Aesthetic Surgery Journal (November - December 1998) concluded that Endermologie treatments cause a change in subdermal tissue architecture on pig tissue layers and an increase in production of new collagen by 130% in long term cases, which may be responsible for the smoothing of skin. 

Aesthetic Surgery Journal (January - February 1999) report on pig tissue layers revealed a 400% increase in blood flow to the skin, which lasted for more than 6 hours after the end of the treatment. The study also revealed a 300% increase in lymphatic flow in the treated area and lasted at least 3 hours after the treatment.

Aesthetic Plastic Surgery (March - April 1998) compiled data on 85 women between the ages of 21 and 61 showed an overall reduction in body circumference and body weight. Circumference reduction averaged 1.34 cm after 7 treatments and 1.83 cm after 14 consecutive treatments. A decrease in body circumference occurred in most cases even with the patients who gained weight.

Aesthetic Plastic Surgery (March - April 1997) studies 22 women between the ages of 24 and 48. All but one of the patients had a decrease in their mean body diameter index upon completion of either 7 or 14 sessions of treatment.

Aesthetic Surgery Journal (September - October 1999) concluded that Endermologie is recommended post-liposuction to maximize body contouring and reduce structural irregularities.

Skin Research and Technology (March 1997) monitored the effectiveness of mechanical massage by ultrasound imaging. The study reported a significant smoothening of the dermis-hypodermis interface.

Aesthetic Surgery Journal (November - December 1999) compared the results of Endermologie with those of external ultrasound-assisted liposuction (EUAL) in cellulite reduction and body contouring. EUAL has no role in reducing cellulite. Endermologie is the best choice for cellulite reduction. Endermologie proves to be a non-invasive alternative to body contouring but not as efficient as EUAL.

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