Lipoplasty Combined with Percutaneous Radiofrequency Dermaplasty: A New Strategy for Body Contouring

Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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

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Correspondence to Gregorio Hernandez Zendejas.

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The authors declare that they have no conflict of interest to disclose.

Ethical Approval

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.

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Informed consent was obtained from all patients before being enrolled in the study.

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Hernandez Zendejas, G., Reavie, D.W., Azabache, R. et al. Lipoplasty Combined with Percutaneous Radiofrequency Dermaplasty: A New Strategy for Body Contouring. Aesth Plast Surg 44, 455–463 (2020). https://doi.org/10.1007/s00266-019-01419-0

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Keywords

  • Liposuction
  • Lipoplasty
  • Body contouring
  • Mini-abdominoplasty
  • Skin tightening
  • Dermaplasty