고주파를 이용한 얼굴주름 치료효과

목적: 얼굴주름에 대한 고주파의 치료효과에 대해 알아보고자 하였다. 대상과 방법: Glogau photoaging scale에서 type Ⅲ, Ⅳ 주름을 가진 50세 이상의 환자 23명을 대상으로 Surgitron Dual Frequency를 이용 1주 간격으로 4회 실시 후 1주, 1, 3, 6개월에 경과관찰하였다. 객관적 향상정도는 사진을 통해 두 명의 관찰자가 판정하였고, 주관적 향상정도는 설문을 통해 주름 향상정도, 환자만족도, 추후 다시 시술을 원하는지 조사하였다. 결과: 사진평가에서 3개월까지 현저한 주름의 향상이 대다수의 환자에서 관찰되었다. 자가평가도 사진평가와 유사하게 3개월까지 높게 나타났다. 눈주위가 가장 치료효과가 좋았고, 시술 후 회복기간은 짧았으며, 특별한 합병증은 없었다. 결론: Surgitron Dual Frequency를 이용한 얼굴주름치료는 비교적 단기간 효과적이었다. 치료에 의한 위험이 없고, 회복기간이 짧아서 비교적 간단히 시술할 수 있는 치료방법 이었으며 주기적으로 반복하는 것이 효과적일 것으로 생각된다. Purpose: To evaluate the effect of radiofrequency device for treatment of facial rhytides. Methods: Twenty-three patients of more than 50 years of age with Glogau photoaging scale type Ⅲ, Ⅳ were included in this study. A Surgitron Dual Frequency device was used for facial rhytides, and a total of four treatment sessions spaced one week apart were performed. Clinical assessment was performed at one week, and at one, three, and six months after the last treatment session. The degree of objective & subjective improvement was determined using a five-step graded scale. Objective improvement was determined by two blinded assessors using before and after photographs. Subjective improvement was determined by questionnaire about rhytides improvement, patient satisfaction and prospect for another treatment session. Results: Significant improvement in facial rhitides was observed in the majority of patients until three months after treatment according to photography assessment. Self-estimation scores paralleled the photography scores and thus were also high until 3 months after treatment. Treatment of the periocular area was most effective. The procedure was associated with minimal downtime, and therewas no serious complication. Conclusions: treatment for facial rhitides using the Surgitron Dual Frequency device is effective in a relatively short time. This technology is a relatively easy treatment method because of the minimal downtime and minimal risk associated its use, making periodic repetition efficient for treating facial rhytides. J Korean Ophthalmol Soc 2008;49(11):1711-1716