Integrated device for non-invasive personalized treatment of skin blemishes and associated multi-step approach

Abstract

An integrated device for non-invasive personalized treatment of skin blemishes, comprising: a handpiece (2) for performing impact treatment on the body / face, causing micro-injury at the wrinkle groove, promoting natural recovery, and reducing wrinkle depth; a handpiece (3) for performing ablative micro-vibration treatment on the body, suitable for expanding or tightening skin tissue by reducing wrinkles, stretch marks and scars, thereby achieving an exfoliating effect; a handpiece (4) for performing compressive micro-vibration treatment on the face, expanding epidermal pores; a device for adjusting the rotation and vibration of the handpiece (2-3-4); an electric energy absorption sensor for each handpiece (2-3-4), transmitting the detected data to a control unit, acting on a frequency adjustment device, and obtaining changes in the rotation and vibration frequency of a rotor (2.11-3.10-4.9) according to the mechanical strength of the skin tissue; and a communication interface (5).

Description

Technical Field

[0001] The invention relates to the fields of aesthetics and sports medicine and rehabilitation. In particular, it describes a device suitable for the identification and treatment of certain diseases, such as cellulite, tissue recompression, lymphatic and venous stasis, edema, muscle and scar contractures, shoulder and neck syndrome and pubalgia, by means of compressive microvibrations. Other fields of application of the device are post-operative treatment of athletes, sports massage, lymphatic drainage and treatment of pain of various origins. Background Art

[0002] So-called cellulite, also known as "female lipodystrophy", "fibroedema panniculitis", "lipedema", "sclerosing fibroedema panniculitis", "dermatophyte panniculitis", "status dermatitis" and "liposclerosis", is a cosmetic manifestation of the skin associated with a common dimpling or inward turn of the pelvis and abdomen, buttocks, buttocks and thighs. It may also be associated with nodules in the subcutaneous fat tissue and, in rare cases, suspected inflammation.

[0003] The great confusion surrounding the name of cellulite reflects the difficulty in properly understanding the nature of the phenomenon. Despite great interest in its treatment and a huge market for topical treatments designed to improve its appearance, cellulite remains a mysterious disease to medical researchers.

[0004] The high incidence of cellulite blemishes in the female population after puberty (80-90%), besides the fact that they are asymptomatic, makes it considered a normal physiological condition. Instead, it can be considered in a pathological framework, which explains that, although for many women it is a normal condition, it does not apply to all, and in its most severe form it manifests itself as nodules that are painful to palpation, which leads to the suspicion of an inflammatory process. Moreover, it is often associated with an excessive accumulation of subcutaneous adipose tissue, whose relationship with cardiovascular risk is unclear.

[0005] Dozens of different causes have been postulated, including: metabolic disorders, nutritional disorders, specific subcutaneous structures, changes in connective tissue structure, hormonal factors, genetic factors, microcirculatory system disorders, changes in the lymphatic system, changes in the extracellular matrix, and inflammation.

[0006] Cellulite is classified as follows:

[0007] - Edema: This is related to the accumulation of fluid, especially around the ankles, calves, thighs and arms.

[0008] -Fiber: that is, related to the increase of trabecular structure and connective tissue septa that divide subcutaneous adipose tissue into multiple lobes;

[0009] Fibrous cellulite is characterized by small nodules that are not noticeable to anyone except for the rough, orange-peel-like skin beneath the skin.

[0010] -Sclerosis: This is associated with hardening of the tissues with large nodules and plaques; this form can be very painful.

[0011] Various measures can help prevent cellulite. Paying attention to nutrition, maintaining physical activity, wearing comfortable and not too tight clothes, shoes with heels that are not too high, and changing your posture are the simplest ways to prevent this annoying disease.

