察爾斯大夫 美麗殿堂 Dr. Charles Meridien Palace

明星愛瘦小腿美型+微雕魔幻美腿

作者：華人健康網記者黃曼瑩／台北報導 | 華人健康網 – 2014年8月25日

有的明星為了瘦小腿肚，採用跳繩、按摩、針灸等方法，醫師表示， …

常聽有人打趣說：「咦，我看到有小白兔跟著妳的小腿後面跑喔！」

愛美的女性最怕前面腹部是大肥肚，後面小腿有小腿肚，尤其是熱愛跑跳運動的正妹，如果運動後未注意伸展動作，假以時日，就有可能養出看似「金鋼芭比」的粗壯小腿肚。有的明星為了瘦小腿肚，採用跳繩、按摩、針灸等方法，醫師表示，誤用偏方效果有限，其實透過電波微雕，就能實現修長美腿的夢想。

「腿漂亮，穿什麼都好看，像是夏天穿熱褲、迷你短裙，或是蹬著一雙高跟鞋、馬靴，都非常吸睛，也讓人很有自信。但是偏偏有的女性卻不是「美腿社社員」，腿部常因肌肉發達而顯得粗壯、臃腫，擁有肌肉線條不均勻的「蘿蔔腿」，甚至會使人產生自卑感，只好儘量隱藏起來，不敢示人。

自測腿部肌肉線條是否勻稱

外科醫師盧杰明表示，多數女生都喜歡纖細的小腿，可是太過於細瘦的小腿看起來會像「鳥仔腳」，反而失去美麗，小腿的美麗與否並不能只看數字，肌肉線條是否勻稱才是關鍵。東方人因為肌肉形態及生活作息的關係，小腿較西方人粗壯，加上喜歡運動，卻沒有在運動後進行伸展，日積月累就會養出小腿肚。

如何才知道自己的腿部肌肉線條勻稱？盧杰明醫師表示，其實有一個很簡單的方法，即在鏡子前雙腳併攏，兩腿之間的接觸點，從上到下應該只有大腿中段、膝關節、小腿肚和腳跟內側四個地方。其他部位如果沒有大面積的接觸，或是太大的間隙，就算是肌肉線條勻稱。

運動後別忘伸展避免蘿蔔腿

為什麼運動後做伸展運動才不會鍛鍊出肥壯的小腿肚？因為跑步過程中會不斷收縮肌肉，如果沒有適當伸展按摩，肌纖維會越來越短，肌肉將會越來越僵硬並失去彈性，一旦小腿彈性與延展性變差，身體只好「徵召」更多的肌肉來供應跑步所需，自然就養出蘿蔔腿了。

一般來說小腿的組成，除了骨頭本身的大小無法修正外，減少小腿肌肉尺寸的方法有兩種方式，包括注射肉毒桿菌素和肌肉縮小術。肉毒桿菌注射只要5～10分鐘就可完成，但缺點是僅能維持不到半年的效果，想要維持效果必需不斷重覆的施打。

美型＋微雕電波瘦小腿

目前已有運用兼具「美型」與「微雕」的瘦小腿方式，利用電磁波射頻能量，以微量破壞腓腸肌肌肉，讓肌肉纖維自然萎縮達到肌肉縮小，效果較持久，如此可以減少蘿蔔腿與咀嚼肌的尺寸，可用以改善小腿或臉部的線條，適合肌肉型小腿的人，手術的優點是手術快速，恢復期短，不會有走路失衡的問題，也完全不會影響任何運動，讓女性擁有穠纖合度的雙腿不是夢。

日常生活如何才能擺脫蘿蔔腿、小象腿？盧杰明醫師特別提供小腿保養5秘訣，大家不妨學起來。

【5秘訣預防蘿蔔腿】

1.三餐定時定量，身體吸收熱量效率才會均衡，最好採取七分飽，控制熱量，並多攝取蔬果。

2.運動前後要確實做好暖身操和按摩保養，降低肌肉細胞過度肥大的機率。

3.避免長時間久站或久坐，造成血液循環不良。

4.用熱水泡腳，以促進血液循環，放鬆緊繃的肌肉，帶動全身新陳代謝。

5.按摩小腿，尤其是足三里穴與三陰交穴，可消除肌肉緊張，並促進血液循環。

Severe equinus deformity after Radiofrequency-induced calf muscle reduction.

