Department of Dermatology, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea.
J Dtsch Dermatol Ges. 2019 Feb;17(2):149-156. doi: 10.1111/ddg.13736. Epub 2019 Jan 30.
Conventional treatment options for eyelid fat bulging are generally limited to surgical approaches. However, many attempts have been made recently to manage this disfigurement using non-surgical interventions. The purpose of this study was to evaluate the efficacy and safety of a micro-insulated needle radiofrequency system for the treatment of lower eyelid fat bulging.
This is a single center pre-post comparative study. Twenty-two subjects with lower eyelid fat bulging were treated twice using the needle radiofrequency system, at an interval of four weeks. Two types of partially insulated needles with different lengths were used in each session. A three-dimensional photogrammetry system was used to objectively measure changes in the extent of the fat bulge. The investigator's global assessment (IGA) of the severity of fat bulging was also evaluated.
The average extent of fat bulging was decreased significantly after twelve weeks, and was maintained until 24 weeks. The IGA score was significantly decreased after four weeks and further decreased after twelve weeks, and then maintained until 24 weeks. There were no side effects, except for lower eyelid swelling and bruising that lasted for about a week.
The micro-insulated needle radiofrequency system can be a beneficial and well-tolerated treatment for lower eyelid fat bulging.
对于眼睑脂肪膨出，传统的治疗方法通常限于手术方法。但是，最近已经有许多尝试使用非手术干预来治疗这种畸形的方法。本研究的目的是评估微绝缘针射频系统治疗下眼睑脂肪膨出的疗效和安全性。
这是一项单中心前后对照研究。22 例下眼睑脂肪膨出患者，每四周接受两次微绝缘针射频系统治疗，共两次。在每次治疗中使用两种不同长度的部分绝缘针。使用三维摄影测量系统客观测量脂肪膨出的程度变化。还评估了研究者整体评估（IGA）脂肪膨出严重程度的变化。
治疗 12 周后，脂肪膨出的平均程度显著降低，并维持至 24 周。治疗 4 周后，IGA 评分显著降低，治疗 12 周后进一步降低，然后维持至 24 周。除了持续约一周的下眼睑肿胀和瘀伤外，没有其他副作用。
微绝缘针射频系统可以成为治疗下眼睑脂肪膨出的一种有益且耐受性良好的治疗方法。
