Why Combining LPG Endermologie with Your Aesthetic Treatment Delivers Better Results
# Why Combining LPG Endermologie with Your Aesthetic Treatment Delivers Better Results — New Research from PHP Aesthetic-Wellness
**Published:** 12 June 2026 | **Author:** Dr Philippe Hamida-Pisal | **Category:** Clinical Research, Treatments
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## The Science is In — and the Results Are Remarkable
At PHP Aesthetic-Wellness we have long believed that a combination approach to aesthetic medicine delivers superior results to any single treatment in isolation. Now, we have the peer-reviewed clinical evidence to prove it.
Dr Philippe Hamida-Pisal, Clinical Director of PHP Aesthetic-Wellness and founder of SoMUK — the Society of Mesotherapy of the United Kingdom — has published a landmark case series in the **Journal of Dermatology & Cosmetology** demonstrating that combining LPG Endermologie with non-surgical aesthetic procedures significantly enhances outcomes, reduces downtime and extends the longevity of results.
[Read the full paper: medcraveonline.com/JDC/JDC-07-00244.pdf](https://medcraveonline.com/JDC/JDC-07-00244.pdf)
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## What the Study Found
The case series followed **20 patients aged between 30 and 75** over a period of three weeks. Each patient underwent a combined aesthetic treatment protocol using LPG Endermologie alongside one of four non-surgical procedures:
– Botulinum toxin (Botox) for forehead lines and crow’s feet
– Dermal fillers for nasolabial folds and skin texture
– Superficial chemical peel for dull complexion, pigmentation and loss of tonicity
– Microneedling for hydration, collagen stimulation and radiance
The results, assessed using the **Global Aesthetic Improvement Scale (GAIS)**, were clear and consistent across all treatment combinations:
✅ **Significantly reduced downtime** compared to standalone aesthetic treatment
✅ **Enhanced overall aesthetic outcome** across all four treatment types
✅ **Longer lasting results** than non-surgical procedures alone
✅ **High level of patient satisfaction** throughout
✅ **Safe and well tolerated** with no significant adverse events
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## What is LPG Endermologie — and Why Does it Work so Well in Combination?
LPG Endermologie is the world’s first mechanically based aesthetic treatment — certified by health authorities in over 110 countries and the only device clinically proven to reactivate the biological processes responsible for collagen, elastin and hyaluronic acid production.
Its power as a combination treatment lies in what it does to the tissue before, during and after an aesthetic procedure. By stimulating microcirculation, mobilising interstitial fluids and softening tissue, LPG Endermologie creates the ideal biological environment for fibroblasts to thrive — the cells responsible for producing the collagen and elastin that give skin its structure and firmness.
When used in combination with injectable or resurfacing treatments, this biological preparation amplifies and extends the results in ways that neither treatment can achieve alone.
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## The PRE-CO-MA-RE Protocol
Based on the findings of this research, Dr Philippe Hamida-Pisal applied the **PRE-CO-MA-RE protocol** — a structured clinical framework for combining LPG Endermologie with aesthetic treatments at PHP Aesthetic-Wellness:
### PREPARE
One week before your aesthetic procedure, LPG Endermologie is used to stimulate microcirculation, mobilise interstitial fluids and prepare the cutaneous and subcutaneous tissue — creating the optimal biological environment for the procedure that follows.
### COMBINE
On the day of your aesthetic procedure, LPG Endermologie is applied for eight minutes immediately prior to treatment — maximising tissue receptivity and enhancing the precision and effectiveness of the aesthetic procedure.
### MAINTAIN
In the weeks following your procedure, LPG Endermologie sessions are used to mobilise fluids, relieve any discomfort, promote natural lipolysis and continue stimulating collagen and elastin production — sustaining and building on the results of your treatment.
### REPAIR
Where needed, LPG Endermologie is used to treat potential side effects such as bruising, oedema, fibrosis or scarring — accelerating recovery and optimising the healing process.
