Radiofrequency volume reduction of gastrocnemius muscle hypertrophy for cosmetic purposes.
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.
Park
Young Jin
YJ
Samsung Aesthetic Clinic, Sescho-dong, Kangnam-gu, and Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Jo
Yong Woo
YW
Bang
Sa Ik
SI
Kim
Hyung Joon
HJ
Lim
So Young
SY
Mun
Goo Hyun
GH
Hyon
Won Sok
WS
Oh
Kap Sung
KS
D000293:Adolescent; D000328:Adult; D017115:Catheter Ablation / Q000295:instrumentation; D003357:Cosmetic Techniques; D004867:Equipment Design; D005260:Female; D006801:Humans; D006984:Hypertrophy; D007866:Leg; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000473:pathology* / Q000601:surgery*; D019651:Plastic Surgery Procedures