[0012] There is a huge market for treatments to reduce cellulite, ranging from topical products to liposuction. However, many of these treatments lack evidence of effectiveness. Here is a list of the most common ones:

[0013] Topical products, i.e. creams etc., require constant, daily, and prolonged manual application to problem areas;

[0014] ·massage;

[0015] Compression therapy: A treatment method that applies external pressure to the patient's limbs or abdomen through a specific device;

[0016] · Mesotherapy: a technique for administering drugs via subcutaneous, superficial and deep intradermal, and subcutaneous or subcutaneous routes, which has the advantage of being suitable for reducing the dose of active ingredients and having a long-term effect over time;

[0017] · Emulsion-lipolysis: a pharmacological therapy that can be performed by local injection of hypothalamic phospholipids, carnitine, aminophylline, 2% lidocaine, saline solution;

[0018] Lipoptosis: a pharmacological treatment that can be performed by regional injection of vitamin C, ferric iron, 2% lidocaine, and water for injection;

[0019] · Carboxytherapy: A treatment derived from thermal medicine that involves the administration of carbon dioxide by the subcutaneous route;

[0020] Osmotic lipolysis: skin biostimulation with platelet-rich plasma;

[0021] Oxygen deprivation: A technique that delivers pure medical oxygen to excess fat through a small needle;

[0022] Dermatological system: A technology designed in France in the 70s, in which a vacuum system and multiple rollers mounted on a handpiece exert pressure and lifting action on the skin, causing redistribution of subcutaneous fat.

[0023] Ultrasound therapy: A treatment based on the effects of mechanical vibrations applied to tissues outside the body by an ultrasound transducer.

[0024] Laser therapy: Treatment is delivered at various depths based on the power of the transmitted radiation.

[0025] Diathermy: A scientifically unproven practice that purports to provide therapeutic properties from the increase in temperature of certain non-surface areas of the body caused by the passage of an electrical current.

[0026] As can be seen from the above list, although not exhaustive, the market is flooded with various treatments, some of which have no confirmed results. The ineffectiveness is usually due to the fact that the causes of cellulite and the diseases it causes are still unclear, as mentioned above.

[0027] There are various patents claiming treatments for cellulite care, such as US 2002147467, which first provide an exfoliation treatment to maximize the absorption of the substance applied to the skin and then apply mechanical vibrations associated with electric pulses in the problematic area.

[0028] On the other hand, EP 1844750 claims a device for cosmetic treatments, therefore not of a medical nature, which reduces cellulite by means of ultrasonic vibrations with a frequency between 25 kHz and 50 kHz.

[0029] GB 2303552 discloses a medical device capable of reducing fat masses by means of ultrasound waves having a frequency of about 3.3 MHz, reaching a depth of 1.27-2.54 cm from the skin surface without overheating the components.

[0030] International patent WO 2007122656 of Phoenix, the market leader in anti-cellulite and anti-blemish therapies and general dermatological conditions, claims protection for a computer-controlled vibrating device for treating body parts, the main feature of which is the application of massage by causing mechanical vibrations through a plurality of massage elements, which are rotatably mounted about their own axes in rollers driven by electric motors. The rotation of the rollers about their axes is controlled by the operator through an electronic control unit by selecting a program suitable for the treatment to be performed. The device described in this patent performs massage based on the resistance opposing the muscles located under the fat layer.

[0031] One of the purposes of the invention is to provide a device and a compression micro-vibration method customized to the disease suffered by each patient, which synergistically performs four actions by acting on the vascular system at the microcirculatory level, on the lymphatic system, on tissue recompression and on the analgesic effect, thus also bringing about a muscle effect. The operation of the device relies on a sensor capable of detecting the type of disease and a dedicated software that can determine the best treatment plan according to the specific case. Summary of the invention

[0032] According to the present invention, a device is provided and a method of use related thereto is described which effectively overcomes the above-mentioned disadvantages.

[0033] Advantageously, the device integrates a handpiece to perform different treatments depending on the ailment suffered by each patient. The therapy is particularly effective for muscle contractures, cellulite, stretch marks, wrinkles, etc. The device comprises a portable console having a plurality of recesses in the upper portion, each recess being adapted to receive a corresponding handpiece.

[0034] The device comprises at least 3 handpieces and a possible fourth additional handpiece. The handpieces are as follows:

[0035] - A first handpiece suitable for percussion treatment of the patient's body and / or face by means of a rotor, the first handpiece comprising a plurality of rotating elements mounted on a corresponding plurality of semi-axes, the plurality of semi-axes being mounted at equal intervals on the circumference of a ring nut. The rotor is included in the head of the handpiece, which has an opening protected by an elastic membrane, the elastic membrane being designed to allow the performance of the impact, avoiding direct contact between the rotating element and the patient's epidermis. In this embodiment, the handle of the handpiece consisting of two half-handles comprises an electric motor for controlling the impact frequency of the rotor. Thus, the first handpiece is effectively suitable for causing minimal trauma at the wrinkle grooves, thereby promoting natural recovery and thus reducing wrinkle depth or stretching caused by the application of impacts.

