Ultrasound-Assisted Liposuction and Helium-Activated Radiofrequency Skin Tightening for Treatment of Paradoxical Adipose Hyperplasia After Cryolipolysis
Arian Mowlavi, MD, FACS, Jason Ferrell, BS, Armin Talle, BS, Mariam Berri, BS, and Grant Hamlet, MB, ChB
Paradoxical adipose hyperplasia (PAH) following cryolipolysis is a rare but deforming complication. This likely underreported adverse event has been described as being refractory to both traditional tumescent liposuction and repeated cryolipolysis treatments. Here, we present 3 isolated cases with PAH deformity created by cryolipolysis. Management of PAH on the abdomen and flanks involved 2 key elements: ultrasound-assisted liposuction (UAL) technology and helium-activated radiofrequency (RF) energy subdermal coagulation. We observed complete resolution and definitive correction of PAH deformities at 2 weeks, 1 month, and 3 months postoperatively. UAL combined with helium-activated RF subdermal coagulation is a viable surgical modality to correct contour irregularities seen in PAH following cryolipolysis.
APYX® MEDICAL DISCLOSURES:
This Case Report that is the subject of this journal article authored by Arian Mowlavi, MD, FACS, Jason Ferrell, BS, Armin Talle, BS, Mariam Berri, BS, and Grant Hamlet, MB, ChB was sponsored and funded in part by Apyx Medical through an investigator initiated study grant. Dr. Mowlavi is a paid trainer for Apyx Medical. The other authors declare no conflicts of interest with Apyx Medical in regard to the research, authorship, or publication of this article.
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INTENDED USE DISCLOSURE
TThe Renuvion system (Apyx Plasma/RF Handpieces) is intended to be used with compatible electrosurgical generators for the delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue during open surgical procedures. The APR HP is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Refer to the Instructions for Use for the currently approved or cleared indications.