Electrotherapy (cosmetic)

Treatments

There are four main types of treatment, that differ in the type of current they use (see Comparison table, below), including:

1. Galvanic treatment
2. Neuromuscular electrical stimulation (NMES) (also known as Faradic treatment)
3. Micro-current electrical neuromuscular stimulation (MENS)
4. High-frequency treatment

Galvanic treatment

Galvanic treatment in the beauty industry has been described since at least the 1970s and earlier. Sometimes called galvanism, the treatment aims to improve the skin in two ways: (1) cleansing: a process called desincrustation, and (2) nourishing the skin condition, through an electro-chemical process called iontophoresis (also called ionisation). It is used to improve various skin conditions, including signs of aging, hyperpigmentation, and acne. This is achieved by the application of a small, constant, direct current. The treatment works on the principle that charged ions in the skin are either attracted or repelled from the electrodes, resulting in certain chemical effects. :"Galvanism works by penetrating active substances into the subcutaneous tissues, where they act on the ineffective circulation to bring about an improvement in the vascular and lymphatic interchange in the area. This is completed in a natural and harmless way, and is aided by the actual effect of the galvanic current on the tissues. This improves the function of the cellular membrane, and allows the trapped fluid and fat to be dispersed and eliminated." Galvanic treatment are often used on the face (facial galvanic treatment) and on the body to treat cellulite (galvanic cellulite treatments).

Faradic treatment

Faradic treatment has also been described in the beauty industry since the 1970s and earlier. The treatment tones the muscles by repeatedly contracting them with the electric current, resulting in their firming and toning, and an increase in muscular metabolism aims to remove waste products more readily. Faradic treatments are generally used on the face and body, and work by contracting muscles with a short pulse of interrupted direct current.

The treatment is also called neuromuscular electrical stimulation (NMES), and some of the manufactures who produce the equipment use their own terms, for example, Slendertone calls it electronic muscle stimulation, or the treatment is called after the name of the manufacturer, such as Ultratone or Slim Master.

Microcurrent treatment

Microcurrent treatments (MENS) have been around since the 1970s in medical applications and are distinguished by their use of micro-ampere currents (i.e. millionths of an amp) which are hardly perceptible, but mimic the body's own bio-electric currents. The treatment is designed to soften wrinkles and rejuvenate skin, including skin damaged by sunburn, acne, stretch marks, cellulite and scarring.

This increased ATP also energizes the facial muscles, similar to how exercise energizes the muscles of our bodies. Unlike anywhere else on the body, the facial muscles are directly connected to the skin, so the result of energizing the muscle is often an improved, lifted appearance. When used on the face, the treatment has become known as a "non-surgical facelift" and "facial lifting".

Microcurrent treatment works by passing a very small direct current through muscle tissue to stimulate the Golgi tendon organ. It encourages production of ATP (Adenosine triphosphate) which leads to the creation and stimulation of structural proteins like elastin and collagen.

Different microcurrent characteristics, particular the frequency and shape of the changing voltage (waveform), have different effects on the tissue.

Microcurrent devices have been in the beauty industry for over a decade, the most known being the CACI device. Modern professional and personal use microcurrent devices combine waves of multiple shape and vary in frequencies used.

Since microcurrent treatment uses a low-grade electrical current, there has been health concerns over safety of its use. People with pacemakers or any kind of heart condition should avoid it. Moreover, pregnant women are advised against it as well. It is always recommended to individually consult with doctor or aesthetician before using microcurrent.

High-frequency treatment

High-frequency treatment uses low-current high-frequency alternating currents, delivered via a glass electrode, sometimes called a violet ray. Glass electrodes are often filled with either neon gas which produces pink, orange, or red light, or argon or rarefied gas which produces violet light. Because of the color of light that is produced when electricity is passed through the gas, they are inaccurately called ultraviolet or infrared, however no UV rays or infrared rays are produced, just visible light. High frequency current does convert some of the oxygen in the air surrounding the electrodes into ozone, the treatment has a germicidal action, and is also drying and warming. Consequently, the treatment is used to aid healing and also to help desquamation (the skin's natural exfoliation) and stimulate sweat and sebaceous glands. Sparking may occur when the electrode is close to the skin and then pulled away repeatedly. Some electrodes may contain a metal coil that produces a mechanical vibration, as well as sparking energy that can be felt indirectly when held in one person's hand while another person uses their hands directly on the skin. Because the effect may be pleasurable, similar devices are used in erotic electrostimulation.

