Khedr Mohamed M, Elshawadfy Sameh Elghamry
Plastic Surgery Department, Tanta Faculty of Medicine, Tanta, Egypt.
Aesthetic Plast Surg. 2025 Jan;49(1):259-268. doi: 10.1007/s00266-024-04401-7. Epub 2024 Oct 14.
A helium-based plasma device with minimal invasiveness selectively heats tissues via joule heating, ensuring safe external temperatures and eliminating the need to monitor the epidermal temperature.
From December 2022 to January 2024, Forty-six patients without prior bariatric surgery, who had localized lipodystrophy and mild-to-moderate skin laxity in various body areas, were enrolled in this prospective work. Liposuction was paired with a helium-based plasma radiofrequency device used for all patients. Data on demographics and postoperative complications were disclosed. A patient evaluation was conducted objectively and subjectively, using an independent plastic surgeon assessment and a patient satisfaction survey, respectively.
Our technique was performed on 40 females (87%) and six males (13%), in various body areas: arm (fourteen cases: 30.4%), neck (ten: 21.7%), thigh (nine: 19.6%), abdomen (seven: 15.2%), back (three: 6.5%), gynecomastia (three: 6.5%), their age ranges from 23 to 57 years, and their body mass index (BMI) ranges from 24 to 34.6 kg/m2. Patients' satisfaction at 6 months after surgery was 82.6% (38) satisfied, 15.2% (7) borderline, and 2.2% (1) unsatisfied. Individual plastic surgeon evaluation was 69.6% (32) excellent, 28.3% (13) good, and 2.1% (1) fair. The overall complications rates were postoperative edema in 22 cases (47.8%), ecchymosis in 11 cases (23.9%), persistent skin laxity in one case (11.1%), mild seroma in three cases (6.5%), pain and tingling in six cases (13%), and mild subcutaneous emphysema in four cases (8.7%).
Combined liposuction and helium-based plasma radiofrequency device usage are a safe, efficient, and minimally invasive substitute for excisional procedures in non-bariatric patients with localized lipodystrophy and mild-to-moderate skin laxity.
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一种微创的基于氦气的等离子体设备通过焦耳热选择性地加热组织，确保外部温度安全，无需监测表皮温度。
2022年12月至2024年1月，46例未曾接受过减肥手术、身体各部位存在局部脂肪营养不良和轻度至中度皮肤松弛的患者参与了这项前瞻性研究。所有患者均接受抽脂术并同时使用基于氦气的等离子体射频设备。披露了人口统计学数据和术后并发症情况。分别通过独立整形外科医生评估和患者满意度调查对患者进行客观和主观评估。
我们的技术应用于40名女性（87%）和6名男性（13%），涉及身体各部位：手臂（14例：30.4%）、颈部（10例：21.7%）、大腿（9例：19.6%）、腹部（7例：15.2%）、背部（3例：6.5%）、男性乳房发育症（3例：6.5%），他们的年龄在23至57岁之间，体重指数（BMI）在24至34.6kg/m²之间。术后6个月患者的满意度为：82.6%（38例）满意，15.2%（7例）临界，2.2%（1例）不满意。整形外科医生的个人评估为：69.6%（32例）优秀，28.3%（13例）良好，2.1%（1例）中等。总体并发症发生率为：术后水肿22例（47.8%），瘀斑11例（23.9%），持续性皮肤松弛1例（11.1%），轻度血清肿3例（6.5%），疼痛和刺痛6例（13%），轻度皮下气肿4例（8.7%）。
抽脂术与基于氦气的等离子体射频设备联合使用，对于患有局部脂肪营养不良和轻度至中度皮肤松弛的非肥胖患者来说，是一种安全、有效且微创的切除手术替代方法。
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