Lim KS, Shim JS, Sung KS, Koh KH, Kim JH.

Aesthetic Plast Surg. 2013 Aug;37(4):786-91. doi: 10.1007/s00266-013-0135-z. Epub 2013 May 10.

Abstract

INTRODUCTION:

Radiofrequency-induced calf muscle volume reduction is a commonly used method for cosmetic shaping of the lower leg contour. Functional disabilities associated with the use of the radiofrequency (RF) technique, with this procedure targeting the normal gastrocnemius muscle, still have not been reported. However, the authors have experienced several severe ankle equinus cases after RF-induced calf muscle volume reduction.

MATERIAL AND METHOD:

This study retrospectively reviewed 19 calves of 12 patients who showed more than 20° of fixed equinus even though they underwent physical therapy for more than 6 months. All were women with a mean age of 32 years (range, 23-41 years). Of the 12 patients, 7 were bilateral. All the patients received surgical Achilles lengthening for deformity correction. To evaluate the clinical outcome, serial ankle dorsiflexion was measured, and the American Orthopedic Foot and Ankle Society (AOFAS) score was evaluated at the latest follow-up visit. The presence of soleus muscle involvement and an ongoing lesion that might affect the postoperative results of preoperative magnetic resonance imaging (MRI) were investigated. Statistical analysis was conducted to analyze preoperative factors strongly associated with patient clinical outcomes.

RESULTS:

The mean follow-up period after surgery was 18.6 months (range, 12-28 months). At the latest follow-up visit, the mean ankle dorsiflexion was 9° (range, 0-20°), and the mean AOFAS score was 87.7 (range, 80-98). On preoperative MRI, 13 calves showed soleus muscle involvement. Seven calves had ongoing lesions. Five of the ongoing lesions were muscle edema, and the remaining two lesions were cystic mass lesions resulting from muscle necrosis. Ankle dorsiflexion and AOFAS scores at the latest follow-up evaluation were insufficient in the ongoing lesions group.

CONCLUSION:

Although RF-induced calf muscle reduction is believed to be a safer method than conventional procedures, careful handling is needed because of the side effects that may occur in some instances. The slow progression of fibrosis could be observed after RF-induced calf reduction. Therefore, long-term follow-up evaluation is needed after the procedure.

LEVEL OF EVIDENCE IV：Therapeutic case series.

CoATherm RF-R5000：Selective RFA Minimal Invasive Surgery System

Alternating current through the tissue creates coagulation necrosis of motor nerves or muscles using nerve stimulator, not incision.

RF-R5000 is based on the Frictional heat principle that 420kHz currents make polarity change 420 thousands times from negative pole to positive one or from negative pole to positive one through active tip, not bring about thermal energy from of needle.

* Applications

-. Slender chin（Masseter muscle reduction）

-. Beautiful leg line（Gastrocnemius muscle reduction）

-. Etc.,

* Specifications

   RF output set : 10/20/30/50W under 200Ω

   RF output wave : 420kHz±10% sine wave

   Stimulator Frequency : 2/50Hz

   Dimension : 420(W)× 340(L)× 155(H)mm

* Accessories

   RF Electrodes for Nerve Ablation

   Minimal Invasive Surgery

   Temperature Monitoring

   Using for 22/20/17 gauge diameters

   90/100/150mm length

   3/5/7/10 Tip exposures

瘦小腿的方法

腿型的粗大，可以概分為（1）脂肪型、（2）肌肉型，或是（3）脂肪肌肉混合型，以手術方式解決，就必須對症下藥。

（1）脂肪型：可以考慮雷射溶脂或抽脂手術。

（2）肌肉型：小腿後方的肌肉以腓腸肌及比目魚肌為主，腓腸肌在功能上屬於輔助比目魚肌運動及站立的角色，但是因為較表層，所以一旦粗壯，就顯得肥大或線條不均，特別是腓腸肌的內側頭。因為肌肉是運動神經支配，如果把神經阻斷或肌肉切除，都可以達到瘦腿的效果，手術的目的，就是要從神經或肌肉以及暫時性或永久性來考慮。

