Subcutaneous infiltration of carbon dioxide (carboxytherapy) for abdominal fat reduction: A randomized clinical trial.

Abstract:

BACKGROUND:Noninvasive fat removal is preferred because of decreased downtime and lower perceived risk. It is important to seek new noninvasive fat removal treatments that are both safe and efficacious. OBJECTIVE:To assess the extent to which carboxytherapy, which is the insufflation of carbon dioxide gas into subcutaneous fat, results in reduction of fat volume. METHODS:In this randomized, sham-controlled, split-body study, adults (body mass index, 22-29 kg/m2) were randomized to receive 5 weekly infusions of 1000 cm3 of CO2 to 1 side of the abdomen, and 5 sham treatments to the contralateral side. The primary outcome measures were ultrasound measurement of fat layer thickness and total circumference before and after treatment. RESULTS:A total of 16 participants completed the study. Ultrasound measurement indicated less fat volume on the side treated with carboxytherapy 1 week after the last treatment (P = .011), but the lower fat volume was not maintained at 28 weeks. Total circumference decreased nominally but not significantly at week 5 compared with baseline (P = .0697). Participant body weights did not change over the entire course of the study (P = 1.00). LIMITATIONS:Limitations included modest sample size and some sources of error in the measurement of circumference and fat layer. CONCLUSION:Carboxytherapy provides a transient decrease in subcutaneous fat that may not persist. Treatment is well tolerated.

journal_name

J Am Acad Dermatol

authors

Alam M,Sadhwani D,Geisler A,Aslam I,Makin IRS,Schlessinger DI,Disphanurat W,Pongprutthipan M,Voravutinon N,Weil A,Chen BR,West DP,Veledar E,Poon E

doi

10.1016/j.jaad.2018.04.038

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

320-326

issue

2

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(18)30638-8

journal_volume

79

pub_type

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