Hoyos Alfredo E, Perez Pachon Mauricio E, Vranis Neil M
Aesthet Surg J. 2025 Jan 16;45(Supplement_1):S10-S22. doi: 10.1093/asj/sjae152.
Dynamic definition liposculpture (HD2) is considered a highly sought after procedure in body sculpting surgery by patients. Radiofrequency microneedling is a cutting edge technology with evidence-based outcomes demonstrating skin tightening and retraction. These ancillary procedures complement and enhance the results of dynamic definition liposculpture. A retrospective review of patient records from 2022 to 2024 was conducted. All patients who underwent high definition (HD) or HD2 in combination with fractional radiofrequency microneedling treatments by the senior author (A.E.H.) were included. Data collected included patient demographics, areas treated, and any complications. A total of 86 patients were included: 16 in 2022, 62 in 2023, and 8 in 2024. The most frequently treated area was the abdomen, followed by the back, face, neck, thighs, and arms. The average age of patients was 40.0 years in 2022, 40.8 years in 2023, and 44.4 years in 2024. The average BMI was 23.9 kg/m2 in 2022, 24.3 kg/m2 in 2023, and 25.2 kg/m2 in 2024. Minimal complications were observed, with some patients requiring further interventions such as scar correction and nevus resection. Avoiding superficial liposuction by relying on radiofrequency microneedling to target the adipose tissue directly beneath the dermis decreases the risk for iatrogenic (cannula related) superficial contour irregularities and makes the overall operation safer and more reliable.
动态定义脂肪雕塑(HD2)被患者认为是身体塑形手术中备受追捧的一种手术方式。射频微针是一项前沿技术,有循证医学结果表明其具有紧致和回缩皮肤的作用。这些辅助手术补充并增强了动态定义脂肪雕塑的效果。对2022年至2024年的患者记录进行了回顾性分析。纳入了所有由资深作者(A.E.H.)进行高清(HD)或HD2联合分次射频微针治疗的患者。收集的数据包括患者人口统计学信息、治疗部位以及任何并发症。总共纳入了86例患者:2022年16例,2023年62例,2024年8例。最常治疗的部位是腹部,其次是背部、面部、颈部、大腿和手臂。2022年患者的平均年龄为40.0岁,2023年为40.8岁,2024年为44.4岁。2022年的平均体重指数(BMI)为23.9kg/m²,2023年为24.3kg/m²,2024年为25.2kg/m²。观察到的并发症极少,一些患者需要进一步干预,如瘢痕修复和痣切除。通过依靠射频微针直接针对真皮下方的脂肪组织来避免浅表吸脂,可降低医源性(与套管相关)浅表轮廓不规则的风险,并使整个手术更安全、更可靠。