite little beasts. We have a finite number, when they go, they’re gone. The thing is, we have to make sure the fat doesn’t locate anywhere else. We recommend that immediately after you drink at least two litres of water a day for a week, indulge in some gentle stretching exercise, you don’t have to rush off to the gym although you can if you want to.
That way we can ensure that the body’s scavengers, the macrophage cells can pick up that fat and bits of dead cell, carry it to the lymphatics and dispose of it through the liver.
Trish: So in other words, it’s up to you to follow the protocols so you get the best result in the end anyway?
Glen Calderhead: Correct, but we have a little trick. You mentioned the Healite.
Trish: Yes I was just going to ask you that back.
Glen Calderhead: Healite is our LED phototherapy system. LED Low level light therapy or LEDLLLT is the acronym, with a particular wavelength in the near infrared, 830nm, we can activate macrophages to respond up to from between 10 and 100 fold better, so they get rid of the rubbish faster and then come back for more, this is a great combination with enCurve, is Healite. What we suggest is to come in 24 hours before the enCurve, have a Healite, and Healite is completely non-invasive, you will go to sleep during Healite, depending on the treatment head it will be either 11 minutes or 14.3 minutes.
Trish: And you have the Healite on the same area that you’re going to have enCurve?
Glen Calderhead: On the same area, exactly. That wave length is well known to activate the wound healing cells. When we put it on before the enCurve, we are kind of waking the cells up to let them know that something is going to happen and they’re about to be needed. Then when the enCurve is used and the apoptosis starts, the gentle cell death, the cells are ready to deal with it. Then we add another Healite immediately after treatment, that makes sure that we get good reduction of the lipid that has been reduced, as well as helping skin tightening.
Trish: Okay, so could you, do you have to go the day before to have the Healite, or can you just have it done just before the treatment?
Glen Calderhead: It’s better to have it done 24 hours before or not at all, some people don’t do it. The better results are achieved when it is done that way…
Trish: Okay pre protocol, the preparation, have your treatment, then the post treatment treatment of the Healite, then you’ve got to do the water, two litres of water and then stretching for two weeks. Yeah. Then followed up with a treatment in the next two weeks.
Glen Calderhead: That’s it.
Trish: Well I’ve seen some spectacular results, I’m assuming the people who have followed this protocol that you’re talking about now.
Glen Calderhead: Yes.
Trish: And it’s quite phenomenal to think that this is not even touching your body, so awesome. Next question, when can I get it done? No not really. Well thank you so much for your time on that chat, it’s been really interesting, really enlightening and it appeals to me because it doesn’t hurt. I think a lot of ladies and men will think like that as well.
Glen Calderhead: I think so, yes, yes.
Trish: Thank you so much for taking the time today.
Glen Calderhead: As always, absolutely my pleasure.
Trish: So the enCurve is just making its way around Australia at the moment so if you ladies or gentlemen out there would like to find a practitioner who offers this treatment, just drop us an email to Info@PlasticSurgeryHub.Com.Au Thank you so much!
Glen Calderhead: Thank you.