Treatment and current

The characteristics of the treatment current include: (a) whether it is (direct or alternating), (b) current frequency, (c) size of the current (all very small), and (d) the duration and shape of any pulses.

Comparison

Notes

• Desincrustation – A skin cleansing process that softens and emulsifies hardened follicle sebum.
• 1 Amp = 1,000 milliAmps (mA) = 1,000,000 microAmps (μA)
• 1,000 Hz (cycles per second) = 1 kHz

Terminology

The origins of the terms "galvanic" and "Faradism" are described in the medical journal, The Lancet, in 1851. A note reads: :"We should not omit to state that Dr Duchenne closes a paper (Archives, May 1851) on the subject by these words: 'As it will be useful to create a word which should exactly point out electricity by induction, as well as its application, may it not be allowable to use the name of the philosopher who has discovered this kind of electricity? Thus, in the same way as 'Galvani' has given his name to the electricity by contact, so can we like-wise give to the electricity by induction the name of 'Faraday.' This electricity would then be called 'Faradism,' and its application 'Faradization.' Such names would establish a clear distinction between the electricity by contact and that by induction, while they, at the same time, render due honour to a philosopher to whom medical science owes a discovery far more valuable in a therapeutic point of view than that of Galvani.'"

It is noted that: :"Some terms such as galvanic current and faradic stimulation are unique to physiotherapy. Their definitions given in the literature are far from universal. ... The Clinical Electrophysiology Section of the American Physical Therapy Association established a unified terminology for clinical electrical currents—that is, (a) direct current (b) alternating current (c) pulsed current (Kloth and Cummings, 1991) ... However, this terminology does not appear to have been widely adopted and inconsistencies remain in the literature".

References

Bibliography

• Lorraine Nordmann, Professional Beauty Therapy: The Official Guide to Level 3, 4th Edition, Publisher Cengage Learning EMEA, 2010, , 496 pages. Chapter 8: "Electrical treatments"
• Dawn Mernagh-Ward, Jennifer Cartwright, Health and beauty therapy: a practical approach for NVQ level 3 Edition 3, Publisher Nelson Thornes, 2004, , , 420 pages. Chapter 5. "Facial and Body Electrotherapy Treatments"
• John Low, Ann Reed, Ann Reed (SRP.), Electrotherapy explained: principles and practice, 4th Edition, Publisher Elsevier Health Sciences, 2000, . 564 pages.
• Basanta Kumar Nanda, Electrotherapy Simplified, Publisher Jaypee Brothers Publishers (2008), , . 548 pages

