Advertisement

Aesthetic Plastic Surgery

, Volume 36, Issue 4, pp 767–779 | Cite as

Radiofrequency-Assisted Liposuction Device for Body Contouring: 97 Patients under Local Anesthesia

  • Spero J. Theodorou
  • Robert J. ParesiEmail author
  • Christopher T. Chia
Original Article

Abstract

Background

Radiofrequency-assisted liposuction involves the delivery of a controlled amount of energy to treated tissue resulting in fat liquefaction, accompanying hemostasis, and skin tightening. The purpose of this study is to report experience with a larger sample size using the BodyTite™ radiofrequency-assisted liposuction (RFAL) platform, and its first use with local tumescent anesthesia. The Bodytite™ device is currently awaiting FDA approval.

Methods

We prospectively included 97 patients who underwent radiofrequency-assisted liposuction under local anesthesia under IRB approval. We treated 144 anatomical areas in 132 operations and collected the following data: age, sex, height, weight, body mass index (BMI), anatomical area of treatment, operative time, amount of tumescent solution used, amount of fat aspirated, amount of kilojoules (kJ) delivered, and the incidence of infections, seromas, adverse effects from medications, and thermal injuries. Patients were asked to complete an online survey assessing the aesthetic outcome and quality of life after treatment with RFAL-assisted liposuction. Three independent plastic surgeons were asked to evaluate photographs of our 6-month postoperative results in comparison to the preoperative photos.

Results

The average age and BMI of our study population was 37.6 years and 28.2 kg/m2, respectively. The study population was 88% female. The mean amount of lidocaine given per treatment session was 32.7 mg/kg (range = 3.8–83.3 mg/kg). The mean amount of tumescent fluid given per anatomical treatment area was 1,575 cc. The average amount of total aspirate across all anatomical treatment areas was 1,050 cc, with an average total aspirate of 1,146 cc per treatment date. The overall incidence of major complications was 6.25% and the incidence of minor complications was 8.3%. Overall patient satisfaction was 82% for the degree of skin tightening and 85% for the body-contouring result with the BodyTite™ device. Three independent plastic surgeons graded the improvement in body contour as good to excellent in 74.5% of patients and the improvement in skin tightening as good to excellent in 58.5% of patients.

Conclusions

The BodyTite™ RFAL platform is a safe and effective device for use as an energy-based liposuction technique under local tumescent anesthesia in the awake patient.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266.

Keywords

Radiofrequency-assisted liposuction (RFAL) Local anesthesia BodyTite™ 

Notes

Conflict of interest

Spero Theodorou and Christopher Chia are consultants for Invasix Corporation, Ltd. Robert J. Paresi has no conflicts of interest or financial ties to disclose.

