Radio Surgery (Radiofrequency or Radiowave Surgery) is used to remove moles, warts, skin tags and other so called ‘lumps and bumps’. It can also be used to remove small blood vessels by thermocoagulation effect. The procedure involves the passage of radio waves into the epidermis or dermis of the skin to perform the removal or reshaping of a lesion. Different types of electrodes are used depending on the type of lesion, e.g. fine needle for incision and blood vessels, wire loop for intradermal nevi, scalpel blade etc.
Patients can expect minor swelling, redness, bruising and tenderness in the area for a few days as it heals. There should not however be any bleeding due to the tissue coagulation during treatment.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
IMCAS Paris 2004 'Uses of Radiosurgery in Aesthetic Medicine'
1. An Introduction For the Treatment of
Radiosurgical Procedures
in Cosmetic Medicine
Presented by Dr Patrick J. Treacy
Ailesbury Clinic Dublin
IRELAND
2. DISCLOSURE:
• Dr. Patrick J. Treacy is a Cosmetic Doctor registered
in Ireland for the purposes of aesthetic medicine
• I have previously been registered in United Kingdom,
United States, Australia, New Zealand, South Africa.
• I purchased my own Radiosurgery equipment.
• I have no financial interest or stock in Ellman
• I receive no additional remuneration or other
compensation for equipment bought by you as a
result of your attendance at this IMCAS lecture.
4. MEDICAL APPLICATIONS
• Dental
• Dermatology
• Neurosurgery
• OB/GYN
• Ophthalmology
• Otolaryngology
• Plastic Surgery
. General Practice
……. and Cosmetic Medicine
5. HISTORY RADIOSURGERY
•In 1976, Dr. Irving Ellman was granted a U.S. Patent
on 3.8MHz high frequency 4 waveform dental
RADIOSURGICAL device.
There are now many studies showing the efficacy of
using the 3.8MHz Frequency and the different
waveforms for soft tissue applications.
9. HIGH FREQUENCY VS. LOWHIGH FREQUENCY VS. LOW
FREQUENCYFREQUENCY
• Ultra High Frequency:
• Low lateral heat
• Excellent cosmetic
results
• Scalpel like incisions
• European and FDA
approved
• Safe
• Low Frequency:
• High lateral heat
• Poor cosmetic
results
• Poor surgical quality
• Limits on approved
procedures
• Unsafe
23. RADIOSURGERY vs. LASER
in Cosmetic Medicine
• Radiosurgery:
• Very reasonably
priced (Euro 2,995-
15,000)
• Great aesthetic
results
• Superior incisions &
excisions
• Less lateral heat
• Performs more
procedures
• Easy to use
• Laser
• High Cost
• (Euro 40,000-
130,000)
• High Maintenance
• Lacks tactile feel in
incisions
• High heat build up
• Inferior biopsy
results
• Poor in in dense
24. • Permits high degree of hemorrhage control
• Good visibility of tissues
• Sterilizes the incision site as it cuts
• No maintenance required
• Electrodes never need resharpening
Advantages of 4.0 MHz Radiosurgery::
26. • Permits precise planing of tissues
• Little thermal effect on adjacent tissues
• Good biopsy control
• Electrodes are self sterilizing
Advantages of 4.0 MHz Radiosurgery:
101. COAGULATION /HAEMOSTATIS
• Partially rectified, partially filtered.
• Direct touch or grasp (bipolar forceps)
• Tissue damage minimized by lifting area or vessel
to be coagulated.
• Penetrates more deeply, more tissue damage
• If carbon/eschar forms, it acts as an insulator and
will not control bleeding. Wipe it away or use
another form of haemostasis.
103. INFORMED CONSENT:
• Should educate the patient about the procedure,
• risks and expected, realistic results for a procedure.
• Should include all components of the procedure,
• Cleaning, anesthesia to care and cosmesis.
• Gives you a chance to establish patient rapport
106. An Introduction For the Treatment of
Minor Cosmetic Procedures
in General Practice
Presented by Dr Patrick J. Treacy
Ailesbury Clinic Dublin
IRELAND