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When ultrasound is applied to the skin, several reactions occur: The vibration creates "friction", which generates heat. On the other hand, this friction causes a micro-massage in the tissue in addition to the warming. The vessels dilate, which leads to a stronger blood circulation and thus to an increased metabolic exchange. The skin "purifies", the lymph flow is stimulated. The vibrating sound waves allow active ingredients to penetrate the skin in much larger quantities and much deeper.