[0036] Furthermore, in a preferred embodiment, the first handpiece has a movable head which is tilted at an angle of 10° and is provided with a spot laser and a micro camera.

[0037] - A second handpiece suitable for ablative microvibration treatment of the patient's body, also obtaining an exfoliating effect. This object is achieved by a rotor comprising a plurality of rotating and vibrating elements suitable for vibrating and rotating in a converging or diverging direction relative to a central axis, according to the arrangement of a plurality of pins on which said rotating elements are mounted. The central axis of the rotor is occupied by an intermediate annular nut, which can be effectively used by the operator so that said rotating elements exert a converging or diverging force on the patient's skin. The rotor is inserted into a housing provided with an open side allowing contact between said rotating elements and the patient's body, and with a closed side facing the operator, which includes a pair of light indicators suitable for signaling to the operator the converging or diverging direction of the rotating elements. The rotor is connected below an electric motor, which is integrated in the handle of the handpiece, for determining the rotation and vibration frequency of the rotor. Thus, said second handpiece is effectively suitable for dilating or tightening the skin tissue by alleviating imperfections such as wrinkles, stretch marks and scars, thus also obtaining an exfoliating effect, technically known as "stretching". In a preferred embodiment of the present invention, this exfoliation effect is obtained by surface treating the outer surface of each rotating element with a predetermined roughness and density or softness.

[0038] - A third handpiece, suitable for carrying out a compressive micro-vibration treatment of the patient's face by means of a rotor provided with a rotating element suitable for vibrating and rotating around a plurality of pins extending from an upper ring nut to a lower ring nut. The rotor is inserted into a housing provided with an open side allowing contact between the rotating element and the patient's body, and provided with a closed side facing the operator provided with an optical pressure indicator which signals to the operator the pressure with which he / she presses on the patient's face. Also in the case of the third handpiece, the rotor is driven by an electric motor integrated in the handle. Thus, the third handpiece is effectively suitable for dilating the pores of the patient's epidermis.

[0039] - A fourth handpiece, which is optional only for the device of the invention, adapted to deliver the treatment of the active ingredient by vibrating deeply on the patient's body and / or face via a vibrating head adapted to vibrate at a predetermined frequency, driven by an electric motor integrated in the handle of the handpiece. Optionally, the fourth handpiece also comprises an active ingredient reservoir adapted to release the desired amount of cream, gel or mousse on the patient's body when the operator presses a specific key. The use of the fourth handpiece after the use of at least one of the first three handpieces allows the desired deep penetration of the active ingredient, which would otherwise only be achieved by injection, thus making the treatment non-invasive, painless and at least as effective.

[0040] All the handpieces are powered by special cables connecting them to the console. They can also be easily disconnected by operating a special connection device that connects the distal end of the power supply cable to the motor included in the handpiece.

[0041] Each handpiece further comprises a rotation and vibration regulating device and an electric energy absorption sensor. The latter is suitable for detecting the amount of electric energy absorbed by each handpiece in order to obtain the desired rotation and vibration of the corresponding rotor, transmitting the detected data to a control unit programmed with dedicated software. By processing the data from the electric energy absorption sensor, the control unit acts in real time on the frequency regulating device of the handpiece in order to obtain an instantaneous variation of the rotation and vibration frequency of the rotor according to the mechanical strength provided by the patient's skin tissue in contact with the handpiece in use, wherein the frequency is within a predetermined range, including between 20 Hz and 700 Hz, preferably between 40 Hz and 355 Hz.

[0042] This device constitutes a major advantage offered by the present invention, considering that the possibility of automatically and immediately identifying and modifying the intensity of the treatment in areas affected by different muscle contractures or tissue disorders greatly facilitates the operator's work.

[0043] All data relevant to the ongoing treatment are displayed and can be modified manually by the operator via a communication interface, which is preferably integrated in the console.

