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    Pain waive

    Electrotherapy device may help decrease post-op swelling and encourage healing

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    The electrotherapy device, ActiPatch, pictured on patient following breast enhancement surgery. (Photo credit: David Whiteman, M.D.)
    NATIONAL REPORT — It's about the size of an EKG patch and contains a tiny circuit (like that in a cell phone) that emits a pulsing electromagnetic field. Cosmetic surgeons who place these patches on swollen, painful areas after facial, breast and other aesthetic procedures, report that the device, called ActiPatch (BioElectronics; Frederick, Md.), helps patients heal faster than those who do not use the patch. Some surgeons also report that patients who wear the patch say they experience less pain than their patchless counterparts.

    Brian M. Kinney, M.D., plastic surgeon in Los Angeles and clinical assistant professor at the University of Southern California, says the U.S. Food and Drug Administration has cleared the ActiPatch for post-operative swelling from blepharoplasty. Dr. Kinney, who is on the board of directors and medical advisory board of BioElectronics, manufacturer of the ActiPatch, says the device is approved in Europe and Canada for soft tissue pain and swelling.

    The frequency of the patch's signal and the dosage delivered have been shown to grow capillaries in rats, improve wound healing in animal models and decrease swelling after blepharoplasty in a human study of 21 patients (Nicolle et al. 1982).

    Plastic surgeon Laurie Casas, M.D., associate professor, Northwestern University Feinberg School of Medicine, Chicago, performed a prospective observational study on more than 30 facial plastic surgery patients using ActiPatch Therapy and compared them to a control group of 30 patients to evaluate the effect of ActiPatch on post-operative swelling and bruising, localized subcutaneous fibrosis and localized discomfort. Dr. Casas, who serves on the BioElectronics medical advisory board, reported a 30 percent to 50 percent reduction in the number of days the ActiPatch patients had visible swelling and ecchymosis compared to the control group and says the ActiPatch group required 30 percent to 50 percent fewer sessions of lymphatic drainage therapy (something she offers all her facial cosmetic patients) compared to the controls.

    ANECDOTAL SUCCESS Part of the momentum behind the patch is anecdotal.

    Dr. Casas started using the patch on patients after she used it on herself to relieve back and neck pain.


    Dr. Kinney
    "I went from having to have nurses ice my back during long procedures to wearing ActiPatch in the cervical, thoracic and lumbar areas for about a year and a half every day, and it allowed me to function," she says.

    David Whiteman, M.D., a plastic surgeon in Duluth, Ga., who uses the patch and has no financial interest in the company that makes it, says he offers the option to his breast augmentation patients. One breast augmentation patient who used it after her operation was so impressed that she wrote Dr. Whiteman a letter telling how she was waiting for the pain that she was told would be excruciating — and it never came.

    "I never felt pain [post-operatively]," she wrote.

    Patients, according to Dr. Whiteman, do not feel discomfort from the patches and many who wear them need less pain medication than those who do not.

    "The remarkable thing is that the nurses who work in recovery can tell which patients have the patches on and which do not by their level of discomfort and amount of pain medication that they have to give them," Dr. Whiteman says.

    "On average, the patients that have the patch take fewer pain pills. My patients wear the patch for the first seven to 10 days," Dr. Whiteman says.

    Dr. Casas uses the patch in her practice to diminish facial swelling and bruising from rhinoplasty, blepharoplasty, facelift, neck lift and neck liposuction.

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    Lisette Hilton
    Lisette Hilton is a writer in Boca Raton, Fla., who heads up her company, Words Come Alive.

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