Advertisement

Aesthetic Plastic Surgery

, Volume 28, Issue 4, pp 222–225 | Cite as

Carbon Dioxide Therapy: Effects on Skin Irregularity and Its Use as a Complement to Liposuction

  • Cesare BrandiEmail author
  • Carlo D’Aniello
  • Luca Grimaldi
  • Elena Caiazzo
  • Elisabetta Stanghellini
Article

Abstract

For a successful conventional or superficial liposuction, it is necessary to consider the competence of the surgeon who is to administer the procedure necessary for this type of surgery as well as the physical and psychological evaluation of the determined patient. A poor result often is related to the persistence of adipose tissue irregularity in the form of fatty tissue accumulation. This complication, common to this type of surgery, has called for research to determine methods for its treatment. Carbon dioxide (CO2) therapy refers to the transcutaneous and subcutaneous administration of CO2 for therapeutic purposes. This treatment originated at the Royal Spas of France in 1932 with the treatment of patients affected by obliteration of arteriopathies. Recent studies have demonstrated the effect of subcutaneous CO2 therapy performed to improve local parameters of circulation (performed by Doppler, laser–Doppler, and trans-cutaneous partial pressure of oxygen determination), and to reduce localized adiposities (verified reporting variations in maximum circumference and performing histologic studies). With these results, the absence of toxicity, and the relevant side effects related to this treatment taken into consideration, the Plastic Surgery Unit of Siena has been committed to researching the role that CO2 therapy can play in the treatment of skin irregularity and as a complement to liposuction. The authors report their experience using Carbomed programmable automatic CO2 therapy apparatus and 30GA1/2 0,3X13 microlance needles for the treatment of patients with adipose tissue accumulations located on the thighs and knees. In their study, 42 patients were divided into three groups: A, B, and C. In Group A, only liposuction was performed. In group B 3 weeks after liposuction CO2 therapy was administered in two weekly subcutaneous applications of CO2 for 10 consecutive weeks. In group C, CO2 therapy alone was administered with the same contingencies used for group B (two weekly subcutaneous applications of CO2 for 10 consecutive weeks). The objective was to assess the effectiveness of CO2 therapy for skin irregularity and as a complement to liposuction for adipose tissue accumulation by reporting variations in circumference and skin elasticity monitored by the Cutometer SEM 474 in all treated areas. The data obtained were analyzed statistically. Values of p less than 0.05 were considered significant. The authors report their experience and the results achieved from the study.

Keywords

Carbon dioxide Liposuction Skin elasticity 

References

  1. 1.
    Ballou SP, Mackiewicz A, Lysikiewicz A, Neuman MR: Direct quantitation of skin elasticity in systemic sclerosis. J Rheumatol 17:790–794, 1990PubMedGoogle Scholar
  2. 2.
    Bartell TH, Monafo WW, Mustoe TA: A new instrument for serial measurements of elasticity in hypertrophic scar. J Burn Care Rehabil 9:657–660, 1988PubMedCrossRefGoogle Scholar
  3. 3.
    Belcaro G, Laurora G, Cesarone MR: Flussimetria laser-Doppler e microcircolazione. Minerva Medica Torino:45–48, 1989Google Scholar
  4. 4.
    Brandi C, D’Aniello C, Grimaldi L, Bosi B, Dei J, Lattarulo P, Alessandrini C: Carbon dioxide therapy in the treatment of localized adiposities: Clinical study and histopathological correlations. Aesth Plast Surg 25:170–170, 2001CrossRefGoogle Scholar
  5. 5.
    Curri SB, Bombardelli E: Local lipodystrophy and districtual microcirculation: Proposed etiology and therapeutic management. Cosmet Toilet 109:51–65, 1994Google Scholar
  6. 6.
    Draelos ZD, Marenus KD: Cellulite: Etiology, purported treatment. Dermatol Surg 23:1177–1181, 1997PubMedGoogle Scholar
  7. 7.
    Fong SS, Hung LK, Cheng JC: The cutometer and ultrasonography in the assessment of postburn hypertrophic scar: A preliminary study. Burns 23:12–18, 1997CrossRefGoogle Scholar
  8. 8.
    Gasparotti M: Superficial liposculpture. Wordplast 2:59–77, 1998Google Scholar
  9. 9.
    Hartmann BR, Bassenge E, Hartmann M: Effects of serial percutaneous application of carbon dioxide in intermittent claudication: Results of a controlled trial. Angiology 48:957, 1997PubMedCrossRefGoogle Scholar
  10. 10.
    Hartmann BR, Bassenge E, Pittler M: Effect of carbon dioxide–enriched water and fresh water on the cutaneous microcirculation and oxygen tension in the skin of the foot. Angiology 48:337, 1997PubMedCrossRefGoogle Scholar
  11. 11.
    Ito T, Moore JI, Koss MC: Topical application of CO2 increases skin blood flow. J Invest Dermatol 93:259, 1989PubMedCrossRefGoogle Scholar
  12. 12.
    Savin E, Bailliart O, Bonnin P, Bedu M, Cheynel J, Coudert J, Jean-Paul Martine JP: Vasomotor effects of transcutaneous CO2 stage II periphearal occlusive arterial disease. Angiology 46:785, 1995PubMedCrossRefGoogle Scholar
  13. 13.
    Scheffler A, Rieger H: Clinical information content of transcutaneous oxymetry (tcpO2) in peripheral arterial occlusive disease: A review of the methodological and clinical literature with a special reference to critical limb ischaemia. VASA 21:111, 1992PubMedGoogle Scholar
  14. 14.
    Vila Rovina R, Serra Renon J.M: Liposuzione in chirurgia plastica ricostruttiva ed estetica. Verduci Editore Roma 7, 1992Google Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Cesare Brandi
    • 1
    • 3
    Email author
  • Carlo D’Aniello
    • 1
  • Luca Grimaldi
    • 1
  • Elena Caiazzo
    • 1
  • Elisabetta Stanghellini
    • 2
  1. 1.Plastic Surgery Unit of SienaUniversity of SienaItaly
  2. 2.Unit of Dermatalogical ScienceUniversity of SienaItaly
  3. 3.Unità  Operativa di Chirurgia PlasticaUniversità  degli Studi di SienaViale BracciItaly

Personalised recommendations