References

  1. 1.
    American Academy of Cosmetic Surgery (2010) 2009 procedural census. AACS, ChicagoGoogle Scholar
  2. 2.
    American Society of Plastic Surgeons (2010) Report of the 2010 plastic surgery statistics. ASPS, Arlington HeightsGoogle Scholar
  3. 3.
    Basil MH, Ubeid AA, Chang H, Kafi R, Renton B (2008) Bipolar fractional radiofrequency treatment induces neoelastosis and neocollagenasis. Lasers Surg Med 41:1–9Google Scholar
  4. 4.
    Blugerman G, Schavelson D, Paul MD (2010) A safety and feasibility study of a novel radiofrequency-assisted liposuction technique. Plast Reconstr Surg 125:998–1006PubMedCrossRefGoogle Scholar
  5. 5.
    DiBernardo B (2009) Evaluation of tissue thermal effects from 1064/1320-nm laser-assisted lipolysis and its clinical implications. J Cosmet Laser Ther 11:62–69PubMedCrossRefGoogle Scholar
  6. 6.
    Emilia del Pino M, Rosado RH, Alejandro A, Guzman G, Arguelles D, Rodriguez C, Rosado GM (2006) Effect of controlled volumetric tissue heating with radiofrequency on cellulite and the subcutaneous tissue of the buttocks. J Drugs Dermatol 5(8):714–722PubMedGoogle Scholar
  7. 7.
    Fang RC, Lin SJ, Mustoe TA (2010) Abdominoplasty flap elevation in a more superficial plane: decreasing the need for drains. Plast Reconstr Surg 125(2):677–682PubMedCrossRefGoogle Scholar
  8. 8.
    Grazer FM, de Jong RH (2000) Fatal outcomes from liposuction: census survey of cosmetic surgeons. Plast Reconstr Surg 105:436–446PubMedCrossRefGoogle Scholar
  9. 9.
    Hsu T, Kaminer MS (2003) The use of nonablative radiofrequency technology to tighten the lower face and neck. Semin Cutan Med Surg 22(2):115–123PubMedCrossRefGoogle Scholar
  10. 10.
    Kenkel JM (2009) Evaluation of skin tightening after laser-assisted liposuction, commentary. Aesthet Surg J 29(5):407–408PubMedCrossRefGoogle Scholar
  11. 11.
    Kim YH, Cha SM, Shenthilkumar N, Hwang WJ (2011) Analysis of post-operative complications for superficial liposuction: a review of 2,398 cases. Plast Reconstr Surg 127(2):863–871PubMedCrossRefGoogle Scholar
  12. 12.
    Klein JA (1990) The tumescent technique; anesthesia and modified liposuction technique. Dermatol Clin 8(3):425–437PubMedGoogle Scholar
  13. 13.
    Klein JA (1990) Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction: peak plasma lidocaine levels are diminished and delayed 12 hours. J Dermatol Surg Oncol 16:248–263PubMedGoogle Scholar
  14. 14.
    Klein JA (1993) Tumescent technique for local anesthesia improves safety in large-volume liposuction. Plast Reconstr Surg 92(6):1085–1098PubMedCrossRefGoogle Scholar
  15. 15.
    Lack E, Rachel J, D’Andrea L, Corres J (2005) Relationship of energy settings and impedance in different anatomic areas using a radiofrequency device. Dermatol Surg 31:1668–1670PubMedCrossRefGoogle Scholar
  16. 16.
    Lillis PJ (1988) Liposuction surgery under local anesthesia: limited blood loss and minimal lidocaine absorption. J Dermatol Surg Oncol 14:1145–1148PubMedGoogle Scholar
  17. 17.
    Matarasso A (2011) Discussion: analysis of postoperative complications for superficial liposuction: a review of 2398 cases. Plast Reconstr Surg 127(2):872–873PubMedCrossRefGoogle Scholar
  18. 18.
    Paul M, Mulholland RS (2009) A new approach for adipose tissue treatment and body contouring using radiofrequency-assisted liposuction. Aesthet Plast Surg 33(5):687–694CrossRefGoogle Scholar
  19. 19.
    Paul M, Blugerman G, Kreindel M, Mulholland RS (2010) Three-dimensional radiofrequency tissue tightening: a proposed mechanism and applications for body contouring. Aesthet Plast Surg 35(1):87–95CrossRefGoogle Scholar
  20. 20.
    Pitman GH (1993) Liposuction and aesthetic surgery. Quality Medical Publishing, St. LouisGoogle Scholar
  21. 21.
    Pitman GH, Aker JS, Tripp ZD (1996) Tumescent liposuction: a surgeon’s perspective. Clin Plast Surg 23(4):633–645PubMedGoogle Scholar
  22. 22.
    Rohrich RJ, Beran SJ (1999) Is liposuction safe? Plast Reconstr Surg 104:819–822PubMedCrossRefGoogle Scholar
  23. 23.
    Rohrich RJ, Beran SJ, Kenkel J, Adams WP, DiSpaltro F (1998) Extending the role of liposuction in body contouring with ultrasound-assisted liposuction. Plast Reconstr Surg 101(4):1090–1102PubMedCrossRefGoogle Scholar
  24. 24.
    Samdal F, Amland PF, Bugge JF (1994) Plasma lidocaine levels during suction-assisted lipectomy using large doses of dilute lidocaine with epinephrine. Plast Reconstr Surg 93:1217–1223PubMedCrossRefGoogle Scholar
  25. 25.
    Stoff A, Reichenberger MA, Richter DF (2007) Comparing the ultrasonically activated scalpel (Harmonic) with high-frequency electrocautery for postoperative serous drainage in massive weight loss surgery. Plast Reconstr Surg 120:1092–1093PubMedCrossRefGoogle Scholar
  26. 26.
    Zelickson BD, Kist D, Bernstein E, Brown DB, Ksenzenko S, Burns J, Kilmer S, Mehregan D, Pope K (2004) Histological and ultrastructural evaluation of the effects of a radiofrequency-based non-ablative dermal remodeling device. Arch Dermatol 140:204–209PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2012

Authors and Affiliations

  • Spero J. Theodorou
    • 1
  • Robert J. Paresi
    • 1
    Email author
  • Christopher T. Chia
    • 1
  1. 1.New YorkUSA

Personalised recommendations