Minimally Invasive Active Release of Septa Bands for Cellulite and Connective Tissue Release for Fibrosis Treatment in Body Contouring Surgery

NCT ID: NCT06791564

Last Updated: 2025-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-15

Study Completion Date

2025-12-15

Brief Summary

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This prospective study aims to evaluate the safety and effectiveness of AVELI for reducing cellulite and fibrotic tissue in patients undergoing High-Definition Liposculpture, exploring if AVELI improves the aesthetic outcomes, and reduced the clinically evident cellulite and/or fibrosis.

The main questions this study seeks to answer are:

* Does AVELI safely reduce cellulite and fibrotic tissue without causing serious adverse events?
* How effective is AVELI in improving patient-reported outcomes and aesthetic appearance?

Through this study, the study team aims to evaluate the safety and effectiveness of AVELI.

The study procedures include:

* Baseline data collection of sociodemographic variables. Data collection of surgical variables, adverse events, and satisfaction scores.
* All patients will undergo the standardized High-Definition Liposculpture technique, with AVELI applied to all identified cellulite and/or fibrosis release.
* Photographic and 3D imaging preoperatively and at follow-ups (1, 3, 6, and 9 months).

Detailed Description

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Study design: Interventional prospective cohort study, non-randomized, non-controlled, no masking.

Ethical Considerations:

* IRB Approval: The study will adhere to the Declaration of Helsinki principles and will be approved by an Institutional Review Board (IRB).
* Informed Consent: Participants will be provided comprehensive information about study procedures, risks, and benefits, and written consent will be obtained.
* Data Confidentiality: All participant data will be anonymized and securely stored.

Eligible patients will be approached, the study aims, objectives, procedures, and voluntary participation will be explained. In case patient consent to participate, a written informed consent will be signed. The patients will be comprehensively evaluated by the plastic surgeon, and assigned to a group based on their individual physical evaluation findings: Cellulite Group, Fibrosis Group, Fibrosis and Cellulite Group.

Study Locations:

* Dhara Clinic (Bogota, Colombia)
* Miami Aesthetic Center (Miami, FL - USA)

Data Collection:

* Demographic, Clinical, and surgical variables are going to be collected in an Excel-based password protected database.
* Other procedure related variables are also going to be collected in the same database, including pain assessment in the immediate postoperative, hemoglobin and hematocrit levels, time to discharge, and complications \& management.
* 3D photographic analysis will be employed to analyze preoperative, and postoperative images at 1, 3, 6 and 9 months post procedure. Then the changes will be objectively compared using Quantificare Photographical Software, through the different timepoints to evaluate the objective contour defects and postoperative improvement changes.
* Satisfaction Scores: Global Aesthetic Improvement Scale (GAIS) evaluated at least 3 months postoperatively.

Conditions

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Liposuction Cellulite Cellulite Reduction Fibrosis; Skin

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

All the participants are categorized into the 3 different intervention groups based on the individual pre-procedure physical exam by the plastic surgeon. Once in the study group, the patient receives the intervention corresponding to this arm of the study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

No masking was feasible for this study

Study Groups

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Cellulite group (CG)

Patients with any degree of clinically evident cellulite undergoing HDL + AVÉLI treatment for Cellulite.

Group Type EXPERIMENTAL

AVELI

Intervention Type DEVICE

Minimally invasive method for selectively identifying and manually releasing specific septa responsible for causing cellulite depressions.

Fibrosis Group (FG)

Patients with any degree of fibrosis undergoing non-primary HDL + AVÉLI release of fibrotic tissue.

Group Type EXPERIMENTAL

AVELI

Intervention Type DEVICE

Minimally invasive method for selectively identifying and manually releasing specific septa responsible for causing cellulite depressions.

Fibrosis and Cellulite Group (FCG)

Patients with any degree of clinically evident cellulite AND fibrosis undergoing non-primary HDL + AVÉLI treatment for both.

Group Type EXPERIMENTAL

AVELI

Intervention Type DEVICE

Minimally invasive method for selectively identifying and manually releasing specific septa responsible for causing cellulite depressions.

Interventions

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AVELI

Minimally invasive method for selectively identifying and manually releasing specific septa responsible for causing cellulite depressions.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing HDL between 18 and 60 years old.
* Non-gender specific.
* American Association of Anesthesiologist Risk Assessment (ASA) ≤ 2.
* Body Mass Index (BMI) ≥20 and ≤ 32 kg/m2.
* Patients with any degree of clinically evident cellulite in any body area.
* Patients with prior liposuction procedures with any degree of fibrosis in any body area.
* Patients undergoing additional procedures such as, but not limited to: Rhinoplasty, Mammaplasty, Mastopexy, mini tummy tuck, full tummy tuck, brachioplasty, thighplasty, fat grafting. The procedure could not be related to the treatment of fibrosis or cellulite.

