CE and ISO Cleared
FDA Pending
Study Case Report:
Radio-Frequency Assisted Liposuction ™
D. Hurwitz, MD - Pennsylvania, USA
Before 6 Weeks After 12 Weeks After
Patient: 25 Female with BMI of 39.1 - Class II Obesity
Sedative: Vicodin ES, Toradol 10mg, Keflex 500 mg
Tumescent: 2,000cc tumescent/local
Procedure: Treatment commenced in the deep layer at a depth of 25-40mm (depth setting 5-6).
I set my cut-off temperature to 36 degrees centigrade. Unlike the typical fanning motion
used in SAL, my technique was modified to ensure that the cannula did not return to the
same point, which can result in an over-treated zone. In addition, the movement of the RFAL
handpiece moves at a slower pace than SAL, with a complete back and forth cycle spanning
approximately 2 seconds. Ideal endpoint is the lack of mechanical resistance in the adipose
tissue. Generally, it takes about 3-5 minutes for each zone and the skin temperature will
reach 30-34 degrees at this stage. After reaching the deep fat endpoint, the superficial layer
was addressed (depth of treatment at 10-15mm; setting 2-3). It took another 3-5min to
reach a desired uniform skin temperature. I could move onto the next treatment zone, but I
maintain the temperature for a few more minutes for additional tissue contraction. It is
critical to observe the skin’s apperance, erythema of the vaso-constricted area indicates
a strong skin reaction to the heat and treatment in this area would end. To prevent excessive
heat a cool wet gauze can be applied to the pink surface. I have concluded that this heating
effect is more typical in high volume patients where a large amount of heat is accumulated in
deep layers. Treatment was finished with a traditional 4 mm cannula until a smooth and
symmetrical result was obtained.
Aspiration: 1800cc (600cc lower right abdomen, 400cc right mid and upper abdomen,
500cc lower left abdomen, 300cc left mid and upper abdomen)
Total Energy: 90.8 km/J
Weight: 250.0 lbs (before) --> 240.0 lbs (6 weeks) --> 239.0 lbs (12 weeks after)
Circumferential: 110.5 cm (before) --> 109.0 cm (6 weeks) --> 108.0 cm (12 weeks after)
Post-Op Care: Foam rubber was placed followed by elastic garments.
DH.2.25.JC