目前常見的瘦小腿方式：

（1）脂肪型：雷射溶脂或抽脂手術，藉由一個或數個小傷口，將小腿的脂肪作抽脂或溶脂的治療。針對腿圍不太粗或是期望值過高的人，效果滿意度低。

（2）肌肉型：

（2-1）肉毒桿菌素注射：肉毒桿菌素瘦腿的原理就是藉由阻斷肌肉細胞接收神經傳導訊息，來放鬆腓腸肌。好處是不須手術，缺點是效果只能維持數個月，就必須重覆施打。

（2-2）腓腸肌切除手術：方式是在膕窩切開一道傷口，並將腓腸肌部分切除，效果顯著，但是缺點是傷口明顯而且復原時間較久，行動不方便。

（2-3）神經切斷手術：在膕窩切開一道小傷口，找到支配腓腸肌的神經再予以切斷，缺點是傷口明顯，而且可能有影響其他肌肉的可能。

（2-4）神經射頻手術：就是俗稱的「纖纖美腿雷射」。神經射頻手術是利用探針插入肌肉內做腓腸肌運動神經定位，探測到支配腓腸肌的神經後，再以高頻電磁波加熱，藉以阻斷神經，進而達到肌肉萎縮的效果，而達到瘦小腿的目的。因為傷口小，復原快速，效果持久。

（2-5）肌肉射頻燒灼手術。

（3）脂肪肌肉混合型：抽脂加上神經射頻手術或肌肉射頻燒灼手術。

改善腿圍和腿型的方法

改善腿圍和腿型有兩個方法：

一、脂肪型小腿肥胖：雷射溶脂或抽脂都可以瘦小腿，但是手術時一定要注意不管是抽脂或雷射溶脂的引流，都要避免造成小腿表面的凹凸。

二、肌肉型小腿粗壯：神經阻斷是以前常用的方法，但是韓國醫師的結論是神經阻斷只有兩種結果，一個是沒有效，還是一樣的粗細，另一個是有效，的確是變細了，但是幾年之後小腿開始出現奇怪的形狀。這是比目魚肌代償性肥大的問題。現在，韓國比較常用的瘦小腿方法，是直接讓肌肉變小，如果肌肉縮小後還保有功能，就不會有代償性肥大的問題。

如何直接瘦肌肉？用的就是無線射頻點狀加溫的方法。在小腿肌肉內做50～90個點狀加溫，加溫的點在兩、三個月之後就會萎縮變小。這個變小的過程會持續進行到6個月以上，之後就會出現纖細漂亮的小腿。

手術過程要注意：

一、加溫點不要太靠近表皮，否則會造成燙傷。

二、要避免加溫點太靠近神經，否則術後小腿或足背會有麻木的感覺。

「脈衝導航瘦腿術」微創電波射頻打造奧莉薇黃金小腿比例

完美小腿的標準，美腿指數 = 最粗小腿圍/膝窩至腳底板長度 = 0.67～0.7（數值越大，蘿蔔腿的情況就越嚴重）

五大肌肉型小腿治療方式

一、肉毒桿菌素注射：阻斷神經與肌肉間之神經衝動的特性，使過度收縮的小肌肉放鬆，效果不錯、安全性高，只要5～10分鐘就可完成，但缺點是僅能維持半年效果，必須不斷重覆施打，長期打下來，花費極大。

二、腓腸肌切除術：腓腸肌切除術是取出所謂的「蘿蔔」，也就是俗稱的小腿肚。在膝蓋窩後方及小腿下方切開兩道傷口，拿出的肌肉從100多公克到400公克不等，切除小腿腓腸肌術後即可看到效果，但傷口頗大，在膝窩處有時會看到凹陷而且小腿的運動功能會削弱，無法久站或行走。