Exclusion Criteria

* Patients requiring SQ fat grafting for the amendment of any contour irregularity.
* Patients requiring other devices/drugs for skin contraction and/or cellulite treatment for the next 6 months (RF, US, Enzymes, etc.).
* Patients undergoing Face Lift procedures.
* Patients with any history of abnormal scarring and/or hypertrophic scars and or keloids.
* Patients with Caprini score ≥ 8.
* Patients with past medical history of connective tissue disease with active disease and/or recent relapse.
* Patients with past medical history thromboembolic disease or any other condition with an increased risk of coagulopathy (i.e., SLE, RA, APS).
* Patients using aspirin or any anticoagulant within 14 days and 5 days prior to surgery, respectively.
* Patients with a PMH of epilepsy or any epileptic syndrome and or vascular disease.
* Patients with any chronic disease non-compliant with treatment or non-adequately controlled.
* Positive pregnancy test or planning on getting pregnant in the next 6 months.
* Patients with fever or any other symptoms/signs of infection.
* Active smokers or chronic smokers with recent quit (≤ 4-8 weeks).
* Patients with prothrombin time (PT) and/or activated partial thromboplastin time (aPTT) \>1.5 times baseline.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Total Definer Research Group

OTHER

Sponsor Role lead

Responsible Party

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Alfredo Hoyos

MD, Plastic Surgeon | Total Definer

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Miami Aesthetic

Miami, Florida, United States

Site Status RECRUITING

Dhara Clinic

Bogotá, DC, Colombia

Site Status RECRUITING

Countries

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United States Colombia

Central Contacts

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Alfredo Hoyos, MD

Role: CONTACT

+13059154274

Mauricio Perez, MD

Role: CONTACT

Facility Contacts

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Pat Pazmino, Plastic Surgeon

Role: primary

+1786-574-3770

Alfredo Hoyos, MD

Role: primary

+13059154274

References

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Stevens WG, Green JB, Layt C, Kaminer MS, Harrington J, Fan L, Wall HC, Fabi S, Magnusson MR. Multicenter Pivotal Study Demonstrates Safety and Efficacy of a New Cellulite Procedure: Final Results at 12 Months. Aesthet Surg J. 2023 Mar 15;43(4):455-466. doi: 10.1093/asj/sjac291.

Reference Type BACKGROUND
PMID: 36351188 (View on PubMed)

Stevens WG, Kaminer MS, Fabi SG, Fan L. Study of a New Controlled Focal Septa Release Cellulite Reduction Method. Aesthet Surg J. 2022 Aug 1;42(8):937-945. doi: 10.1093/asj/sjac010.

Reference Type BACKGROUND
PMID: 35089992 (View on PubMed)

Danilla S, Babaitis RA, Jara RP, Quispe DA, Andrades PR, Erazo CA, Albornoz CR, Sepulveda SL. High-Definition Liposculpture: What are the Complications and How to Manage Them? Aesthetic Plast Surg. 2020 Apr;44(2):411-418. doi: 10.1007/s00266-019-01475-6. Epub 2019 Aug 20.

Reference Type BACKGROUND
PMID: 31432229 (View on PubMed)

Bass LS, Kaminer MS. Insights Into the Pathophysiology of Cellulite: A Review. Dermatol Surg. 2020 Oct;46 Suppl 1(1):S77-S85. doi: 10.1097/DSS.0000000000002388.

Reference Type BACKGROUND
PMID: 32976174 (View on PubMed)

Friedmann DP, Vick GL, Mishra V. Cellulite: a review with a focus on subcision. Clin Cosmet Investig Dermatol. 2017 Jan 7;10:17-23. doi: 10.2147/CCID.S95830. eCollection 2017.

Reference Type BACKGROUND
PMID: 28123311 (View on PubMed)

Gabriel A, Chan V, Caldarella M, Wayne T, O'Rorke E. Cellulite: Current Understanding and Treatment. Aesthet Surg J Open Forum. 2023 Jun 21;5:ojad050. doi: 10.1093/asjof/ojad050. eCollection 2023.

Reference Type BACKGROUND
PMID: 37424836 (View on PubMed)

Ferry AM, Chamata E, Dibbs RP, Rappaport NH. Avoidance and Correction of Deformities in Body Contouring. Semin Plast Surg. 2021 May;35(2):110-118. doi: 10.1055/s-0041-1727207. Epub 2021 Jun 8.

Reference Type BACKGROUND
PMID: 34121946 (View on PubMed)

Other Identifiers

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Aveli

Identifier Type: -

Identifier Source: org_study_id

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