References

1. David Ames Wells, ''The science of common things: a familiar explanation of the first principles of physical science. For schools, families, and young students.'', Publisher Ivison, Phinney, Blakeman, 1859, 323 pages ([https://books.google.com/books?id=ajQAAAAAYAAJ&dq=Galvani+frog+leg&pg=PA290 page 290])
2. "Introduction, ''Facial Electrical Manual'', The Carlton Institute. 23 pages. (Page 2)
3. (September 2016). "Beauty Therapy, Level 3". Heinemann.
4. Kristin Schaefer Centofanti, "Electrical Stimulation for Health, Beauty, Fitness, Sports Training and Rehabilitation", ''Advances in Muscle Research'', 2008, Volume 4 (Application of Muscle/Nerve Stimulation in Health and Disease), 69–116. ([https://doi.org/10.1007%2F978-1-4020-8233-7_4 page 69])
5. See for example: "Dr Hardaway has remarked the wide usefulness of electrolysis in cosmetic manipulations." in ''The Medical Times and Register'', Volume 16, (Author: Horatio Charles Wood), Publisher The Medical Publishing Company, 1886 ([https://books.google.com/books?id=BMNXAAAAMAAJ&q=cosmetic 90])
6. In the treatment of scars (cicatrix): ".. electro-galvanic currents ought to remove cicatrical tissue of the skin, and thus prove of incalculable value as a cosmetic" in ''Eclectic medical journal'', Volume 45, Ohio State Eclectic Medical Association, Published 1885, ([https://books.google.com/books?id=Xx6gAAAAMAAJ&q=galvanic+cosmetic+-lead page 99])
7. Thomas Thomson, ''An outline of the sciences of heat and electricity'', Publisher Baldwin & Cradock, 1830. "Chapter VII: Of Electricity by Contact" ([https://books.google.com/books?id=cLIUxPg6SAQC&dq=Galvani%20frog%20%22electricity%20by%20contact%22&pg=PA489 page 489])
8. Mark Woodhouse, ''Paradigm Wars: Worldviews for a New Age'', Publisher Frog Books, 1996, {{ISBN. 1-883319-42-0, {{ISBN
9. Deborah Powell, ''MicroCurrent for Horses (and other vital therapies you should know'', Publisher Matrix Therapy Products, {{ISBN. 0-9790774-0-0, {{ISBN
10. ''Popular Mechanics'', Feb 1909, ([https://books.google.com/books?id=-eADAAAAMBAJ&q=Faradic+galvanic+tones&pg=RA1-PA153 page 153])
11. Susan Cressy, ''The beauty therapy fact file'', Edition 4, Publisher Heinemann, 2004, {{ISBN. 0-435-45142-1, {{ISBN
12. Ann Gallant, ''Body treatments and dietetics for the beauty therapist'', Publisher Nelson Thornes, 1978, {{ISBN. 0-85950-401-8, {{ISBN
13. Karl Augustus Menninger, Martin Mayman, Paul W. Pruyser, "A manual for psychiatric case study", Grune & Stratton, 1952, 355 pages ([https://books.google.com/books?id=8HFIAAAAMAAJ&q=iontophoresis+%22electro-chemical%22+galvanic page 332])
14. Susan Cressy, ''The beauty therapy fact file'', Edition 4, Publisher Heinemann, 2004, {{ISBN. 0-435-45142-1, {{ISBN
15. Ann Gallant, Kathy Gillott, Jackie Howard, ''Principles and techniques for the beauty specialist'', Edition 3, Publisher Nelson Thornes, 1993, {{ISBN. 0-7487-1550-9, {{ISBN
16. Dawn Mernagh-Ward, Jennifer Cartwright, ''Health and beauty therapy: a practical approach for NVQ level 3'', Publisher Nelson Thornes, 2004, {{ISBN. 0-7487-9035-7, {{ISBN
17. Lorraine Nordmann, ''Professional Beauty Therapy: The Official Guide to Level 3'', Publisher Cengage Learning EMEA, 2007, {{ISBN. 1-84480-696-0, {{ISBN
18. Ann Gallant, ''Body treatments and dietetics for the beauty therapist'', Publisher Nelson Thornes, 1978, {{ISBN. 0-85950-401-8, {{ISBN
19. "[http://www.babtac.com/galvanic-cellulite-treatments/ Galvanic Cellulite Treatments]", BABTAC, British Association of Beauty Therapy and Cosmetology website, retrieved 5 Nov 2011
20. Lorraine Nordmann, ''Professional Beauty Therapy: The Official Guide to Level 3'', Publisher Cengage Learning EMEA, 2007, {{ISBN. 1-84480-696-0, {{ISBN