[0044] In more detail, the method for using the device according to the present invention comprises the following steps:

[0045] - Setting parameters via the communication interface based on the patient's tissue, age and muscle characteristics;

[0046] - a test in which, by grasping the handpiece and placing the associated rotor in contact with the patient's body or face, the associated electrical energy absorption sensor sends the detected data to a control unit integrated in the treatment device. By comparing the electrical energy absorption data with the data of the vibration and rotation frequencies set by the operator, the control unit communicates the correctness or incorrectness of the vibration and rotation frequency range to the operator through a communication interface;

[0047] - implementation of a treatment in which the operator sequentially covers with the handpieces the areas of the body or face of the patient to be treated, according to a sequence predetermined based on the type of treatment. In a preferred embodiment, the recesses housing the handpieces are further provided with means for retaining said handpieces, adapted to release the handpieces only in a sequence predetermined by the treatment being performed. During the treatment, the operator applies a predetermined pressure perpendicular to the patient's skin tissue and, if the electrical energy absorption sensor of the handpiece in use (possibly in combination with a pressure or motor speed sensor) detects an area intensity of greater mechanical intensity, such as a muscle contraction, the control unit processes the data sent by the electrical energy absorption sensor and sends to the frequency regulation device of the handpiece in use an instruction to increase the vibration and rotation frequency until a lower mechanical resistance is detected.

[0048] - At the end of the treatment, in a fourth step of monitoring the homogeneity of the treatment in the areas affected by the skin condition or blemish, the operator checks the reddening of the skin due to the vascularization of the tissue caused by the treatment, in order to ensure that each area of ​​the body or face has been treated homogeneously. A more scientific version of this final step of the method of using the machine provides each handpiece with a temperature sensor adapted to transmit to the control unit of the device the temperature variations of the patient's skin tissue from the beginning of the treatment.

[0049] Finally, the rotating element of the handpiece can be composed of balls, ovoids or cylinders, preferably balls, and the balls are arranged in a honeycomb or V-shape, and the rotating element is made of anti-allergic silicone or a gel with a hardness between 5 Shore hardness and 100 Shore hardness, preferably 35 Shore hardness.

[0050] In a variant embodiment of the rotating element (ball), the effect of the treatment so far has been very effective, since the outer surface of the rotating element is provided with a plurality of spherical cap-shaped recesses which are suitable for producing a suction effect when pressed against the patient's epidermis, and thus these recesses are added to the further beneficial effect of the "micro vacuum".

[0051] The advantages provided by the present invention will be clear from the description briefly given so far. Furthermore, they will become more apparent due to the accompanying drawings and the related detailed description. BRIEF DESCRIPTION OF THE DRAWINGS

[0052] The present invention will be described hereinafter by way of non-limiting example and with reference to at least one preferred embodiment of the accompanying drawings, in which:

[0053] Figure 1 A three-dimensional view of the device in the three groove embodiments 1.1-1.2-1.3 is shown. An optionally present fourth handpiece 7 is also shown.

[0054] Figure 2 (a) shows an exploded view of the first handpiece 2.

[0055] Figure 2 (b) shows an exploded view of the rotor 2 . 11 of the first handpiece 2 in detail.

[0056] Figure 3 (a) shows an exploded view of the second handpiece 2.

[0057] Figure 3 (b) shows a three-dimensional view of the rotor 3 . 10 of the second handpiece 3 .

[0058] Figure 3 (c) shows an exploded view of the above-mentioned rotor 3.10.

[0059] Figure 4 (a) shows an exploded view of the third handpiece 4.

[0060] Figure 4 (b) shows an exploded view of the rotor 4 . 9 of the third handpiece 4 .

[0061] Figure 4 (c) shows an exploded view of the housing 4 . 4 of the third handpiece 4 .

[0062] Figure 4 (d) shows a three-dimensional view of the above-mentioned rotor 4.9.

[0063] Figure 5 An exploded view of the fourth handpiece 7 is shown. DETAILED DESCRIPTION

[0064] The invention will now be described, by way of non-limiting or non-constraining examples, with reference to the accompanying drawings which illustrate some embodiments of the inventive concept.

