Combining Vaser® Ultrasonic Fat Removal Surgery with Intraoperative Renuvion® Radiofrequency Application

Yıl 2021, Cilt: 8 Sayı: 2, 277 - 284, 30.06.2021

Naci Celik

https://doi.org/10.34087/cbusbed.809547

Öz

Objective Liposuction is not a weight-loss method, but it is used to correct body contour problems. On the other hand, not everybody with contour deformity is a good candidate for this operation. An important contraindication of liposuction is loose skin. Although third-generation ultrasound devices used frequently in the last decade produce some skin contraction due to superficial liposuction, many patients are still not considered ideal candidates. Devices which stimulate fibroseptal network with thermal energy could be an alternative method.
Material and Methods: Seven women and 3 men with loose skin who were not ideal candidates for liposuction were included in this study. All of them received ultrasonic liposuction followed by intraoperative subcutaneous radiofrequency application to stimulate skin contraction. Patients were controlled after the operation, and their results were compared with photographs, and patients’ satisfaction was assessed.
Results: In all patients, immediate skin contraction was seen during the procedure, and it increased for 3 months after the surgery. As the skin elasticity is subjective, the author compared the preoperative and postoperative photographs of the patients to evaluate the amount of skin contraction. Besides, the self-evaluation questionnaires of the patients were assessed.
Conclusion: Ultrasound and Radiofrequency combination, called technologic liposuction, seems promising in patients with loose skin who are bad candidates for liposuction operation.

Anahtar Kelimeler

J-Plasma®, Liposuction, Loose skin, Radiofrequency, Renuvion®, Ultrasonic liposuction, Vaser®.

Ultrasonik Cihazlarla Yağ Alma Ameliyatının İntraoperatif Subkutan Radyofrekans Uygulamasıyla Kombine Edilmesi

Öz

Giriş ve Amaç: Liposuction ameliyatı bir kilo verme yöntemi olmayıp vücut kontur bozukluğunu düzeltmek için yapılan bir işlemdir. Ancak kontur bozukluğu olan her birey liposuction için uygun bir aday olmayabilir. Liposcution’ın önemli bir kontrendikasyonu derinin gevşekliğidir. Her ne kadar son 10 yıldır yaygın şekilde kullanılan üçüncü jenerasyon ultrasonik cihazlar, deriden yüzeyel yağ alınmasına izin verdiği için bir miktar deride sıkılaşma yapsa da bu yeterli olmamakta ve pek çok hasta liposuction için uygun bulunmamaktadır. Bu noktada termal enerji ile fibroseptal ağı uyaran radyofrekans cihazları iyi bir alternatif olabilir.
Gereç ve Yöntemler: Deri yapısı gevşek ve liposuction için ideal aday olmayan 7 erkek 3 kadın hasta bu çalışmaya alınmıştır. Bu hastalara ultrasonik liposuction uygulanarak yağ alınmış ve bu işlemin ardından da subkutan plasma radyofrekans uygulanarak deride sıkılaşma sağlanması amaçlanmıştır. Daha sonra hastalar kontrollere çağrılarak fotoğrafları çekilmiş ve hasta memnuniyetleri araştırılmıştır.
Bulgular: Ameliyat sırasında hastaların tamamında radyofrekans uygulanması sonrası deride sıkılaşma başladığı görülmüş ve bu etkinin ilk 3 ay boyunca arttığı gözlenmiştir. Yazar, derinin sıkılaşması sübjektif bir bulgu olduğu için sıkılaşma miktarını anlayabilmek için, ameliyat öncesi ve sonrası fotoğrafları incelemiş ve daha önemlisi hastaların verilen anket sorularına cevaplarını değerlendirmiştir.
Sonuç: Teknolojik liposuction diyebileceğimiz ultrason+radyofrekans kombinasyonu normalde liposuction için uygun olmayan, derisi gevşek hastalarda, ideal bir kombinasyon oluşturma açısından umut verici görünmektedir.

