Abstract

BACKGROUND: Recently, there has been an increase in early complications after localized exposure to low temperatures (cryolipolysis) for the treatment of localized fat deposition. Carboxytherapy is a method that improves the condition of the microcirculatory bed and reduces swelling.
 AIM: to develop and evaluate the use of a personalized method of injection carboxytherapy in patients with adverse events (edema and neuropathy) after hardware methods of correction (cryolipolysis) of local fat deposits.
 MATERIAL AND METHODS: The study involved 45 patients aged 3243 years with a diagnosis of "E65 Localized fat deposition", who received early complications (local edema and a change in sensitivity at the site of exposure to the cryopapillary ― in the sub-umbilical region) after the cryolipolysis procedure (hardware non-surgical correction of local fat deposits). Before the start of treatment, all patients underwent genetic testing according to the "Cosmetology" panel. Three groups were identified, which received injection carboxytherapy locally, paravertebral in the projection of the lumbosacral region, or a combination of both.
 RESULTS: When analyzing data after a course of treatment, patients with an extended carboxytherapy protocol showed a significant improvement in the quality of life, both in the immediate and in the long-term study period. This was expressed in a statistically significant decrease in intradermal edema and a rapid regression of the pain syndrome in the main group compared to other study groups.
 CONCLUSION: In patients with early local complications after cryolipolysis, the use of injection carboxytherapy is justified not only locally but also paravertebral, which significantly reduces the recovery period, contributes to a more rapid reduction of local edema and neuropathy phenomena, and also allows obtaining a stable clinical result. Personalized injection carboxytherapy is an effective factor in the relief of complications after cryolipolysis.

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