Abstract

Objectives: To understand the clinical applications and benefits of bipolar radiofrequency-assisted liposuction (RFAL) in both aesthetic and non-aesthetic indications, with a focus on achieving effective soft tissue contraction through minimally invasive techniques. Introduction: Suction-assisted lipectomy was initially developed as a safe and minimally invasive method for removing subcutaneous fat for cosmetic purposes. In recent years, energy-based technologies have significantly enhanced the efficacy and outcomes of liposuction. Among these, radiofrequency (RF) has become a prominent tool for promoting non-excisional soft tissue contraction. Materials / method: This presentation explores the use of bipolar RFAL technology, which delivers controlled radiofrequency energy to subcutaneous tissues through internal and external electrodes. The thermal effect induces adipose coagulation and dermal contraction, promoting skin tightening. Clinical applications in both body contouring and non-cosmetic indications will be discussed, drawing from real-case experiences and device-based treatment protocols. Results: Bipolar RFAL has demonstrated consistent results in achieving improved body contouring outcomes with enhanced skin retraction. Additionally, non-cosmetic applications—such as treatment of gynecomastia and face overfilling syndrome —have shown promising results. The technique is reproducible, safe, and associated with high patient satisfaction and minimal downtime. Conclusion: RFAL represents a significant advancement in energy-assisted liposuction, offering effective fat reduction and tissue tightening with minimal invasiveness. Its expanding role in both aesthetic and non-aesthetic procedures underscores its value as a versatile tool in modern plastic surgery.