三、神經切斷術：若切斷內側腓腸肌神經容易造成外側腓腸肌代償性肥大，形成O型腿，若內、外側都切斷，術後會有跛行拖曳行走，如企鵝般走路，且手術恢復期長達3～6個月，十分痛苦；如做選擇性部分神經切斷，有解剖上的個別差異，也是很難精準控制肌肉萎縮的數量。

四、肌肉燒灼法：用電磁波射頻能量，交叉十字性燒灼內、外側腓腸肌肌肉，電擊尖端處釋放約60～80度C燒灼肌肉，使肌肉逐漸萎縮。有時候近端電擊保護膜容易脫落，使用久了會有漏電情況，當肉眼無察覺，電擊棒近端的破損處會燒灼到皮膚，進口處就會產生疤痕。肌肉燒灼若未控制好時間及燒灼位置，容易造成肌肉凹陷不規則。

五、高頻神經分支阻斷合併肌肉凝結：治療原理是先以小腿中線軸向左向右各9度作為搜尋範圍，再利用高頻電波脈衝能量做神經探測，刺激支配腓腸肌的神經，藉以精準導航搜尋出造成小腿肌肉肥厚的那條過度活絡的神經及其末梢，然後加以高頻電波加熱到攝氏80度，燒灼近端及中神經分支，合併高選擇性肌肉燒灼，使肌肉逐漸萎縮，就像春天修剪樹枝一樣，保留主幹，修掉分支。術後無疤痕，無恢復期，術後即可立即上班。

術後照顧

做完「脈衝導航瘦腿術」後，因肌肉受到電波刺激而收縮，術後3天左右比較容易有痠脹感，因為腳底板踏平時，小腿肌肉會伸展拉扯，讓痠脹感更強烈。

建議可穿有跟的鞋，高度大約以3至5公分為佳，可讓肌肉放鬆，減緩不適。

術後避免跑步、爬樓梯做為主要日常運動方式，以免治療處附近又長肌肉。

Radiofrequency Ablation of the Nerve to the Corrugator Muscle for Elimination of Glabellar Furrowing

David S. Utley, MD; Richard L. Goode, MD

Surgical Technique | January 1999

Arch Facial Plast Surg. 1999;1(1):46-48. doi:10.1001/archfaci.1.1.46.

ABSTRACT

Glabellar furrows are caused by hyperdynamic activity of the corrugator supercilii muscles. A minimally invasive, percutaneous technique for eliminating glabellar furrows is described. An insulated, bipolar needle is inserted vertically through the eyebrow skin to entrap the corrugator nerve plexus. To confirm proper positioning, a stimulating current is delivered to the needle during observation of corrugator supercilii muscle response. Radiofrequency energy is then delivered to the needle, thereby ablating the intervening nerve tissue. This technique is in the early stage of optimization and is being evaluated in an ongoing Stanford University Human Subjects protocol, Stanford, Calif. The preliminary results are reported herein.

Correcting radiofrequency inhomogeneity effects in skeletal muscle magnetisation transfer maps.

Sinclair CD, Morrow JM, Hanna MG, Reilly MM, Yousry TA, Golay X, Thornton JS.

NMR Biomed. 2012 Feb;25(2):262-70. doi: 10.1002/nbm.1744. Epub 2011 Jul 27.

Source

MRC Centre for Neuromuscular Diseases, Department of Molecular Neurosciences, UCL Institute of Neurology, London, UK. c.sinclair@ion.ucl.ac.uk

