Carboxy Therapy, carbon dioxide is introduced to the patient’s skin. An excess of carbon dioxide in the injected tissue (hypercapnia) provides the stimulus in the oxygen requirement hypothesis. Approximately 70% of carbon dioxide in the body reacts with plasmatic water to form carbonic acid. And ultimately reacting to leave bicarbonate dissolved in the blood plasma.
The overriding point to consider pertaining to increased circulation in carboxytherapy is that hypercapnia improves tissue oxygenation. When applied topically, the increase in carbon dioxide concentration within the tissue and peripheral blood vessels causes precapillary arterioles to dilate, ultimately increasing blood flow to the skin. Hypercapnia further lowers the resistance of the arteries in the skin and muscles, which dilate on account of the decline in pH. This takes place even with carbon dioxide administration into the skin. Curry and Bombardelli reported the verification of this increased vasodilation in the arterioles and metarterioles, as well as the increased vasomotion.
Again, the treatment was found to be highly effective when administered subcutaneously for localized fat pads/cellulitis. During such treatment, it has been noted that the adipose tissue fractures, lysis of adipocytes occur, and triglycerides are released into the intracellular spaces; none of the vascular structures are adversely affected during this treatment.
Carboxytherapy for aesthetics
It is not surprising therefore, that carboxytherapy is now used as an aesthetic treatment to improve skin laxity and the overall appearance. The therapy can be used to treat ageing skin on the face and décolletage, dark undereye circles, stretch marks, cellulite, and localized fat pads. However, as with any medical treatment
It is also important to note that with carboxytherapy there is an absence of toxicity and any other relevant side-effects.
Facial fat pads
To treat mild under-eye fatpads, a mixture of subcutaneous and intradermal injections should be used. Subcutaneous injections alone should be used for mental fat pads. Indications for the use of carboxytherapy in the submental area include skin laxity, pre-jowl sulcus, an undefined jawline, and a mild fat pad under the chin.
When used in the periorbital area, Carboxy Therapy can treat rhytids, dark circles, vascular pooling, tissue luminosity, skin laxity, and mild fatty prolapse. Dark circles and wrinkles should be treated with intradermal injections, while mild fat pads should have a mix of intradermal and subcutaneous injections. Injections are usually painless, so anesthesia is rarely used, but the patient will feel a warm sensation on injection (vasodilation). Between 5 and 10 minutes.