[0065] Reference Figure 1 , which as a whole shows the main body of the device of the present invention, which includes a portable console 1, which includes a control unit (not shown), which is provided with a communication interface 5 and three grooves 1.1-1.2-1.3, each groove is suitable for accommodating a corresponding handpiece 2-3-4. Preferably, the grooves are heated.

[0066] Depending on the patient's condition, the operator selects the range of vibration and rotation frequencies that the rotors 2.11-3.10-4.9 will perform when the handpiece 2-3-4 is placed on the patient's skin.

[0067] Since each handpiece 2-3-4 is provided with an electric energy absorption sensor, the detection data of the electric energy suitable for detection is transmitted to the control unit programmed with a dedicated software, so that the correctness of the range can be immediately verified. The data from the electric energy absorption sensor (possibly in combination with a pressure or motor speed sensor) are processed, so that the frequency adjustment device of each handpiece 2-3-4 is acted on in real time to obtain a real-time change of the rotation and vibration frequency of the rotor 2.11-3.10-4.9, within a predetermined range (included between 20 Hz and 700 Hz, preferably between 40 Hz and 355 Hz), depending on the mechanical strength provided by the patient's skin tissue when in contact with one of the handpieces 2-3-4;

[0068] The operator can then perform the treatment by sequentially covering the areas of the patient's body or face to be treated with the handpieces 2-3-4, applying a predetermined pressure perpendicular to the patient's skin tissue, and continuing for a predetermined time interval. In the recesses 1.1-1.2-1.3 of the console 1, a retaining device is provided, which releases the handpieces 2-3-4 only in the order pre-established by the ongoing treatment, preventing any possibility of error.

[0069] Each handpiece 2-3-4 has a rotor 2.11-3.10-4.9 consisting of rotating elements 2.11.4-3.10.5-4.9.5 or balls arranged in a honeycomb or in a V-shaped manner, made of anti-allergic silicone or gel with a hardness equal to 35 Shore hardness.

[0070] In more detail, the first handpiece 2 is suitable for performing impact treatments on the patient's body and / or face. The balls 2.11.4 of the rotor 2.11 are mounted on a corresponding plurality of half-axes 2.11.2, which are arranged at equal intervals on the circumference of the ring nut 2.11.1. The rotor 2.11 is mounted between a movable head and an angular support 2.5, the movable head allowing the movement of the diaphragm 2.2. The head 2.2 is provided with an elastic membrane, which is suitable for allowing the performance of impacts, thereby preventing direct contact between the balls 2.11.4 and the patient's epidermis. On the other hand, the angular support 2.5 is mounted on a motor 2.7 via a suitable plug-in 2.6, the motor 2.7 controlling the impact frequency of the rotor 2.11, the rotor 2.11 being powered by a dedicated cable connected via a common connection device 2.8, the common connection device 2.8 being connected to the console 1. The angular support 2.5, the insert 2.6, the motor 2.7 and the connection means 2.8 are arranged in a pair of half-handles 2.9-2.10 which are adapted to be engaged with each other to constitute a grip of said first handpiece 2.

[0071] The second handpiece 3 is suitable for performing ablation micro-vibration treatment on the patient's body. The ball 3.10.5 of the rotor 3.10 vibrates and rotates in a converging or diverging direction according to the arrangement of multiple pins 3.10.9 on which the ball 3.10.5 is installed. In more detail, the pin 3.10.9 extends from the upper ring nut 3.10.2 to the middle ring nut 3.10.4, and extends from the middle ring nut 3.10.4 to the lower ring nut 3.10.6. The rotation of the middle ring nut 3.10.4 by the operator changes the configuration of the pin 3.10.9 so as to make the ball 3.10.5 converge or diverge toward or away from the middle ring nut 3.10.4. The rotor 3.10 rotates around the upper semi-axis 3.10.3 and the lower semi-axis 3.10.8, and is inserted into a housing 3.4 having an open side and a closed side. The open side allows contact between the balls 3.10.5 and the patient's body, while the closed side is directed towards the operator and comprises a pair of light indicators 3.3 suitable for signalling to the operator the convergence or divergence direction of the balls 3.10.5 on the patient's body. The rotor 3.10 is connected in the upper part by means of a pin 3.10.1 to a bearing 3.2 and finally to the upper plug 3.1 of the second handpiece 3. On the other hand, in the lower part, the rotor 3.10 is connected to an electric motor 3.5 integrated in the handle 3.6 and powered by a dedicated cable, connected through a common connection means 3.7 comprised in the lower cover 3.8.

