Sterodimas Aris, Nicaretta Beatriz, Koytsouveli Agathi, Moutafis Argyris, Champsas Grigoris
From the Department of Plastic and Reconstructive Surgery, Metropolitan General Hospital, Athens, Greece.
Plastic & Reconstructive Surgery Department, Metropolitan General Hospital, Athens, Greece.
Plast Reconstr Surg Glob Open. 2025 May 21;13(5):e6796. doi: 10.1097/GOX.0000000000006796. eCollection 2025 May.
Skin laxity and age-related aesthetic concerns in the lower eyelid area are common focuses for rejuvenation treatments. Although lower blepharoplasty remains the gold standard, it has associated risks and downtime. This study evaluated the efficacy and safety of helium plasma radiofrequency (RF) as a minimally invasive alternative for managing skin laxity in the lower eyelid.
In this single-center prospective study, 16 subjects were treated with helium plasma RF in the lower eyelid area. Blinded review of before-and-after photographs was conducted at day 180 postprocedure. Key outcomes included change from baseline in the snap-back test, medial canthal laxity test, and lateral canthal laxity test, as well as investigator- and subject-assessed global aesthetic improvement at posttreatment days 30, 90, and 180. On day 180, subjects completed a satisfaction questionnaire.
All subjects showed improvement in laxity, with 100% achieving grade 0 in the snap-back test by day 180. Independent photographic review success rate was 53% at day 90 and 33% at day 180 largely due to challenges with photographic consistency. Patient satisfaction was high, with 100% of participants noting improvement; 53.3% (8 of 15) were very satisfied, and 40% (6 of 15) were satisfied. All subjects (100%) indicated they would recommend treatment to their friends and family.
This study suggests that helium plasma RF is a viable and safe minimally invasive option for improving the aesthetic appearance of the lower eyelid.
下眼睑区域的皮肤松弛和与年龄相关的美学问题是年轻化治疗的常见关注点。尽管下睑成形术仍然是金标准，但它存在相关风险和恢复期。本研究评估了氦等离子体射频（RF）作为一种微创替代方法用于处理下眼睑皮肤松弛的疗效和安全性。
在这项单中心前瞻性研究中，16名受试者在下眼睑区域接受了氦等离子体RF治疗。在术后180天对治疗前后的照片进行盲法评估。主要结果包括回弹试验、内眦松弛试验和外眦松弛试验相对于基线的变化，以及在治疗后第30天、90天和180天由研究者和受试者评估的整体美学改善情况。在第180天，受试者完成了一份满意度问卷。
所有受试者的松弛情况均有改善，到180天时，100%的受试者在回弹试验中达到0级。独立照片评估成功率在第90天为53%，在第180天为33%，主要是由于照片一致性方面的挑战。患者满意度较高，100%的参与者表示有改善；53.3%（15名中的8名）非常满意，40%（15名中的6名）满意。所有受试者（100%）表示他们会向朋友和家人推荐该治疗。
本研究表明，氦等离子体RF是改善下眼睑美学外观的一种可行且安全的微创选择。
