皮膚科王修含醫師: 王修含醫師演講紀錄：電波拉皮/鳳凰電波Thermage FLX (2023年台灣皮膚科醫學會年會)

王修含醫師演講紀錄：電波拉皮/鳳凰電波Thermage FLX (台灣皮膚科醫學會年會)

The 49th Annual Meeting of Taiwanese Dermatological Association
臺灣皮膚科醫學會第 49 屆年會 (2023.12.9-12.10)

共兩場：兩天各一場

第一場 303B會議室 20min
Dec/09/2023 10:40 - 12:30
Demystifying energy based devices and the art of injectable fillers
主題：大會演講
11:40-12:00
Monopolar radiofrequency for skin rejuvenation: Science and art.
Shiou-Han Wang (王修含, Taiwan)

第二場 304B會議室 30min
Dec/10/2023 10:30 - 11:00
Satellite symposium 博士倫 ( SOLTA Medical Inc. )
主題：衛星演講
10:30-11:10
Mastering the efficacy and safety of non-invasive monopolar radiofrequency - thermage® FLX
Shiou-Han Wang (王修含, Taiwan)

第一場演講 ABSTRACT
Title: The Science and Art of Monopolar Radiofrequency for Skin Rejuvenation
Title: " Monopolar Radiofrequency for Skin Rejuvenation: Science and Art"

Shiou-Han Wang, MD
1. Department of Dermatology, National Taiwan University Hospital
2. Skin168 Institute of Dermatology

精簡版(no more than 500 characters)
Title: " Monopolar Radiofrequency for Skin Rejuvenation: Science and Art"
Monopolar Radiofrequency (MRF) rejuvenates skin through electric currents, demanding operator expertise in both science and art. High-frequency ultrasound ensures safety. A cooling system regulates MRF depth. Innovations like superpass stamping enhance MRF's artistic aspect. Merging science and art advances safety and efficacy. Operator skill and collagen temperature curve influence outcomes. MRF is essential for aesthetics, blending science and art for optimal results.

完整版
Introduction: Monopolar radiofrequency (MRF) represents a dynamic and multifaceted approach to skin rejuvenation. This innovative modality employs electric currents to generate controlled heat in soft tissue, leading to collagen contraction and the stimulation of neocollagenesis. However, the effectiveness and safety of MRF treatments often rely on the operator's knowledge and skill. To achieve the best results, a comprehensive understanding of the scientific principles and artistic nuances of MRF is essential.

Materials and Methods: A crucial aspect of MRF is high-frequency ultrasound, which provides valuable information on skin thickness and thermal relaxation times, ensuring the procedure's safety. Furthermore, a sophisticated cooling system is employed to regulate the depth of MRF penetration by adjusting impedance and protecting the skin from excessive heat. To refine the art of MRF, exploring manufacturer patents that inspire improved firing techniques is beneficial. These may include innovative methods like superpass stamping or the sliding approach. An in-depth grasp of the submuscular aponeurotic system (SMAS) and retaining ligaments is paramount, as they play pivotal roles in facial aging. Patient feedback has highlighted the potential benefits of applying "multiple-pass vectors" to accumulate heat at the highest tolerable energy level. The heating time of the region of interest (ROI) is significantly influenced by the temperature curve of collagen within the tissue. Applying heat transfer and thermodynamics models also contributes to optimizing MRF treatments, with fibrous septae serving as primary electric current channels affecting MRF's impact on fatty tissue.

Results: The fusion of science and art in MRF has yielded significant advancements in safety and efficacy for skin rejuvenation. Integrating high-frequency ultrasound, the cooling system, and skillfully executed firing techniques is pivotal for safeguarding patient well-being and achieving optimal outcomes. An essential aspect is understanding that the response to accumulated energy follows a characteristic exponential-like curve, and the heating duration within the ROI is intricately tied to both multiple-pass vectors and the temperature curve of collagen.

Conclusion: MRF plays a vital role in the realm of aesthetic procedures. By merging scientific knowledge with artistic finesse, we can improve the safety and efficacy of MRF treatments. This comprehensive discussion encompasses a review of pertinent studies and offers an updated perspective on the science and art of MRF therapy for skin rejuvenation.

第二場演講 ABSTRACT
[SPEAKER] 王修含醫師 Shiou-Han Wang M.D.

[TITLE] Mastering the Efficacy and Safety of Non-invasive Monopolar Radiofrequency - thermage® FLX
[ABSTRACT]
Nowadays, monopolar radiofrequency (MRF) has become a cornerstone in the field of non-invasive skin rejuvenation and tightening. thermage® FLX is one of the preferred choice among several non-invasive devices due to its proven results and safety record. In my presentation, I'll share the advantages of thermage® FLX and the difference of different MRF devices. Also, I will explore the tips to prevent adverse events during treatment and the importance of authentic machines for treatment safety.