Rohrich Rod J, Schultz Kelly P, Chamata Edward S, Bellamy Justin L, Alleyne Brendan
From the Dallas Plastic Surgery Institute; and Division of Plastic Surgery, Baylor College of Medicine.
Plast Reconstr Surg. 2022 Oct 1;150(4):771-780. doi: 10.1097/PRS.0000000000009535. Epub 2022 Jul 26.
Radiofrequency treatment is a relatively new and increasingly popular option for patients desiring skin tightening and an improvement in facial or body contour without undergoing an excisional surgical procedure. A systematic review of the literature was performed to investigate the safety and efficacy of monopolar and bipolar radiofrequency devices for facial and body rejuvenation.
A computerized search of the MEDLINE database was performed for clinical studies investigating the use of monopolar and bipolar radiofrequency devices in facial and body rejuvenation. Data on the type of device, treated areas, number of patients, number of treatments, follow-up, complications, and outcomes were collected.
The systematic review was performed in September of 2020. A total of 207 articles examined the use of radiofrequency technology for cosmetic purposes, and 23 articles remained after all inclusion and exclusion criteria were considered. Nine articles evaluated monopolar devices and five articles evaluated bipolar devices for treatment of the face. Three articles evaluated monopolar devices and six articles evaluated bipolar devices for treatment of various body areas.
There is clinical evidence that monopolar and bipolar radiofrequency devices produce measurable improvement in skin laxity of the face and body with an acceptable complication profile. The majority of reported complications are minor and transient in nature; major complication rates are higher with the use of monopolar devices than with the use of bipolar devices.
对于希望在不进行切除性手术的情况下收紧皮肤并改善面部或身体轮廓的患者来说，射频治疗是一种相对较新且越来越受欢迎的选择。我们进行了一项文献系统综述，以研究单极和双极射频设备用于面部和身体年轻化的安全性和有效性。
对MEDLINE数据库进行计算机检索，以查找调查单极和双极射频设备用于面部和身体年轻化的临床研究。收集有关设备类型、治疗区域、患者数量、治疗次数、随访、并发症和结果的数据。
该系统综述于2020年9月进行。共有207篇文章研究了射频技术在美容方面的应用，在考虑所有纳入和排除标准后，剩下23篇文章。9篇文章评估了单极设备，5篇文章评估了双极设备用于面部治疗。3篇文章评估了单极设备，6篇文章评估了双极设备用于身体各个部位的治疗。
有临床证据表明，单极和双极射频设备可使面部和身体的皮肤松弛得到可测量的改善，且并发症情况可接受。报告的大多数并发症性质轻微且短暂；使用单极设备的主要并发症发生率高于使用双极设备。
