Aesthetic Center for Plastic Surgery, Houston, Texas.
J Cosmet Dermatol. 2020 Apr;19(4):866-868. doi: 10.1111/jocd.13090. Epub 2019 Aug 3.
The past decade has experienced a surge in the frequency of nonsurgical procedures, including injectables, skin rejuvenation, and nonsurgical fat reduction. Nonsurgical fat reduction methods include cryolipolysis (Coolsculpting), ultrasound (Vaser Shape), laser (Liposonix), and radiofrequency (Vanquish). These methods generally produce good results, with cryolipolysis gaining much popularity over the past few years. Multiple reports of paradoxical adipose hyperplasia have been reported with Coolsculpting, with an incidence of 0.025% to 1%. This entity has never been reported with other methods of nonsurgical fat reduction, including noninvasive radiofrequency (Vanquish). We present a case of paradoxical adipose hyperplasia in a 57-year-old male following treatment with noninvasive radiofrequency (Vanquish) to the abdomen. He was treated with power-assisted liposuction to the abdomen and flanks. This is the first case in the literature of paradoxical adipose hyperplasia in a patient treated with this form of noninvasive fat reduction.
在过去的十年中，非手术治疗的频率迅速增加，包括注射治疗、皮肤年轻化和非手术性脂肪减少。非手术性脂肪减少的方法包括冷冻溶脂（酷塑）、超声（VaserShape）、激光（Liposonix）和射频（Vanquish）。这些方法通常效果良好，近年来冷冻溶脂术越来越受欢迎。有报道称，酷塑术出现了多种反常性脂肪增生，发生率为 0.025%至 1%。这种情况从未在其他非手术性脂肪减少方法中报道过，包括非侵入性射频（Vanquish）。我们报告了一例 57 岁男性在腹部接受非侵入性射频（Vanquish）治疗后出现反常性脂肪增生的病例。他接受了腹部和侧腰部的辅助动力吸脂术。这是文献中首例接受这种非侵入性脂肪减少形式治疗的患者出现反常性脂肪增生的病例。
