Clinical papers

Adjustable Depth Fractional Radiofrequency Combined With Bipolar Radiofrequency: A Minimally Invasive Combination Treatment for Skin Laxity

Introduction

Increasingly, patients are seeking minimally invasive methods to tighten skin and remodel adipose tissue. A large treatment gap exists among 3 types of patients: (1) the younger demographic, who increasingly desire soft tissue tightening without traditional operations, scars, and downtime; (2) patients with soft tissue laxity who are not “severe enough” to justify an excisional procedure, but not “mild enough” to rely on liposuction with soft tissue contraction alone; and (3) those with recurrent laxity who already underwent traditional excisional procedures. In these populations, plastic surgeons risk under- or overtreating with traditional methods. The purpose of this supplement is to describe the utility of radiofrequency (RF) microneedling (Fractora modified to Morpheus8 InMode Aesthetic Solutions, Lake Forest, CA) in combination with bipolar RF (FaceTite/BodyTite, InMode Aesthetic Solutions). By combining these procedures, the aforementioned treatment gap can be addressed. The RF microneedling allows for subdermal adipose remodeling and skin tightening. Addition of bipolar RF also tightens the skin by contraction of the underlaying fibroseptal network in addition to induction of neocollagenesis, elastogenesis, and angiogenesis at skin surface temperatures of 40° to 50°C. In our experience, these technologies have been effective and safe in these patient populations.

Published date:

12 April, 2019

One‐year follow‐up results of hair removal using an 810 nm diode laser

Introduction

Laser hair removal is a common light‐based aesthetic procedure. Diode lasers and specifically the long‐pulse diode laser 810 nm are the most popular preference for hair removal due to the deep penetration and targeting of the hair follicle. In a recently published article, we presented our hair removal clinical evaluation results using an 810 nm scanning diode laser. Three‐ and six‐month follow‐up hair counts demonstrated an average hair reduction of about 70%.

Objective

In the current article, we demonstrate long‐term follow‐up hair removal results of 1 year after last treatment.

Methods

Among 11 out of 14 female patients who received three axillary hair removal treatments, 4‐6 weeks apart, returned to the 1‐year follow‐up visit. Treatment area photographs and hair count of 1‐year follow‐up visit were compared to baseline.

Results

The average hair count reduction of about 70% at 1 year after the last treatment was maintained.

Conclusions

The examined 810 nm diode laser has been proven to be a safe and effective for hair removal. Results sustain not only for 3 or 6 months but also for 1 year after last treatment.

Published date:

19 July, 2018

Events

Aesthetic Surgery Journal – Soft Tissue Contraction in Body Contouring With Radiofrequency-Assisted Liposuction: A Treatment Gap Solution

Abstract: Radiofrequency-assisted liposuction is a relatively new concept in energy-assisted body contouring techniques and has received instrument approval. This supplemental article reviews the clinical application of electromagnetic energy via the BodyTite (InMode Corporation, Toronto, Canada) device on soft tissues during suction lipectomy, its effect on soft tissue contraction, and its use in aesthetic body contouring in various clinical scenarios.

There is a large number of these “in between” patients in this “gap” category that their clinical picture presents as “not bad enough for an excisional procedure and not good enough for liposuction.” Specifically, areas of the body described as zones of nonadherence such as the arms, neck, and medial thighs may be amenable to radiofrequency-assisted liposuction (RFAL) for satisfactory contouring who otherwise would be turned away with liposuction alone by the judicious surgeon. The RFAL technology, being more effective and directed at fat resection, can be achieved with an increased margin of safety since the skin can be anticipated to retract more than with manual suction-assisted lipectomy (SAL) alone.

Published date:

01 January, 2018

Clinical Evaluation of Hair Removal Using an 810 nm Diode Laser With a Novel Scanning Device

Objective:
To evaluate the safety and efficacy of hair removal with an 810nm novel scanning diode laser, up to six months after last treatment.

Methods:
A scanning 810nm diode laser was used for axillary hair removal of 14 female patients who received 3 treatments, 4-6 weeks apart. Follow-up on hair count was conducted 3 and 6 months after last treatment and compared to baseline hair count.

Results:
No unexpected or significant adverse events were recorded. An average hair count reduction of 72.8% after 3 months and 67.6% 6 months after the last treatment is demonstrated.

Conclusion:
The examined 810nm diode laser was proven to be safe and effective for hair removal. Results were sustained for 6 months after last treatment.

Published date:

06 December, 2016

RADIOFREQUENCY-ASSISTED LIPOSUCTION FOR NECK AND LOWER FACE ADIPODERMAL REMODELING AND CONTOURING

Background: The purpose of this study is to report our experience using radio-frequency-assisted liposuction (RFAL) for neck and face contouring. This article details the operative technique, selection, complications, third-party surgeon appraisal, and patient satisfaction survey.

Methods: From November 2009 to November 2013, 55 patients who underwent RFAL treatment were enrolled in the study. Postoperative patient satisfaction surveys were conducted, and 2 independent plastic surgeons evaluated contour and skin quality with randomized preoperative and postoperative photographs at 6 months post operatively. The different parameters recorded involved age, sex, weight, body mass index, operative time, amount of fat aspirated and energy delivered, complications, and aesthetic outcome in 1 and 4 weeks and 3 and 6 months. Our longest follow-up was 4 years. Patients were asked 6 months post operatively to grade their satisfaction as poor, no change, moderate, good, and excellent.

Results: The mean age was 51 years (range, 35–61 years), and the mean amount of fat aspirated was 30 mL (range, 10–200 mL). Five out of 55 patients (9.1%) developed tissue hardness that resolved with massage. All patients were followed up for a minimum of 6 months. Eighty-five percent of patients were satisfied with their contouring result and degree of skin tightening (48/55 patients). Two independent plastic surgeons considered the improvement in contouring and degree of skin tightening good to excellent in 52 of 55 cases.

Conclusions: In appropriately selected patients, RFAL neck and face contouring represent a safe procedure to achieve significant improvement of the skin laxity and fat deposits of the cervicomental zone and jowls.

Conclusions: Radiofrequency-assisted tissue tightening, when applied in conjunction with SAL, is effective in achieving greater skin surface area
reduction.

Published date:

24 August, 2016

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