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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2025-8-115-118</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4372</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Комплексное применение радиочастотной липосакции и неодимового лазера в коррекции локальных избыточных отложений в области плеч</article-title><trans-title-group xml:lang="en"><trans-title>Complex application of radiofrequency liposuction and neodymium laser in correction of local excess deposits in the shoulder area</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-6084-5302</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Майтесян</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Maytesyan</surname><given-names>L.  A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Майтесян Люсине Андраниковна, соискатель кафедры физической и реабилитационной медицины с курсом клинической психологии и педагогики; врач пластический хирург</p><p>Москва</p></bio><bio xml:lang="en"><p>Maitesyan Lyusine A., applicant of Dept of Physical and Rehabilitation Medicine with a Сourse in Clinical Psychology and Pedagogy; plastic surgeon</p><p>Moscow</p></bio><email xlink:type="simple">mlysine@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9711-6178</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гусакова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gusakova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гусакова Елена Викторовна, д.м.н., заведующий кафедрой физической и реабилитационной медицины с курсом клинической психологии и педагогики</p><p>Москва</p></bio><bio xml:lang="en"><p>Gusakova Elena V., DM Sci (habil.), head of Dept of Physical and Rehabilitation Medicine with a Course in Clinical Psychology and Pedagogy</p><p>Moscow</p></bio><email xlink:type="simple">gusakova07@mail.ruorcid</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6686-4253</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стенько</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Stenko</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Стенько Анна Германовна, д.м.н., профессор кафедры дерматовенерологии и косметологии; заведующая отделением косметологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Stenko Anna G., DM Sci (habil.), professor at Dept of Dermatovenereology and Cosmetology; head of Cosmetology Dept</p><p>Moscow</p></bio><email xlink:type="simple">stenko1@rambler.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской Федерации; Клиника пластической хирургии «Грейс медикал»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central State Medical Academy of the Administrative Department of the President of Russia; Plastic surgery clinic «Grace Medical»</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central State Medical Academy of the Administrative Department of the President of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской Федерации; АО «Институт пластической хирургии и косметологии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central State Medical Academy of the Administrative Department of the President of Russia; JSC “Institute of Plastic Surgery and Cosmetology”</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>04</day><month>06</month><year>2025</year></pub-date><volume>0</volume><issue>8</issue><issue-title>Дерматология (1)</issue-title><fpage>115</fpage><lpage>118</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Майтесян Л.А., Гусакова Е.В., Стенько А.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Майтесян Л.А., Гусакова Е.В., Стенько А.Г.</copyright-holder><copyright-holder xml:lang="en">Maytesyan L.A., Gusakova E.V., Stenko A.G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/4372">https://www.med-alphabet.com/jour/article/view/4372</self-uri><abstract><sec><title>Актуальность</title><p>Актуальность. Лечение верхней части рук сопряжено с определенными трудностями, поскольку мягкие ткани не связаны с нижележащими поддерживающими структурами, часто тонкие и не имеют большого количества жира. В этом плане перспективным является комплексное применение лазерной терапии враннем после операционном периоде, что будет способствовать улучшению качественных характеристик кожи, а значит получению лучшего эстетического результата. Выбор комплекса методов реабилитации таких пациентов, по данным литературы, весьма широк, но несмотря, на разнообразие способов, в настоящее время, не выработано единого мнения об оптимальном методе восстановительной терапии у пациентов, перенесших липосакцию, что определило актуальность данного исследования.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. Под наблюдение находилось 29 пациентов, в возрасте от 35 до 45 лет. Пациенты были распределены в группы: 1 группа – проводилась RF-липосакция, во 2 группе проводилась RF-липосакция и лазерная терапия Nd: YAG.</p></sec><sec><title>Результаты исследования</title><p>Результаты исследования. Данные сравнительного анализа 2 вариантов восстановительного лечения локальных жировых отложений плеч выявили высокую эффективность радиочастотной липосакции, а также обосновали назначение лазерной терапии после липосакции, что способствовало повышению эффективности в отношении получения наиболее приемлемого эстетического результата.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Relevance</title><p>Relevance. Treatment of the upper arms is associated with certain difficulties, since soft tissues are not connected with the underlying supporting structures, are often thin and do not have a large amount of fat. In this regard, the comprehensive use of laser therapy in the early postoperative period is promising, which will help improve the quality characteristics of the skin, and therefore achieve a better aesthetic result. The choice of a set of methods for the rehabilitation of such patients, according to the literature, is very wide, but despite the variety of methods, at present, there is no consensus on the optimal method of restorative therapy in patients who have undergone liposuction, which determined the relevance of this study.</p></sec><sec><title>Material and methods</title><p>Material and methods. We observed 29 patients aged 35 to 45 years. Patients were divided into groups: Group 1 – RF liposuction was performed, Group 2 – RF liposuction and Nd: YAG laser therapy.</p></sec><sec><title>Results of the study</title><p>Results of the study. The data of the comparative analysis of 2 variants of restorative treatment of local fat deposits of the shoulders revealed the high efficiency of radiofrequency liposuction, and also substantiated the appointment of laser therapy after liposuction, which contributed to the increase in efficiency in relation to obtaining the most acceptable aesthetic result.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>радиочастотная липосакция</kwd><kwd>неодимовый лазер</kwd><kwd>эффективность</kwd><kwd>безопасность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>radiofrequency liposuction</kwd><kwd>neodymium laser</kwd><kwd>efficiency</kwd><kwd>safety</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">American Society of Plastic Surgeons (2017) 2017 plastic surgery statistics report. 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