Gentile Facial Plastic & Aesthetic Laser Center, Facial Plastic Surgery, The Cleveland Clinic Akron General Hospital, Akron, OH, USA.
Facial Plast Surg Clin North Am. 2020 Aug;28(3):379-396. doi: 10.1016/j.fsc.2020.03.006. Epub 2020 May 6.
The use of energy-based devices as surgical tools during rhytidectomy was introduced in early 2007 to 2008 and occurred when the first fiber laser was approved for laser lipolysis. It became evident that the fiber laser-assisted rhytidectomy could offer several advantages compared with conventional rhytidectomy. The use of energy devices now includes temperature-controlled radiofrequency and helium plasma devices. Energy devices continue to offer advantages compared with knife and scissor approaches: improved hemostasis; an ability to dissect into areas without full flap elevation; and the shrink-wrap late effects of collagen remodeling after energy-based treatment, which improves the results of rhytidectomy.
能量设备在除皱术中作为手术工具的使用始于 2007 年至 2008 年，当时第一台光纤激光获得了用于激光脂肪分解的批准。与传统除皱术相比，光纤激光辅助除皱术具有明显的优势。能量设备的使用现在包括温度控制射频和氦等离子设备。与刀和剪刀方法相比，能量设备继续具有优势：更好的止血效果；能够在不进行全皮瓣提升的情况下进行解剖；以及能量处理后胶原重塑的收缩包装后期效果，这改善了除皱术的效果。
