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Carbon Dioxide Assisted Subcision in the Treatment of Adherent Localized Scars

Received: 19 April 2018    Accepted: 21 May 2018    Published: 12 June 2018
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Abstract

Modified subcision assisted with Carbon Dioxide insufflation is described in 2 patients; one with post acne scar and another with adhesion following liposuction. Both subjects have satisfactory results after 3 fortnightly sessions. The Carbon Dioxide flow controlled by the flow rate and procedurist’s maneuvering adjusted to the size and positon of the scars help to separate the underlying fibrotic bands allowing the reach beyond the length of the subcising device; in this case being a 30G ½ needle. The results and recovery is being compared with traditional subcision and possible benefits of Carbon Dioxide assisted subcision are discussed.

Published in Journal of Surgery (Volume 6, Issue 3)
DOI 10.11648/j.js.20180603.15
Page(s) 78-81
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Carbon Dioxide, Scar, Subcision

References
[1] Alam M., Omura N, Kaminer MS. Subcision for acne scarring: technique and outcomes in 40 patients. Dermatol Surg. 2005; 31:310–7.
[2] Orentreich DS, Orentreich N. Subcutaneous incisionless (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg. 1995; 21:543–9.
[3] Brandi C, D’Aniello C, Grimaldi L, Bosi B, Dei I, Lattarulo P, et al. Carbon dioxide therapy in the treatment of localized adiposities: clinical study and histopathological correlations. Aesthet Plast Surg. 2001; 25:170–4.
[4] Brandi C, D’Aniello C, Grimaldi L, Caiazzo E, Stanghellini E. Carbon dioxide therapy: effects on skin irregularity and its use as a complement to liposuction. Aesthet Plast Surg. 2004; 28(4):222–5.
[5] Brandi C, Grimaldi L, Nisi G, Brafa A, Campa A, Calabrò M, et al. The role of carbon dioxide therapy in the treatment of chronic wounds. In Vivo. 2010; 24(2):223-6.
[6] Koutna N. Carboxytherapy – new, non-invasive method of aesthetic medicine. Cas. Lek. Cesk. 2006; 145(11):841-3.
[7] Pianez LRG, Custódio FS, Guidi RM, de Freitas JN, Sant'Ana EM, et al. Effectiveness of carboxytherapy in the treatment of cellulite in healthy women: a pilot study. Clin Cosmet Investig Dermatol. 2016; 9: 183–190.
[8] Podgórna K., Kołodziejczak A., Rotsztejn H et al. Cutometric assessment of elasticity of skin with striae distensae following carboxytherapy. Journal of cosmetic dermatology (2017).
[9] Paolo F, Nefer F, Paola P, Nicolò S. Periorbital area rejuvenation using carbon dioxide therapy. J Cosmet Dermatol. 2012; 11(3):223-8.
[10] Nach R, Zandifar H, Gupta R, Hamilton. Subcutaneous carboxytherapy injection for aesthetic improvement of scars. Ear Nose Throat J. 2010; 89(2):64-6.
[11] Ozan Balik, Mustafa Yilmaz, Alper Bagriyanik. Does carbon dioxide therapy really diminish localized adiposities? Experimental study with rats. Aesth Plast Surg 2011; 35:470-4.
[12] Gozali MV, Zhou B. Effective Treatments of Atrophic Acne Scars. J Clin Aesthet Dermatol. 2015 May; 8(5): 33–40.
[13] Lee Georgia SK. Carbon Dioxide Therapy in the Treatment of Cellulite: An Audit of Clinical Practice. Aesthetic Plast Surg. 2010; 34(2):239–43.
[14] Maia-Figueiró TL, Odashiro AN, Menezes GP, et al. Semi-quantitative histological analysis of the effect of intense pulsed light (IPL) and carbon dioxide (CO2) intradermic injection on fibroblast and collagen proliferation in the skin of Wistar rats. J Cosmet Dermatol Sci Appl. 2012;02(03):164–173.
[15] Pinheiro NM, Crema VO, Millan BM, Carvalho FA, Mendonça AC. Comparison of the effects of carboxytherapy and radiofrequency on skin rejuvenation. J Cosmet LaserTher. 2015;17(3):156–161.
Cite This Article
  • APA Style

    Georgia Lee SK. (2018). Carbon Dioxide Assisted Subcision in the Treatment of Adherent Localized Scars. Journal of Surgery, 6(3), 78-81. https://doi.org/10.11648/j.js.20180603.15

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    ACS Style

    Georgia Lee SK. Carbon Dioxide Assisted Subcision in the Treatment of Adherent Localized Scars. J. Surg. 2018, 6(3), 78-81. doi: 10.11648/j.js.20180603.15

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    AMA Style

    Georgia Lee SK. Carbon Dioxide Assisted Subcision in the Treatment of Adherent Localized Scars. J Surg. 2018;6(3):78-81. doi: 10.11648/j.js.20180603.15

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  • @article{10.11648/j.js.20180603.15,
      author = {Georgia Lee SK},
      title = {Carbon Dioxide Assisted Subcision in the Treatment of Adherent Localized Scars},
      journal = {Journal of Surgery},
      volume = {6},
      number = {3},
      pages = {78-81},
      doi = {10.11648/j.js.20180603.15},
      url = {https://doi.org/10.11648/j.js.20180603.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180603.15},
      abstract = {Modified subcision assisted with Carbon Dioxide insufflation is described in 2 patients; one with post acne scar and another with adhesion following liposuction. Both subjects have satisfactory results after 3 fortnightly sessions. The Carbon Dioxide flow controlled by the flow rate and procedurist’s maneuvering adjusted to the size and positon of the scars help to separate the underlying fibrotic bands allowing the reach beyond the length of the subcising device; in this case being a 30G ½ needle. The results and recovery is being compared with traditional subcision and possible benefits of Carbon Dioxide assisted subcision are discussed.},
     year = {2018}
    }
    

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    T1  - Carbon Dioxide Assisted Subcision in the Treatment of Adherent Localized Scars
    AU  - Georgia Lee SK
    Y1  - 2018/06/12
    PY  - 2018
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    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 78
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    PB  - Science Publishing Group
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    AB  - Modified subcision assisted with Carbon Dioxide insufflation is described in 2 patients; one with post acne scar and another with adhesion following liposuction. Both subjects have satisfactory results after 3 fortnightly sessions. The Carbon Dioxide flow controlled by the flow rate and procedurist’s maneuvering adjusted to the size and positon of the scars help to separate the underlying fibrotic bands allowing the reach beyond the length of the subcising device; in this case being a 30G ½ needle. The results and recovery is being compared with traditional subcision and possible benefits of Carbon Dioxide assisted subcision are discussed.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Department of Medical Practice, TLC Lifestyle Practice, Singapore

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