[0072] The third handpiece 4 is suitable for compressive micro-vibration therapy of the patient's face. The balls 4.9.5 of the rotor 4.9 vibrate and rotate around a plurality of pins 4.9.4 extending from the upper ring nut 4.9.2 to the lower ring nut 4.9.6. The rotor 4.9 rotates around the rotation axis 4.9.3 at a preset frequency and is inserted into a housing 4.4 provided with an open side and a closed side. The open side allows contact between the balls 4.9.5 and the patient's body; the closed side points to the operator and it includes an optical pressure indicator 4.4.1, which is suitable for signaling the operator with the pressure with which he / she presses the handpiece 4 on the patient's face. The rotor 4.9 is connected to the bearing 4.2 and finally to the upper cover 4.1 at the upper part by the pin 4.9.1, and to the motor 4.6 at the lower part by the joint 4.9.7, which is integrated in the handle 4.5 and powered by a dedicated cable connected by a common connection device 4.8 included in the lower cover 4.7.

[0073] At the end of the treatment, the operator verifies that each tissue has been treated uniformly by monitoring the increase in skin temperature caused by the vascularization of the tissue caused by the treatment, which is performed by a control unit that processes the temperature data detected by the temperature sensor of the handpiece 2-3-4 during use.

[0074] Finally, it is evident that the invention described thus far is susceptible of modifications, additions or variations obvious to a person skilled in the art without departing from the scope of protection outlined in the appended claims.

