Skip to main content

Treatment of Overweight Patients by Radiofrequency-Assisted Liposuction (RFAL) for Aesthetic Reshaping and Skin Tightening

Abstract

Background

Patients with massive volume or skin laxity typically are not ideal candidates for liposuction treatment due to the excess amounts of loose skin after the procedure. The feasibility, safety, and efficacy of a novel radiofrequency device (BodyTite system) for radiofrequency-assisted liposuction (RFAL) were prospectively evaluated with overweight and weight loss patients.

Methods

In this study, 17 women with an average aspirated volume of 1,759 ml in the arms, abdomen, or thighs were treated. The treatment technique is described with the resulting weight, circumferential, and contraction measurements collected at a follow-up assessment after 6 and 12 weeks. Three-dimensional scanning was used to document volume changes in selected cases. Patient satisfaction also was recorded. Body contour and area tightening results were evident for all the patients, with high posttreatment satisfaction. Skin contraction was significant at 6 weeks and continued past 12 weeks of follow-up evaluation.

Results

On the average, after 12 weeks, patients had lost 6.2% of their original abdominal circumference, 4.4% of their original thigh circumference, and 9.2% of their original arm circumference. The mean vertical contraction was 7.9% for the abdomen, 3.6% for the thighs, and 2.4% for the arms. The maximum results showed a circumference loss of 16.5% for the abdomen, 11.4% for the thighs, and 17.7% for the arms. The maximum vertical contraction was 15.7% for the abdomen, 7.4% for the thighs, and 3.3% for the arms. The average follow-up period was 13.3 months (range, 3–26 months).

Conclusion

The RFAL approach is a viable means of energy-assisted liposuction for overweight and massive weight loss patients. Significant volumes of fat can be removed safely and effectively with improved contour and clinically significant skin tightening.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

References

  1. American Society of Plastic Surgery: Liposuction (Lipoplasty) Cosmetic Surgery Procedure Information. Online 2009

  2. Goldman A (2006) Submental Nd:Yag laser-assisted liposuction laser for laser lipolysis. Lasers Surg Med 38:181–184

    PubMed  Article  Google Scholar 

  3. Jewell ML, Fodor PB, De Souza Pinto EB, Al Shammari MA (2002) Clinical application of VASER-assisted lipoplasty: a pilot clinical study. Aesthetic Surg J 22:131–146

    Article  Google Scholar 

  4. DeBernardo BE, Reyes JR (2008) Evaluation of skin tightening after laser-assisted liposuction. Aesthetic Surg J 29:400–408

    Article  Google Scholar 

  5. Paul M, Mulholland RS (2009) A new approach for adipose tissue treatment and body contouring using radiofrequency-assisted liposuction. Aesth Plast Surg 33(5):687–694

    Article  Google Scholar 

  6. Apfelberg DB (1996) Results of multicentered study of laser-assisted liposuction. Clin Plast Surg 23:713–717

    PubMed  CAS  Google Scholar 

Download references

Disclosure

Dr. Hurwitz is involved in a clinical trial with BodyTite by Invasix and has received use of the BodyTite system as well as financial payment for services as the treating surgeon.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dennis Hurwitz.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Hurwitz, D., Smith, D. Treatment of Overweight Patients by Radiofrequency-Assisted Liposuction (RFAL) for Aesthetic Reshaping and Skin Tightening. Aesth Plast Surg 36, 62–71 (2012). https://doi.org/10.1007/s00266-011-9783-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-011-9783-z

Keywords

  • Radiofrequency
  • Liposuction
  • Skin tightening
  • Body contouring surgery