Anahtar Kelimeler

Liposuction, Radyofrekans, Vaser®, Renuvion®, Deri gevşekliği, J Plasma®, Ultrasonik liposuction

Kaynakça

• Flynn, C.T, Coleman, W.P, et al., History of Liposuction, Dermatologic Surgery, 2000, 26, 515-20.
• Coleman, W.P III, The history of liposculpture, The Journal of Dermatologic Surgery and Oncology, 1990, 16, 1086.
• Dolsky, R.L, Newman, J, et al., Liposuction: history, techniques, and complications, Deramatologic Clinic, 1987, 5, 313–33.
• Klein, J.A, Tumescent technique for liposuction surgery, American Journal of Cosmetic Surgery, 1987, 4, 263–7.
• Lawrence, N, Cox, S.E, The efficacy of external ultrasound-assisted liposuction: a randomized controlled trial, Dermatologic Surgery, 2000, 26, 329–32.
• Katz, B.E, Bruck, M.C, Coleman, W.T. III, The benefits of powered liposuction versus traditional liposuction: a paired comparison analysis, Dermatologic Surgery, 2001, 27(10), 863–7.
• Hoyos, A, Millard, J.A, VASER-Assisted High-Definition Liposculpture, Aesthetic Surgery Journal, 2007; 27:594–604.
• Thomas, L.R. III, Toledo, L.S, Badin, A.Z, Augmentation of the Buttocks by Micro Fat Grafting, Aesthetic Surgery Journal, 2001, 21, 311-319.
• Rubin, J.P, Khachi, G. Mastopexy after massive weight loss: Dermal suspension and selective autoaugmentation, Clinics in Plastic Surgery, 2008, 35(1), 123-129. Review).
• Paul, M, Mulholland, R.S, A new approach for adipose tissue treatment and body contouring using radiofrequency-assisted liposuction, Aesthetic Plastic Surgery, 2009, 33, 687-694.
• Duncan, D.I, Nonexcisional tissue tightening: Creating skin surface area reduction during abdominal liposuction by adding radiofrequency heating, Aesthetic Surgery Journal, 2013, 33(8), 1154-1166.
• Toledo, L.S, Syringe liposculpture, Clinics in Plastic Surgery, 1996, 23, 683-693.
• Hughes, C.E, 3rd. Reduction of lipoplasty risks and mortality: An ASAPS survey, Aesthetic Surgery Journal, 2001, 21, 120-127.
• DiBernardo, B.E, Reyes, J, Evaluation of skin tightening after laser-assisted liposuction, Aesthetic Surgery Journal, 2009, 29, 400-407.
• Blugerman, G, Schavelzon, D, et al., A safety and feasibility study of a novel radiofrequency-assisted liposuction technique, Plastic and Reconstructive Surgery, 2010, 125, 998-1006.
• Key, DJ, A preliminary study of a transdermal radiofrequency device for body slimming, Journal of Drugs in Dermatology, 2015, 14(11), 1272-1278.
• Duncan, D.I, Improving outcomes in upper arm liposuction: Adding radiofrequency-assisted liposuction to induce skin contraction, Aesthetic Surgery Journal, 2012, 32(1), 84-95.
• Hurwitz, D, Smith, D. Treatment of overweight patients by radiofrequency-assisted liposuction (RFAL) for aesthetic reshaping and skin tightening, Aesthetic Plastic Surgery, 2012, 36(1), 62-71.
• Paul, M, Mulholland, R.S, A new approach for adipose tissue treatment and body contouring using radiofrequency-assisted liposuction, Aesthetic Plastic Surgery, 2009, 33, 687-694.
• Chia, C.T, Theodorou, S.J, Hoyos, A.E, et al. Radiofrequency- assisted liposuction compared with aggressive superficial, subdermal liposuction of the arms: a bilateral quantitative comparison, Plastic Reconstructive Surgery Global Open, 2015, 3(7), e459.
• Gentile, R.D, Renuvion/J-plasma for subdermal skin tightening facial contouring and skin rejuvenation of the face and neck, Facial Plastic Surgery Clinics of North America, 2019, 27(3), 273–90.
• Doolabh, V, A Single-site Postmarket Retrospective Chart Review of Subdermal Coagulation Procedures with Renuvion, Plastic and Reconstructive Surgery- Global Open, 19, 7, p e2502.
• Hoyos, A, Perez, E.M, et al., A Report of 736 High-Definition Lipoabdominoplasties Performed in Conjunction with Circumferential VASER, Liposuction Plastic Reconstructive Surgery, 2018, 142, 662-675.
• Neinstein, R, Funderburk, C.D, Advances in Skin Tightening with Liposculpture, Plasma Technology Versus Radiofrequency, Advances in Cosmetic Surgery, 3(2020), 173-188.
• Aydın Sayılan, A, Seyhan Ak, E, İnan, E, Kavasoğlu, A, Sezaryen Sonrası Benlik Saygısı ve Vücut Algısı, Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 2020, 7(1), 18-24.