HIDU (High Intensity Dual Ultrasound) device known as LDM-MED (Local Dynamic Micromassage) is an ultrasound machine specially developed for the medical sector combining two special technologies (LDM^®Plus and the 10 MHz frequency).It is the newest and highest ultrasound technology in the world.

LDM^®-MED can also play an important role in injections or as a means of providing care before and after cosmetic surgery. LDM^®Plus can help to break up the sub-epithelial tissue, which can improve the result and prevent serious traumatization of the tissue.

Applications:

• Wrinkle reduction
• Skin tightening (face & body)
• Skin rejuvenation
• Anti-Aging
• Cellulite reduction
• Pre- and post-liposuction
• Pre- and post-facelift
• Stretch marks
• Circumference reduction
• Sonophoresis

• Acne
• Atopic / perioral dermatitis
• Ulcus cruris
• Hypertrophic scars / Keloids
• Acne scars
• Eczema
• Psoriasis

The different frequencies and the way they are combined in LDM^®Plus technology can modulate the structure of the connective tissue by effectively influencing the activity of particular molecules such as matrix metalloproteinases (MMPs), heat shock proteins (HSPs) and hyaluronan (HA).

All of these components (MMPs, HSPs and HA) have an important part to play both in modern anti-ageing concepts and in dermatology, and their correct regulation seems to be essential for effective aesthetic and dermatological treatments.

For progressive, holistic skin treatment, the LDM^®-MED machine offers treatment opportunities for various skin diseases and programs for non-invasive aesthetic applications. With up to 19 program settings divided into aesthetic and dermatological menu items, the LDM^®-MED covers the most important indications, providing an effective equipment-based treatment system for use in dermatology, cosmetic surgery and general medicine.

For the body, the LDM^®-MED has programs for different body applications such as cellulite, stretch marks and treatments before and after cosmetic surgery.

What makes the LDM®-MED machine special is its combination of two innovative technologies -LDM®Plus (Local Dynamic Micromassage) and the 10 MHz frequency, which make the LDM®-MED very different from traditional ultrasound machines.

With its dual-frequency ultrasound, LDM®Plus technology combines several physiological effects with each other simultaneously, which means that it can regulate the structure of the connective tissue specifically and effectively in various aesthetic and dermatological indications.

With the additional 10 MHz frequency, the LDM®-MED stands out clearly from other ultrasound machines used in cosmetics. In contrast to other ultrasound frequencies, this frequency, with a half value depth of just approx. 0.3 cm, acts almost exclusively in the upper skin layers such as the epidermis and dermis, while the 3 MHz and 1 MHz frequencies with their half value depths of approx. 1 and approx. 3 cm respectively operate mainly in the lower layers.

With its dual-frequency ultrasound, LDM^®Plus technology combines several physiological effects with each other simultaneously, which means that it can regulate the structure of the connective tissue specifically and effectively in various aesthetic and dermatological indications.

The latest area of application for LDM^®-MED centres on body treatments to reduce body size alongside dietary measures. The TWL method that has been specially developed for this is used to treat locally disruptive body regions. With the "triple layer" concept in Thixotropic Washout Lipolysis, three of the most important areas for successful size reduction are taken into account at the same time. Using the thixotropic effect (converting bound water to free water), LDM^®-MED makes a massively important contribution to this by converting accumulated, hyaluronan-bound water in the fatty tissue into free water and thus facilitating effective drainage in the second stage of TWL (washout).

Traditionally, thermal, mechanical and chemical modes of action of ultrasound are distinguished.

Ultrasound energy may be converted into thermal energy by the absorption of ultrasonic waves in the tissue. The thermal energy distribution is strongly dependent on the intensity and frequency of the ultrasound. Thermal energy can lead to the stimulation of blood circulation and lymphatic transport as well as to metabolic activation.