Claims

1. An integrated device for non-invasive personalized treatment of skin blemishes, characterized in that The device is suitable for being operated by an operator to treat the body and / or the face of a patient for reducing muscle contracture, fat mass, stretch marks, wrinkles and other blemishes, the device comprising a portable console (1), a plurality of grooves (1.1-1.2-1.3) being provided on the upper part of the portable console (1), each of the grooves (1.1-1.2-1.3) being suitable for accommodating a corresponding handpiece (2-3-4), the handpiece (2-3-4) being suitable for being grasped by the operator so as to perform a preset treatment step on the body and / or the face of the patient; The hand piece (2-3-4) comprises: A first handpiece (2) is suitable for performing impact treatment on the patient's body and / or face through a rotor (2.11), wherein the rotor (2.11) comprises a plurality of rotating elements (2.11.4) mounted on a corresponding plurality of equidistant semi-axes (2.11.2) on the circumference of a ring nut (2.11.1); the rotor (2.11) is mounted between a movable head (2.2) and the first handpiece (2) and an angle support (2.5), the movable head (2.2) being inclined at an angle of 10°, the movable head (2.2) being provided with a point laser and a micro camera; the head (2.2) being provided with an elastic membrane, the elastic membrane being suitable for allowing the performance of impact treatment, thereby avoiding direct contact between the rotating elements (2.11.4) and the patient's epidermis ; The angle support (2.5) is mounted on a motor (2.7) that controls the impact frequency of the rotor (2.11) through a suitable insert (2.6); the motor (2.7) is powered by a dedicated cable and connected to the first handpiece (2) through a common connection device (2.8), and the common connection device (2.8) is connected to the console (1); the angle support (2.5), the insert (2.6), the motor (2.7) and the connection device (2.8) are arranged in a pair of half handles (2.9-2.10), and the half handles are suitable for engaging with each other to form a handle for grasping the first handpiece (2); the first handpiece (2) is suitable for causing micro-injury at the wrinkle groove, thereby promoting natural recovery and thus reducing wrinkle depth; The second handpiece (3) is suitable for performing ablation micro-vibration treatment on the patient's body through a rotor (3.10), wherein the rotor (3.10) includes a plurality of rotating elements (3.10.5), wherein the rotating elements (3.10.5) are suitable for vibrating and rotating in mutually converging or diverging directions according to the arrangement of a plurality of pins (3.10.9), and wherein the rotating elements (3.10.5) are mounted on the pins (3.10.9); the pins (3.10.9) extend from the upper annular nut (3.10.2) to the middle annular nut (3.10.4), and extend from the middle annular nut (3.10.5) to the middle annular nut (3.10.6). .10.4) extends to the lower ring nut (3.10.6); the operator's rotation of the intermediate ring nut (3.10.4) is suitable for changing the configuration of the pin (3.10.9) to ensure that the rotating element (3.10.5) converges toward the intermediate ring nut (3.10.4) or diverges from the intermediate ring nut (3.10.4); the rotor (3.10) is suitable for rotating around the upper half shaft (3.10.3) and the lower half shaft (3.10.8) at a predetermined frequency; the rotor (3.10) is inserted into a housing (3.4) having an open side and a closed side The open side allows contact between the rotating element (3.10.5) and the patient's body; the closed side faces the operator and includes a pair of light indicators (3.3), which are suitable for sending a signal to the operator to inform the convergence or divergence direction of the rotating element (3.10.5) on the patient's body; the rotor (3.10) is connected to the bearing (3.2) at the top through a pin (3.10.1) and finally connected to the upper cover (3.1) of the second handpiece (3); the rotor (3.10) is connected to the lower to a motor (3.5) integrated in the handle (3.6); the motor (3.5) is adapted to determine the rotation and vibration frequency of the rotor (3.10), and the motor (3.5) is powered by a dedicated cable, the dedicated cable being connected to the second handpiece (3) via a common connection device (3.7) included in a lower cover (3.8) connected to the handle (3.6), the power supply cable being connected to the console (1); the second handpiece (3) being adapted to expand or compress skin tissue to reduce the blemishes of wrinkles, stretch marks and scars, and also to obtain a "stretching" peeling effect; The third handpiece (4) is suitable for performing compressive micro-vibration treatment on the face of the patient through a rotor (4.9), wherein the rotor (4.9) includes a plurality of rotating elements (4.9.5), wherein the rotating elements (4.9.5) are suitable for vibrating and rotating around a plurality of pins (4.9.4), and wherein the rotating elements (4.9.5) are mounted on the pins (4.9.4); wherein the pins (4.9.4) extend from an upper ring nut (4.9.2) to a lower ring nut (4.9.6); wherein the rotor (4.9) is suitable for rotating around a rotation axis (4.9.3) at a predetermined frequency; wherein the rotor (4.9) is inserted into a housing (4.4) having an open side and a closed side; wherein the open side allows contact between the rotating element (4.9.5) and the body of the patient; wherein the closed side faces the operator and includes an optical pressure indicator (4.4.1), wherein the optical pressure indicator (4.4.1) is suitable for sending a signal to the operator of the pressure with which he / she presses the handpiece (4) on the face of the patient; the rotor (4.9) is connected at the top to the bearing (4.2) through a pin (4.9.1) and finally to the upper cover (4.1) of the third handpiece (4); the rotor (4.9) is connected at the bottom to the motor (4.6) integrated in the handle (4.5) through a joint (4.9.7); the motor (3.5) is suitable for determining the rotation and vibration frequency of the rotor (4.9), and the motor (3.5) is powered by a dedicated cable, which is connected to the third handpiece (4) through a common connection device (4.8) included in the lower cover (4.7) connected to the handle (4.5), and the power supply cable is connected to the console (1); the third handpiece (4) is suitable for dilating the pores of the patient's epidermis; at least one rotation and vibration regulating device, integrated in each handpiece (2-3-4), suitable for controlling the frequency of said rotation and vibration of said rotor (2.11-3.10-4.9) of said handpiece (2-3-4); At least one electric energy absorption sensor for each of the handpieces (2-3-4), adapted to detect the amount of electric energy absorbed by each handpiece (2-3-4) in order to obtain the required rotation and vibration of the associated rotor (2.11-3.10-4.9); the electric energy absorption sensor is adapted to transmit the detected data to a control unit programmed with dedicated software, the control unit being suitable for processing the data from the electrical energy absorption sensor and thus acting in real time on the frequency regulation device of each of the handpieces (2-3-4) in order to obtain a real-time variation of the rotation and vibration frequency of the rotor (2.11-3.10-4.9) within a predetermined range, the predetermined range being comprised between 20 Hz and 700 Hz, the real-time variation depending on the mechanical strength provided by the patient's skin tissue in contact with one of the handpieces (2-3-4); a communication interface (5), integrated in the console (1), adapted to enable the operator to receive information about the ongoing treatment in real time and to set desired parameters for the patient via the handpiece (2-3-4), the parameters including vibration frequency and rotation frequency; The integrated device also comprises means for retaining the handpieces (2-3-4-7), the means being adapted to release the constraints between the grooves (1.1-1.2-1.3) and the respective handpieces (2-3-4-7) only in a sequence pre-established by the ongoing treatment.