Abstract

The potential of MRI to provide quantitative measures of neuromuscular pathology for use in therapeutic trials is being increasingly recognised. Magnetisation transfer (MT) imaging shows particular promise in this context, being sensitive to pathological changes, particularly in skeletal muscle, where measurements correlate with clinically measured muscle strength. Radiofrequency (RF) transmit field (B(1)) inhomogeneities can be particularly problematic in measurements of the MT ratio (MTR) and may obscure genuine muscle MTR changes caused by disease. In this work, we evaluate, for muscle imaging applications, a scheme previously proposed for the correction of RF inhomogeneity artefacts in cerebral MTR maps using B(1) information acquired in the same session. We demonstrate the theoretical applicability of this scheme to skeletal muscle using a two-pool model of pulsed quantitative MT. The correction scheme is evaluated practically in MTR imaging of the lower limbs of 28 healthy individuals and in two groups of patients with representative neuromuscular diseases: Charcot-Marie-Tooth disease type 1A and inclusion body myositis. The correction scheme was observed to reduce both the within-subject and between-subject variability in the calf and thigh muscles of healthy subjects and patient groups in histogram- and region-of-interest-based approaches. This method of correcting for RF inhomogeneity effects in MTR maps using B(1) data may markedly improve the sensitivity of MTR mapping indices as measures of pathology in skeletal muscle.

Copyright © 2011 John Wiley & Sons, Ltd.

Neurectomy of Nerve Branch to Medial Gastrocnemius Muscle for Calf Reduction

Suh IS.

2007 Sep 13(2):95-104. Korean.

J Korean Soc Aesthetic Plast Surg v.13(2); Sep 2007

In Orientals, hypertrophy of calves frequently found. In 1990, Mladick and Watanabe presented extensive and specific operative techniques for reduction of calves and ankles. however, they cautioned that liposuction should be restricted in the muscular type of calf because their anatomic characteristics led easily to complications and low satisfaction rate. The chief reason for this problem is due to hypertrophy of lower legs that is caused by muscular hypertrophy. In preoperative considerations for the patient selection, most patients have hypertrophy of the gastrocnemius muscles. Calf muscles composed of the medial, lateral gastrocnemius and soleus muscles. To identify the muscle hypertrophy clinically, the patient should stand on toe-tip posture and check out the pinch test for the measurement of fat thickness. Muscular hypertrophy of the calves is divided into 3 types, such as Medial upper half, Lateral upper half and Total hypertrophy with or without excess fat of lower legs. The indications of calves reduction depends on the excess Fat of lower leg, calf Muscle hypertrophy and Combined excess fat and muscle hypertrophy. The methods of calves reduction are as follows Weight control, Liposuction, Calf muscle resection and Combined procedures. But the postoperative results are not as dramatic as abdomen and have low satisfaction rate because there are many Postoperative complications, such as Surface irregularities, Asymmetrical shape, Scars with Hyperpigmentation and Infection. I reported that the Neurectomy of medial gastrocnemius muscle is the new ideal method on calf muscle hypertrophy with medial bulging by the contraction of medial gastrocnemius muscle on toe tip stance especially in 1993. Recently this method are popular but the procedure needs expert skill. So muscular disuse atrophy by Botox® injection to medial gastrocnemius muscle is introduced temporarily. Other method such as Muscle reduction by RF, Denervation method by RF or Alcohol injection to the area near nerve branches to medial gastrocnemius below popliteal fossa are also introduced but they are effected temporarily due to Reinnervation of Neurotization and Neuroma in conduits. The surgical procedure is simple, easy and safe method and it can be done under the local anesthesia with sedation. The transverse incision 2 cm in length was done over the distal crease of popliteal fossa, and divided fascia and exposed the tibial nerve. and identify and confirm the 4 branches of Medial gastrocnemius, Sural, Soleus and Lateral gastrocnemius with nerve stimulation by electric current and then the nerve branch to medial gastrocnemius muscle has to be divided and removed above 3 cm in length. Skin closure was done with meticulous hemostasis. The postoperative care is simple. The wound was dressed with mild compression and changed daily. The patients can walk and go home immediately after surgery. We recommended early exercise and wearing the pressure garments to support shrinkage and smooth contouring of medial bulging area on calves during 3 months. The postoperative results are very satisfied from 1 to 3 month and there are no functional deficit and no edema, indurations and irregularity. The calf reduction rate was about 10% shrinkage, 34cm in diameter on the superior 1/3 calves portion was reduced to 31cm in diameter, mean reduction is 2.5～3cm in diameter, due to the muscular atrophy caused by neurectomy of medial gastrocnemius. In this report, I described that neurectomy of nerve branch to medial gastrocnemius muscle is a new ideal method for calf reduction and this procedure induce the superior results than the other procedures on calf muscle hypertrophy with 13 years long term follow up. I think my procedure is more rational and also effective, simple, easy, and safe for significant reduction of calves circumference and improvement of cosmesis on hypertrophy of lower leg.

