**8. Clinical cases of RFAL**

The following 2 cases are clinical examples of the BodyTite workstation and its applicators: the integrated use of the RFAL internal BodyTite, FaceTite, AccuTite applicators used in concert with the externally applied Morpheus8 RFAL and how they can be combined to deliver soft tissue contours, face and body shaping through "enhanced liposuction" technology and techniques.

#### **8.1 CASE 1: BodyTite RFAL, M8 and the body**

A young male presented with significant post Coolsculpting Abdominal Paradoxical Adipose Hyperplasia (**Figure 20**). Other consultations with Plastic Surgery colleges had recommended an excisional abdominoplasty. The patient was reluctant to undergo an excisional procedure and the extensive scar that would be required. After meeting with the patient, I felt a non-excisional BodyTite and Morpheus RFAL enhanced liposuction would achieve good results.

### **8.2 The RFAL procedure and settings**

The RFAL procedure was performed in the office under local tumescent anesthesia and oral sedation. The 2.4 mm BodyTite RFAL applicator was used and the settings were: 40 degrees Celsius skin cut-off and 70 degrees Celsius deep adipose cut-off. Stamping and slow-moving passes were made at the level 6 deep supra-fascial depth, Level 4 mid adipose depth and level 2 superficial adipose level. Following the RFAL treatment, PAL and SAL aspiration was performed

**Figure 20.**

*A patient presented for BodyTite RFAL and Morpheus8 after significant post CoolSculpting abdominal paradoxical adipose hyperplasia.*

until there was a 3–4 cm thickness soft tissue flap remaining. Following aspiration, a second RFAL pass was performed at level 2. Following the BodyTite treatment, the Morpheus8 was used in the BURST mode at level 7 mm/5 mm/3 mm and 25 mj/pin.
