PRIME Journal Vol. 9 Issue 6

IMPROVEMENT IN POST-PARTUM ABDOMINAL SKIN LAXITY ABSTRACT Background and objectives: Skin laxity can be emotionally frustrating for women after pregnancy. The excessively stretched abdominal tissue loses its collagen and elastin, resulting in unpleasant sagging looking skin. Major surgical correction, such as liposuction and abdominoplasty have surgical and anaesthetic risks and a long recovery period. This article reviews the safety and efficacy of a combined infrared light (IR), bipolar radio-frequency (RF), and mechanical tissue manipulation device (VelaShape® III, Wayland, MA, USA) for abdominal circumference reduction and improvement of skin laxity in a post- partum Asian patient. Methods: One female patient, aged 36 years old, with severe post-partum abdominal skin laxity received treatment with a combined IR, bipolar RF, andmechanical tissuemanipulation device (VelaShape® III) in two stages over eight months. In Stage 1, the patient received a total of nine weekly treatments then a follow- up review 1-month post-treatment. In Stage 2, the patient received a total of four fortnightly treatments, then another follow-up review 1-month after the last treatment received. The abdominal circumference measurements and clinical photographs were recorded before and after each treatment and at both 1-month follow-up. The outcome was assessed using circumference measurements, digital photography, and patient satisfaction. Safety was evaluated by a survey of patient comfort, side-effects, and adverse events. Results: The patient received a total of 13 treatments. The average abdominal circumference reduction from baseline to first and second stage follow-up were 9.9% (9.0cm) and 12.6% (11.4cm), respectively. Both patient and physician noted a significant improvement in skin laxity and tightening. At the second stage 1-month follow-up (end of treatment programme), the patient expressed she was highly satisfied with the treatment outcomes. Treatments were well-tolerated with mild treatment-related erythema and oedema, and no safety concerns reported. Conclusions: The results demonstrated that the combined IR, bipolar RF and mechanical tissue manipulation device (VelaShape® III) could deliver safe and promising outcomes with significant circumference reduction and skin laxity improvement through a systematic treatment programme. T HEMARKET FORBODY SHAPINGTREATMENTS HAS BEEN increasing with 91% of womenwanting to change some aspects of their bodies, 72% of women are not satisfied with their bellies, and 81% are concerned about maintaining their body shape 1 . Due to the reduced procedure costs, risks, and downtime, the demand for non-invasive treatments for body contouring has been increasing rapidly over other invasive treatments in Asia. Non-invasive treatments with a combination of IR, bipolar RF, vacuum, and mechanical massage have been shown to be safe and effective for reshaping and contouring body areas including the abdomen, buttocks, and thighs in Caucasian patients 2,3 . As there are limited data and clinical studies in Asian patients, this KEYWORDS VelaShape III System; bipolar RF; IR light; skin laxity; circumferential reduction; post- partum Chi-KongOr discussesusinganewcombined infrared, bipolar radiofrequency, andmechanical tissue manipulationdevice to improve skin laxity CHI-KONG OR, MD, Plastic Surgeon, Sphere Medical Aesthetic Centre, Hong Kong, China email: dror@spheremedical. com.hk CASE STUDY | BODY CONTOURING | 14 November/December 2019 | prime-journal.com

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