Lipoplasty Combined with Percutaneous Radiofrequency Dermaplasty: A New Strategy for Body Contouring
A new technique in plastic surgery termed percutaneous radiofrequency dermaplasty (PRD) is described. Customized radiofrequency energy is applied via the percutaneous route to produce skin tightening and fascia contraction at body temperature, avoiding thermal injury. We combine PRD with lipoplasty and call this combined procedure dermaplasty-assisted lipoplasty (DAL). The purpose of this study was to review both the safety and efficacy of DAL.
We developed the required novel device and technique to perform DAL and then performed a clinical trial including Type I and Type II lipodystrophy female patients undergoing a primary liposuction of the circumferential trunk. The trial comprised two phases. In Phase I, 51 patients were included in a prospective, comparative, controlled trial and divided into two groups. In Group 1, 29 patients underwent DAL, and in Group 2, 22 patients underwent a standard suction-assisted lipectomy (SAL) alone. In Phase II, 84 patients underwent DAL, including 9 cases initially scheduled for a mini-abdominoplasty.
Phase I: We found better aesthetic results with DAL (93.1%) than with SAL alone (72.7%) [p < .05]. Postoperative correction of flaccid skin was superior with DAL (93.1%) than with SAL alone (36.4%) [p < .01]. Phase II: DAL achieved good-to-excellent aesthetic results in 94% of the cases.
DAL was found to be a reliable and safe treatment for fat removal with concomitant skin and fascia tightening but without compromising the viability of the overlying skin.
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 www.springer.com/00266.
KeywordsLiposuction Lipoplasty Body contouring Mini-abdominoplasty Skin tightening Dermaplasty
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest to disclose.
All procedures performed in this study were in accordance with the ethical standards of the Investigational Review Board of Jalisco Institute for Reconstructive Plastic Surgery and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all patients before being enrolled in the study.
- 7.Zocchi ML (1996) Ultrasonic assisted lipoplasty: technical refinements and clinical evaluations. Clin Plast Surg 23:575–598Google Scholar
- 21.Munro MG (2012) Fundamentals of electrosurgery Part I: Principles of radiofrequency energy for surgery. In: Feldman LS, Fuchshuber PR, Jones DB (eds) The SAGES manual on the fundamental use of surgical energy (FUSE). Springer, New York, pp 38–59Google Scholar
- 23.Fulton JE, Barnes T (1998) Collagen shrinkage (selective dermaplasty) with the high-energy pulsed carbon dioxide laser. Dermatol Surg 24:37–41Google Scholar
- 25.Munro MG (2012) Fundamentals of electrosurgery Part I: principles of radiofrequency energy for surgery. In: Feldman LS, Fuchshuber PR, Jones DB (eds) The SAGES manual on the fundamental use of surgical energy (FUSE). Springer, New York, pp 32–35Google Scholar
- 28.Stephan PJ, Dauwe P, Kenkel J (2018) Liposuction: A comprehensive review of techniques and safety. In: Neligan PC, Rubin JP (eds) Plastic surgery. Elsevier, New York, pp 546–549Google Scholar
- 32.Bucky LP (2000) Microwave-assisted lipoplasty: a new treatment for body contouring. Aesthet Surg J 20:439–440Google Scholar
- 33.Hazey JW (2012) Hands-on station: radiofrequency electrosurgery in gastrointestinal endoscopy. In: Feldman LS, Fuchshuber PR, Jones DB (eds) The SAGES manual on the fundamental use of surgical energy (FUSE). Springer, New York, pp 249–250Google Scholar
- 37.ECRI (1994) Fatal gas embolism caused by over-pressurization during laparoscopic use of argon enhanced coagulation. Health Devices 23:257–259Google Scholar