2. An integrated device for the non-invasive personalized treatment of skin blemishes according to the preceding claim 1, characterized in that The integrated device comprises at least one fourth handpiece (7), which is suitable for achieving a treatment of vibrating and transporting active ingredients deep into the body and / or face of the patient, wherein the treatment is implemented by vibrating the head (7.1) with square wave electric pulses, and the square wave electric pulses are driven at a preset frequency by a motor (7.4) inserted into a handle (7.3), the handle (7.3) being connected to a support (7.2) at the top, and the vibrating head (7.1) protruding upward from the support (7.2); the motor (7.4) is powered by the dedicated cable and connected to the fourth handpiece (7) through a common connection device (7.6) included in a lower cover (7.5) connected to the handle (7.3), and the power supply cable is connected to the console (1).

3. An integrated device for the non-invasive personalized treatment of skin blemishes according to the preceding claim 2, characterized in that The fourth handpiece (7) comprises an active ingredient container adapted to release a desired amount of cream, gel or mousse onto the body of the patient when the operator presses an appropriate key.

4. An integrated device for the non-invasive personalized treatment of skin imperfections according to any one of the preceding claims, characterized in that The handpiece (2-3-4-7) is provided with an internal resistor, which is suitable for heating the part of the handpiece (2-3-4-7) that contacts the body or face of the patient to a preset temperature when the handpiece (2-3-4-7) is in use.

5. An integrated device for the non-invasive personalized treatment of skin blemishes according to any one of the preceding claims 1 to 3, characterized in that Each groove (1.1-1.2-1.3) is provided with an internal resistor suitable for heating the corresponding handpiece (2-3-4-7) before the handpiece (2-3-4-7) comes into contact with the body or the face of the patient.

6. An integrated device for the non-invasive personalized treatment of skin blemishes according to any one of the preceding claims 1 to 3, characterized in that Each handpiece (2-3-4-7) is provided with a temperature sensor, which is suitable for transmitting temperature changes of the patient's skin tissue to the control unit of the device from the beginning of treatment, and the control unit transmits the value of the change through the communication interface (5).

7. An integrated device for the non-invasive personalized treatment of skin blemishes according to any one of the preceding claims 1 to 3, characterized in that The rotating element (2.11.4-3.10.5-4.9.5) of the handpiece (2-3-4) is composed of a ball, an oval body or a cylinder, and the rotating element (2.11.4-3.10.5-4.9.5) is arranged to form a honeycomb or a V shape; the rotating element (2.11.4-3.10.5-4.9.5) is made of non-allergic silicone or a gel with a hardness between 5 Shore A and 100 Shore A.

8. An integrated device for the non-invasive personalized treatment of skin blemishes according to any one of the preceding claims 1 to 3, characterized in that The rotating element (2.11.4-3.10.5-4.9.5) of the handpiece (2-3-4) has an outer surface provided with a plurality of spherical cap-shaped grooves, and the spherical cap-shaped grooves are suitable for generating a suction effect when pressed onto the epidermis of the patient; the outer surface of the rotating element (2.11.4-3.10.5-4.9.5) is surface-treated and suitable for obtaining a predetermined surface roughness so as to obtain a desired exfoliation effect on the epidermis of the patient.

9. An integrated device for non-invasive personalized treatment of skin blemishes according to any one of claims 1 to 3, characterized in that: The predetermined range is comprised between 40 Hz and 355 Hz.

10. The integrated device for non-invasive personalized treatment of skin blemishes according to claim 7, characterized in that The rotating element (2.11.4-3.10.5-4.9.5) is made of gel with a Shore hardness of 35.

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