12.7 Prolonged brawny and edema of the skin and dermis

BodyTite® and the RFAL applicators do lead to a more significant soft tissue contraction than any other liposuction assisted device. However, the thermal stimulus stimulation can result in a prolonged thickness and brawny edema of the skin that may take many months to settle. It is been the authors experience that this is uncommon when the focus is deep subcutaneous FSN mediated stimulation, rather than excessive dermal heating. Conservative superficial temperature and end points of 38–40°C are deployed. Because most of the contraction in the body zones relies on the deep FSN and three-dimensional contraction of this FSN, the author generally does not heat closer to the reticular dermis that 1–2 cm. However, when treating in the neck, face and the upper arm, more focus on dermal stimulation is required to gain the contraction and combination with the Morpheus, or RFAL from the "outside in" is safer.

With appropriate patient selection, the risk of excessive skin laxity should be minimal. Most RFAL patients will achieve up to 35% area contraction and reasonable patient selection should result in a significantly high proportion of happy patients that would not have otherwise been liposuction candidates. Perry port burns.

BodyTite® RFAL is a highly sophisticated thermal coagulation system with a multitude of onboard automated, thermally monitored safety systems. It is to a testament to the safety of the system that the tens of thousands of treatments over the past 10 years have resulted in very few serious complications and has made BodyTite® the most effective and safest thermal coagulation body contour tool and in the esthetic space.