Calf Muscle Volume Reduction

1、Calf Reduction with Liposuction - This method of calf reduction is most effective with those whose calves are made up predominantly of fatty tissue, rather than muscle. The approach is quite simple; in it, excess fat is removed directly from the thighs, thus reducing their size directly. It also creates only a few, barely visible scars, and the recovery period is determined by how much fatty tissue is removed. This method is, however, not optimal for thighs with especially thick muscles, as liposuction can do only very little to reduce their size.

2、Calf Reduction with Botox Injections - This is one of the simplest methods of calf reduction, but it is also one of the most time consuming. This approach can temporarily reduce the prominence of the Gastrocnemius muscle–the muscle most prominent in one’s thigh–by injecting Botox into the muscle directly; noticeable results occur after about a week, as the motor nerves to the muscle become blocked by the injection. Patients must repeat this calf reduction process every four to six months in order for the effect to truly take hold, though. This procedure is simple and non-invasive, and it leaves no scar and requires little to no recovery period.

3、Calf Reduction with Radiofrequency Nerve Ablation - This calf reduction involves burning part of the Gastrocnemius muscle away to reduce its size. In this procedure, a Laser is used to inhibit part of the nerve that signals the calf muscle and allows it to grow. It results in fewer and smaller scars than surgically removing the muscle, although it can also cause some swelling that can last for several weeks. It may also leave the muscle weaker temporarily.

4、Calf Reduction with Partial Muscle Resections - Many prefer this calf reduction, because it is both safe and predictable, and it can allow the surgeon to more precisely shape the appearance of the thigh. It involves simply removing a portion of the Gastrocnemius muscle to decrease the thigh’s size. It does require a longer recovery period, however, and can leave a larger scar.

Remember that all surgeries carry with them certain risks.

Before making any definite decisions, it is important to speak with one of the specialists about calf reduction.

No matter what the approach, patients should also be prepared to take time off from work.

Severe equinus deformity after radiofrequency-induced calf muscle reduction.

Lim KS, Shim JS, Sung KS, Koh KH, Kim JH.

Aesthetic Plast Surg. 2013 Aug;37(4):786-91. doi: 10.1007/s00266-013-0135-z. Epub 2013 May 10.

Source

Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul, 135-710, Korea.

Abstract

INTRODUCTION:

Radiofrequency-induced calf muscle volume reduction is a commonly used method for cosmetic shaping of the lower leg contour. Functional disabilities associated with the use of the radiofrequency (RF) technique, with this procedure targeting the normal gastrocnemius muscle, still have not been reported. However, the authors have experienced several severe ankle equinus cases after RF-induced calf muscle volume reduction.

MATERIAL AND METHOD:

This study retrospectively reviewed 19 calves of 12 patients who showed more than 20° of fixed equinus even though they underwent physical therapy for more than 6 months. All were women with a mean age of 32 years (range, 23-41 years). Of the 12 patients, 7 were bilateral. All the patients received surgical Achilles lengthening for deformity correction. To evaluate the clinical outcome, serial ankle dorsiflexion was measured, and the American Orthopedic Foot and Ankle Society (AOFAS) score was evaluated at the latest follow-up visit. The presence of Soleus muscle involvement and an ongoing lesion that might affect the postoperative results of preoperative magnetic resonance imaging (MRI) were investigated. Statistical analysis was conducted to analyze preoperative factors strongly associated with patient clinical outcomes.

