Abstract
Dynamic definition liposculpture (HD2) is considered a highly sought after procedure in body sculpting surgery by patients. Radiofrequency microneedling is a cutting edge technology with evidence-based outcomes demonstrating skin tightening and retraction. These ancillary procedures complement and enhance the results of dynamic definition liposculpture. A retrospective review of patient records from 2022 to 2024 was conducted. All patients who underwent high definition (HD) or HD2 in combination with fractional radiofrequency microneedling treatments by the senior author (A.E.H.) were included. Data collected included patient demographics, areas treated, and any complications. A total of 86 patients were included: 16 in 2022, 62 in 2023, and 8 in 2024. The most frequently treated area was the abdomen, followed by the back, face, neck, thighs, and arms. The average age of patients was 40.0 years in 2022, 40.8 years in 2023, and 44.4 years in 2024. The average BMI was 23.9 kg/m2 in 2022, 24.3 kg/m2 in 2023, and 25.2 kg/m2 in 2024. Minimal complications were observed, with some patients requiring further interventions such as scar correction and nevus resection. Avoiding superficial liposuction by relying on radiofrequency microneedling to target the adipose tissue directly beneath the dermis decreases the risk for iatrogenic (cannula related) superficial contour irregularities and makes the overall operation safer and more reliable.