Ultrasonic waves exert a strong mechanical effect on biological structures. This effect is primarily due to rapid changes in pressure within the tissue. This process may accelerate tissue diffusion processes, stimulate metabolism and increase membrane permeability, among other things. This type of micro-massage can activate fibroblasts, which leads to a significant improvement in skin structure, increased tissue elasticity and turgor as well as to connective tissue tightening.

Ultrasound energy may also cause chemical changes in the tissue. Among these, the most important are: changes in collagen cross-linking, gel-sol transitions in the extracellular matrix and pH changes of the skin.

• High-quality titanium treatment heads with a ring-shaped illuminated contact display provide maximum safety and minimize undesirable effects for both the client and the operator.
• The sonotrodes are easy to use due to their light weight and ergonomic design. A special sonotrode design feature ensures that the transmission of ultrasound energy to the users hands is minimized. Therefore, the LDM_MED device can be safely used several times a day.
• All sonotrodes are made of high-quality titanium, which is chemically inert does not cause allergic reactions and can be used with various preparations.
• The sonotrodes are equipped with special ring-shaped contact indicators and light up in different colours.
• The contact indicators are activated as soon as sufficient contact is established between the sonotrode and the skin and the transmission of ultrasound energy is optimal.
• The transmission is turned off if contact is insufficient. The timer does not advance during his time.

LDM®-MED with 2 sonotrodes  (#1 and #2)

Art. no.: 710-80

• Sonotrodes: 2.5 cm², 1/3 MHz and 1.2 cm², 3/10 MHz
• 2 bottles of ultrasound gel
• Operating instructions

Size of machine: (H x W x D): 185 x 485 x 300 mm Weight: 8 kg The attractive design of LDM^®-MED has been combined with user-friendly operating elements. Various acoustic and visual signals warn the user if the machine is being operated incorrectly and make it easy to use without mistakes.

LDM^®-MED uses LDM^®Plus technology, in which the dual-frequency ultrasound combines the individual frequencies in variable proportions, thus allowing the connective tissue to be modulated more individually. Intensities of up to 3 W/cm² also allow you to work more quickly and effectively.

Programs

• 19 treatment programs with automatic sonotrode replacement:
• 10 for aesthetics
• 9 for dermatology
• Individual settings

SonotrodesHigh-quality titanium treatment heads with a ring-shaped illuminated contact display provide maximum safety and minimize undesirable effects for both the client and the operator.

The machine is fitted with sonotrodes #1 and #2 and can be expanded individually if necessary with the following sonotrodes to suit your specific treatment requirements.

Sonotrode # 1: 1.2 cm²; 3 and 10 MHz and/or LDM® 3/10 MHz	Art. no.: 710-10
Sonotrode # 2: 2.5 cm²; 1 and 3 MHz and/or LDM® 1/3 MHz	Art. no.: 710-11
Sonotrode # 3: 5.0 cm² ; 1 and 3 MHz and/or LDM® 1/3 MHz	Art. no.: 710-12

Body-UpgradeThe machine can be additionally fitted with a 10 cm² sonotrode specially developed for body treatments using the TWL concept allows you to work effectively on applications over larger areas, such as the tummy, bottom and thighs.

Sonotrode # 4: 10.0 cm²; 1 and 3 MHz and/or LDM® 1/3 MHz

Art. no.: 710-13

AccessoriesAn attractive stand makes the machine mobile, allowing it to be positioned at the area to be treated quickly and easily.

Stand for LDM®-MED	Art. no.: 918-10
Contact gel, 25ml	Art. no.: 910-10
Contact gel, 5 l canister	Art. no.: 910-13
Canister dispenser	Art. no.: 910-14

Technologies

• LDM^®Plus/ 10MHz
• TWL-concept

• Werner Sontag u. Ilja Kruglikov, Ultrasound of 10 MHz frequency as a novel strategy for skin antiaging therapy, Medical Hypotheses, 2009
• Werner Sontag u. Ilja Kruglikov, Expression of heat shock Proteins after Ultrasound Exposure in HL-60 cells, Ultrasound un Med & Biol, 2009, Vol. 35

Example external link

Return to the tutorial