Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, 290-3 Jeonha-dong, Dong-gu, Ulsan, 682-714, Republic of Korea.
Aesthetic Plast Surg. 2011 Dec;35(6):1172-5. doi: 10.1007/s00266-011-9722-z. Epub 2011 Apr 13.
Cosmetic shaping of the lower leg is becoming increasingly popular. The use of radiofrequency therapy in cosmetic medicine also is growing. To date, no serious complications have been reported after the use of cosmetic radiofrequency therapy. This report describes a patient who presented at the author's clinic with a disabling ankle plantarflexion contracture in both calves that developed during a period of 18 months after cosmetic radiofrequency volume reduction. This reduction, performed at another clinic, involved applying a bipolar electrode with a mean power of 35 W at each of approximately 100 spots for 2 to 4 s. On each calf, 15 kJ was applied in a crisscross fashion. Magnetic resonance imaging and muscle biopsy indicated excessive gastrocnemius fibrosis. The patient was treated using botulinum toxin injections followed by serial castings and intensive physiotherapy. After treatment, the patient was able to walk with less difficulty and showed no tiptoeing. This appears to be the first report of serious muscle contracture after cosmetic radiofrequency volume reduction requiring extensive rehabilitation management.
小腿的美容塑形越来越受欢迎。射频治疗在美容医学中的应用也在不断增加。迄今为止，在使用美容射频治疗后，尚未报告出现严重并发症。本报告描述了一位患者，在接受另一家诊所的美容射频容量减少治疗 18 个月后，双侧小腿出现了妨碍性的踝关节跖屈挛缩。该减少术使用一个双极电极，在大约 100 个部位施加平均功率为 35W 的射频，每个部位持续 2 到 4 秒。每条小腿以十字交叉的方式施加 15kJ 的能量。磁共振成像和肌肉活检显示腓肠肌过度纤维化。患者接受了肉毒毒素注射治疗，随后进行了连续的石膏固定和强化物理治疗。治疗后，患者行走困难明显减轻，且不再踮脚。这似乎是首例需要广泛康复管理的严重肌肉挛缩报告，由美容射频容量减少引起。