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## How This Works in Practice at PHP Aesthetic-Wellness
Here is how the PRE-CO-MA-RE protocol is applied for each of the four combined treatments evaluated in the study:
### LPG Endermologie + Botulinum Toxin
**Indications:** Forehead lines, crow’s feet, brow lifting
**Protocol:** LPG applied for 10 minutes perpendicular to wrinkles in the injected area to enhance penetration and plumping effect. Maintenance sessions at weeks 3-4, at a distance from the injection sites.
### LPG Endermologie + Dermal Fillers
**Indications:** Nasolabial folds, skin texture, volume restoration
**Protocol:** Two LPG sessions one week prior (Prepare). Eight minutes of LPG on the day of the procedure (Combine). Two LPG sessions at weeks 2, 3 and 4 (Maintain).
### LPG Endermologie + Superficial Chemical Peel
**Indications:** Dull complexion, loss of tonicity, uneven pigmentation
**Protocol:** Two LPG sessions one week prior (Prepare). Eight minutes of toning LPG on the day of the peel (Combine). One LPG session per week from weeks 3 to 6 (Maintain).
### LPG Endermologie + Microneedling
**Indications:** Hydration, collagen and elastin production, radiance, fine lines
**Protocol:** LPG preparation prior to treatment to optimise tissue receptivity, followed by maintenance sessions to sustain and amplify the regenerative response.
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## Why This Matters for Our Patients
The implications of this research for patients at PHP Aesthetic-Wellness are significant.
If you are considering or have already had a Botox treatment, dermal filler, chemical peel or microneedling session at our clinic — adding LPG Endermologie to your protocol is not simply an add-on. It is a clinically evidenced enhancement that will:
– **Make your results better** from the very first treatment
– **Make your results last longer** — reducing the frequency of top-up treatments needed
– **Reduce your downtime** — meaning you can return to normal life faster
– **Improve your skin quality** at a deep biological level — not just on the surface
This is precisely the kind of evidence-based, medically led approach that defines everything we do at PHP Aesthetic-Wellness at 22 Harley Street.
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## A Note from Dr Philippe Hamida-Pisal
*”This research confirms what I have observed clinically for many years — that combining LPG Endermologie with aesthetic injectable and resurfacing treatments is not simply additive, it is synergistic. The sum is genuinely greater than the parts. I am proud to share these findings with the wider aesthetic medicine community and to offer our patients at PHP Aesthetic-Wellness a treatment protocol that is grounded in real clinical evidence.”*
— **Dr Philippe Hamida-Pisal**, GPhC registered, Founder of SoMUK, Clinical Director PHP Aesthetic-Wellness
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## Interested in a Combined Treatment Protocol?
If you would like to find out more about how LPG Endermologie can enhance your aesthetic treatment results at PHP Aesthetic-Wellness, we would love to hear from you.
📍 22 Harley Street, Suite 8, London W1G 9PL
📧 contact@phpaesthetic.com
📞 +44 (0) 7917 785 695
🌐 [phpaesthetic.com](https://phpaesthetic.com)
📄 [Read the full published paper](https://medcraveonline.com/JDC/JDC-07-00244.pdf)
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## About PHP Aesthetic-Wellness
PHP Aesthetic-Wellness is a CQC-registered medical aesthetic clinic at 22 Harley Street, London, led by Dr Philippe Hamida-Pisal — GPhC registered practitioner, published clinical researcher and founder of SoMUK, the Society of Mesotherapy of the United Kingdom. Our clinic specialises in advanced injectable treatments, skin rejuvenation, regenerative medicine and holistic wellness — with particular expertise in ethnic and all skin tones.
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*Keywords: LPG Endermologie, facial rejuvenation, combined aesthetic treatment, Botox, dermal fillers, microneedling, chemical peel, Harley Street, PHP Aesthetic-Wellness, clinical research, collagen, skin quality*