RESULTS:

The mean follow-up period after surgery was 18.6 months (range, 12-28 months). At the latest follow-up visit, the mean ankle dorsiflexion was 9° (range, 0-20°), and the mean AOFAS score was 87.7 (range, 80-98). On preoperative MRI, 13 calves showed soleus muscle involvement. Seven calves had ongoing lesions. Five of the ongoing lesions were muscle edema, and the remaining two lesions were cystic mass lesions resulting from muscle necrosis. Ankle dorsiflexion and AOFAS scores at the latest follow-up evaluation were insufficient in the ongoing lesions group.

CONCLUSION:

Although RF-induced calf muscle reduction is believed to be a safer method than conventional procedures, careful handling is needed because of the side effects that may occur in some instances. The slow progression of fibrosis could be observed after RF-induced calf reduction. Therefore, long-term follow-up evaluation is needed after the procedure.

LEVEL OF EVIDENCE IV: Therapeutic case series.

Radiofrequency volumetric reduction for masseteric hypertrophy.

Jin Park Y, Woo Jo Y, Bang SI, Kim HJ, Lim SY, Mun GH, Hyon WS, Oh KS.

Aesthetic Plast Surg. 2007 Jan-Feb;31(1):42-52.

Source

Samsung Aesthetic Clinic, Sescho-dong, Kangnam-gu, and Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Masseteric hypertrophy occurs frequently among Asians, including Koreans, because of racial characteristics and dietary habits. It is thought to be an unpleasant feature, especially because of its strong and masculine impression. Recently, the authors developed a method for the Volumetric reduction of Hypertrophied masseter muscles using Radiofrequency energy to correct the squared facial appearance caused by the hypertrophy. This study was performed to investigate the effects of radiofrequency applied to reduce hypertrophied masseter muscles of patients who sought an aesthetic alternative for a slim, smooth, and feminine-looking lower facial contour. A total of 340 patients were treated. The patients usually recognized the volume change 3 to 6 weeks after treatment, and an objective volume reduction was observed within 3 months of the operation. The range of the reduction in the masseter thickness, as measured by ultrasonic examination at a 6-month postoperative follow-up visit, was 10% to 60% (mean, 27%). Most of the patients could eat a nearly normal diet after 4 weeks and were satisfied with the improved aesthetic contour lines of their lower face. Radiofrequency-induced Coagulation tissue necrosis of the masseter did not cause any infections or limitations of mouth opening, and the clinical improvement was well maintained after the treatment.

Radiofrequency volume reduction of Gastrocnemius muscle hypertrophy for cosmetic purposes.

Park YJ, Jo YW, Bang SI, Kim HJ, Lim SY, Mun GH, Hyon WS, Oh KS.

Aesthetic Plast Surg. 2007 Jan-Feb;31(1):53-61.

Source

Samsung Aesthetic Clinic, Sescho-dong, Kangnam-gu, and Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Muscularly prominent calves, caused mainly by hypertrophy of the gastrocnemius muscle (GCM), are prevalent among Asian women, and this condition can be a significant factor leading to psychological stress. The authors have devised a method for contouring the calf using radiofrequency (RF) applications to the GCMs to correct thick, muscular legs. This study was performed to investigate the effects of RF energy in reducing enlarged GCMs for 250 patients (249 women and 1 man) who sought aesthetic consultation for problems such as thick, muscular, asymmetric, or bowed calves. The operations were performed from June 2004 to April 2006. The patients first received a local anesthetic and sedation. After application of RF current, the prominent muscular contours improved, and the GCMs were contoured to an appropriate proportional volume. The range of the reductions in the calf circumferences at their thickest levels was 1 to 6 cm (mean, 2.5 cm) during the follow-up visits 6 months after the procedures. Most of the patients could return to their activities of daily living, except for exercise, after 1 to 7 days, and they were satisfied with the improved aesthetic contour lines of their lower legs. Clinical photography and ultrasonic examination were performed, and the leg circumferences were measured. Radiofrequency-induced Coagulation tissue necrosis of the muscles caused no functional disabilities, and the clinical improvement was well maintained after the treatments for up to 17 months of follow-up evaluation.