Carboxytherapy in the treatment of Stretchmarks - London Body congress

Stretchmarks treatment using

CARBOXYTHERAPY

Small portable CO2 device

Dr Cadic Philippepcadic@gmail.com

www.skin-breath.comwww.carboxyworld.com

London 2011

You may download this presentation from www.carboxyworld.com

Conflict of interest

• 2008-2010 - Carboxytherapy trainer and consultant for the major companies selling CO2 equipment

• 2008 - 2010 - Consulting for the creation of a CO2 equipment

• 2010 until now - inventor of C2P Healthcare Skin-Breath ultraportable Carboxytherapy pen (Uk distribution: Lifestyle Aesthetics) + shareholder.

Contents

• Strech mark definition• Current treatment commonly used• Why carboxytherapy• Carboxytherapy definition• Physiopathology• indications / ci / side effects / complications• How CO2 machines are built• Protocols and technique• Results• My feelings after a few hundred sessions• Conclusion

What is a Stretch mark

- Narrow streak-like lines• On the surface of the skin.• Also known as stria or striae.• Often red or purple at first, • Gradually fading to a silvery-white colour. • 1-10mm wide• A few cms long.

• Stretch marks occur in dermis when the skin is stretched considerably over a short period of time.

• This rapid stretching causes the dermis to break in places and allow the deeper layers of the skin to show through,

What is a Stretch mark

- 90% of women- after pregnancy- after a fast growth + puberty hormonal changes- after corticoids (Cushing syndrome, corticosteroid trea tments,

derived use of topic corticoids to bleach dark skin t ypes)- after bodybuilding (steroids, muscle growth, diuretics)

Common used treatments

Young red strech marks: Lasers to erase microvascularisation (KTP, PDL, Cop per Bromide laser)

White old corrugated SM:• Dermabrasion• Peeling (TCA)• Near infrared lasers: 1064 nm, 1320 nm, 1450 nm, 1550 nm• Fractional ablative lasers: CO2, ERBIUM• Mesotherapy

==> all treatment strategies aiming to start a healing processafter a trauma to the skin.

So why Carboxytherapy?

The same idea :

• create a mid dermis trauma to initiate a healing proces s (collagen, healing factors...)

• optimize the healing process with more oxygen and mo re on-site vascularisation

==> start and improve a healing processDermis detachment using co2 gas

Carboxytherapy ? What is it ?

• mesotherapy like injections• injections into the dermis or hypodermis• small amonts of medical grade CO2 gaz• using a 0,22 micron filter• using a mesotherapy 30G needle

Carboxytherapy physiopathology

3 Effects

The borh effect: • in the presence of CO2, the binding affinity betwee n haemoglobin and oxygen

is lowered • --> more oxygen is released on site.(Temperature level may improve the O2 release)

Carboxytherapy physiopathology

• Neovascularization and blood flow increase has been demonstrated by laser doppler and biopsies

• --> more oxygen, more healing factors released on site.

• Duchêne-Marullaz P, Talvard J. Influence d’injections sous-cutanées de gaz thermal de Royat sur la teneur en anhydride carbonique du sang veineux efférent. Thérapie 1986;21:143-6

• Motz B, Bassenge E, Hartmann B. Effects of CO2 therapy in Raynaud’s syndrom. Results of a controlled trial. Br j Dermatol 1998

• ACTA/Casi clinici ACTA PHLEBOL 2007;8:000-000 Carboxytherapy: effects on microcirculation and its use in the treatment of severe lymphedema V. VARLARO 1, G. MANZO 1, F. MUGNAINI 1, C. BISACCI 1, P. FIORUCCI 1, P. DE RANGO 2, R. BISACCI 1

Carboxytherapy physiopathology

• improved collagen turnover and fiber reorganization have been demonstrated by studies.

Carboxytherapy equipment

• Rather simple• A Co2 source (cartridge or tank)• A pressure regulator to reduce to

10-35 Psi• A flow regulator

• Some machines are electronically driven

• Some are fully mechanic

Carboxytherapy and stretch marks indications

• White stretch marks• Old Stretch marks• Corrugated stretch marks• Dark skin types

Alone or combined with other treatments

Carboxytherapy and stretch marks – Contra indications side effects and complication

CI• Healing disease• Coagulation disorders• Needle phobia• CardioVascular event / thrombosis• Severe respiratory disorders

Side effects and complication = low profile of risk = mesotherapy risks• Pain• Vagal syndrom• Haematoma• Skin infection• Scar

Carboxytherapy & SM: Protocol and technique

• 4 to 10 sessions• 2 to 4 weeks between sessions• 80 to 150 cc/min flow (high flows)• intradermal injection• 30G needle with bevel up• skin disinfection prior to any injections• injections along each mark, 2 cm spaced• end point: popcorn effect, warmth feeling. redness after

deflation .• painful technique (emla, nitrous oxyde. ..)• no downtime• no post injection treatment or cream (hemoclar homeo pathy to

prevent reduce hematomas )

Carboxytherapy & SM: Protocol and technique

• After injection– Pop-corn effect, 1 to 2 minutes after injection– Erythema, lasts from 5 to 10 minutes after injectio n– Warmth sensation 5 to 10 minutes after injection– Then back to normal appearance

Carboxytherapy & SM: Some results

3 sessions , monthly spaced, 90 cc/min. 52 years old French Female.

Carboxytherapy & SM: Some results

Female ~ Age 23: Old SM after pregnancyPhotoType 3 - 4 sessions - 120cc/min every 4 weeks

Carboxytherapy & SM: Some results

Female: PhotoType 4 - 3 sessions on her legs at 80cc/min every 3 weeksCourtesy Dr Denis Wolf – London

My feelings after several hundreds sessions

• Complementary to other modalities (combine+++)• Less results on thin white superficial SM• Better results on old, deep, corrugated SM• Better results on dark skin types• Good candidates see results after a few sessions (red uced

depth)• Low investment for the physician • Reduced cost for the patient.• It never completely deletes SM: only improvement.

My feelings after several hundreds sessions

Although we have nothing perfect to remove SM, Carbo n Dioxide Therapy should be considered as a possible modality f or treating old deep stretch marks.

• It is not invasive. • It has a low profile of risk.• It is not expensive.

Thank you much

www.skin-breath.com – www.carboxyworld.compcadic@gmail.com