Vaser® Ultrasonik Cihazıyla Yağ Alma Ameliyatının İntraoperatif Renuvion® Radyofrekans Uygulamasıyla Kombine Edilmesi

Giriş ve Amaç: Liposuction ameliyatı bir kilo verme yöntemi olmayıp vücut kontur bozukluğunu düzeltmek içinyapılan 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 kullanılanüçüncü jenerasyon ultrasonik cihazlar, deriden yüzeyel yağ alınmasına izin verdiği için bir miktar deride sıkılaşmayapsa da bu yeterli olmamakta ve pek çok hasta liposuction için uygun bulunmamaktadır. Bu noktada termal enerjiile 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 çalışmayaalınmıştır. Bu hastalara ultrasonik liposuction uygulanarak yağ alınmış ve bu işlemin ardından da subkutan plasmaradyofrekans uygulanarak deride sıkılaşma sağlanması amaçlanmıştır. Daha sonra hastalar kontrollere çağrılarakfotoğrafları çekilmiş ve hasta memnuniyetleri araştırılmıştır.Bulgular: Ameliyat sırasında hastaların tamamında radyofrekans uygulanması sonrası deride sıkılaşma başladığıgörülmüş ve bu etkinin ilk 3 ay boyunca arttığı gözlenmiştir. Yazar, derinin sıkılaşması sübjektif bir bulgu olduğu içinsıkılaşma miktarını anlayabilmek için, ameliyat öncesi ve sonrası fotoğrafları incelemiş ve daha önemlisi hastalarınverilen anket sorularına cevaplarını değerlendirmiştir.Sonuç: Teknolojik liposuction diyebileceğimiz ultrason+radyofrekans kombinasyonu normalde liposuction içinuygun olmayan, derisi gevşek hastalarda, ideal bir kombinasyon oluşturma açısından umut verici görünmektedir.

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

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. Materials 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. 278 Conclusion: Ultrasound and Radiofrequency combination, called technologic liposuction, seems promising in patients with loose skin who are bad candidates for liposuction operation.

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