title: Radiofrequency volumetric reduction for masseteric hypertrophy.
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.
authors.affiliation: Samsung Aesthetic Clinic, Sescho-dong, Kangnam-gu, and Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Young
authors.initials: Y
authors.lastname: Jin Park
authors.forename: Yong
authors.initials: Y
authors.lastname: Woo Jo
authors.forename: Sa Ik
authors.initials: SI
authors.lastname: Bang
authors.forename: Hyung Joon
authors.initials: HJ
authors.lastname: Kim
authors.forename: So Young
authors.initials: SY
authors.lastname: Lim
authors.forename: Goo Hyun
authors.initials: GH
authors.lastname: Mun
authors.forename: Won Sok
authors.initials: WS
authors.lastname: Hyon
authors.forename: Kap Sung
authors.initials: KS
authors.lastname: Oh
mesh_terms: D000293:Adolescent; D000328:Adult; D017115:Catheter Ablation / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008297:Male; D008406:Masseter Muscle / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*