21. Dawn Mernagh-Ward, Jennifer Cartwright, ''Health and beauty therapy: a practical approach for NVQ level 3'', Edition 3, Publisher Nelson Thornes, 2004, {{ISBN. 0-7487-9035-7, {{ISBN
22. Dawn Mernagh-Ward, Jennifer Cartwright, ''Health and beauty therapy: a practical approach for NVQ level 3'', Edition 3, Publisher Nelson Thornes, 2004, {{ISBN. 0-7487-9035-7, {{ISBN
23. "[http://www.slendertone.com/t-how-it-works.aspx How it Works: Electronic Muscle Stimulation] {{Webarchive. link. (2011-11-24 " at Slendertone website, retrieved 18 Nov 2011)
24. Dawn Mernagh-Ward, Jennifer Cartwright, ''Health and beauty therapy: a practical approach for NVQ level 3'', Edition 3, Publisher Nelson Thornes, 2004, {{ISBN. 0-7487-9035-7, {{ISBN
25. "What Is Microcurrent Therapy?".
26. Nicholas Perricone, ''Forever Young: The Science of Nutrigenomics for Glowing, Wrinkle-Free Skin and Radiant Health at Every Age'', Publisher Simon and Schuster, 2010, {{ISBN. 1-4391-7734-1, {{ISBN
27. Susan Cressy, ''The beauty therapy fact file'', Edition 4, Publisher Heinemann, 2004, {{ISBN. 0-435-45142-1, {{ISBN
28. Jelena R.. "Everything you should know about microcurrent facial treatments".
29. Jeanine Connor, Sheila Godfrey, Gil Milsom, ''BTEC National Beauty Therapy Sciences'', Publisher Heinemann, 2004, {{ISBN. 0-435-46243-1, {{ISBN
30. Susan Cressy, ''The beauty therapy fact file'', Edition 4, Publisher Heinemann, 2004, {{ISBN. 0-435-45142-1, {{ISBN
31. Jeanine Connor, Sheila Godfrey, Gil Milsom, ''BTEC National Beauty Therapy Sciences'', Publisher Heinemann, 2004, {{ISBN. 0-435-46243-1, {{ISBN
32. Dawn Mernagh-Ward, Jennifer Cartwright, Health and beauty therapy: a practical approach for NVQ level 3 Edition 3, Publisher Nelson Thornes, 2004, {{ISBN. 0-7487-9035-7, {{ISBN
33. R.S. Khandpur, ''Handbook of Biomedical Instrumentation'', 2nd Ed., Publisher Tata McGraw-Hill Education, 2003, {{ISBN. 0-07-047355-2, {{ISBN
34. Basanta Kumar Nanda, ''Electrotherapy Simplified'', Publisher Jaypee Brothers Publishers (2008), {{ISBN. 81-8448-261-2, {{ISBN
35. "Introduction, ''Facial Electrical Manual'', The Carlton Institute. 23 pages. (Page 21)
36. Lorraine Nordmann, Professional Beauty Therapy: The Official Guide to Level 3, 4th Edition, Publisher Cengage Learning EMEA, 2010, {{ISBN. 1-4080-1928-0 {{ISBN
37. F-903 Micro Current Machine User Guide, page 5 ([http://issuu.com/danster/docs/f-903_english online])
38. Lorraine Nordmann, Professional Beauty Therapy: The Official Guide to Level 3, 4th Edition, Publisher Cengage Learning EMEA, 2010, {{ISBN. 1-4080-1928-0 {{ISBN
39. Catherine M. Frangie, Arlene Alpert, Margrit Attenburg, Diane Carol Bailey, ''Milady's Standard Cosmetology'', Publisher Cengage Learning, 2007, {{ISBN. 1-4180-4935-2, {{ISBN
40. Duchenne GBA, ''Archives Génerales de Médicine'', May 1851
41. "Medical News, Thursday, August 28th 1851", ''The Lancet'', Volume 2, Publisher Elsevier, 1851 ([https://books.google.com/books?id=pBhAAAAAcAAJ&q=faradism&pg=PA240 page 240])
42. Sheila Kitchen, Sarah Bazin, "Section F. Low Frequency Currents", ''Electrotherapy: evidence-based practice, Volume 1'', edition 11, Publisher Elsevier Health Sciences, 2002, {{ISBN. 0-443-07216-7, {{ISBN
43. Reference in quote to: Kloth LC, Cummings JP, ''Electrotherapeutic Terminology in Physical Therapy'', 1991, Alexandria, VA: American Physical Therapy Association.
44. Sheila Kitchen, Sarah Bazin, "Section F. Low Frequency Currents", ''Electrotherapy: evidence-based practice, Volume 1'', edition 11, Publisher Elsevier Health Sciences, 2002, {{ISBN. 0-443-07216-7, {{ISBN
45. 978-1-887759-88-5, 60 pages