Carboxytherapy

Eliminate cellulite, localized obesity, stretch marks ...

 Non-surgical Cosmetic Medicine Treatment

Content
 What is Carboxytherapy?

 How does Carboxytherapy work?

 CO2 effects

 How to inject

 General Contraindications and Indications

 Carboxytherapy Protocols

 Results

 Body Health Carboxytherapy Machine

What is Carboxytherapy?

 Carboxitherapy is a non-surgical treatment from cosmetic

medicine

Carboxytherapy uses injections to infuse gaseous Carbon Dioxide

under the skin into the subcutaneous tissue through a needle. It
eliminates fat cells, stimulates blood flow, improves skin elasticity and
significantly reduces cellulite,
How does Carboxytherapy work?
 The success of the procedure is owed to the fact that CO2 is
20 times more diffusible than oxygen (O2) and that
haemoglobin shows much more affinity to CO2 than to O2

 When CO2 is injected into subcutaneous tissue, the

blood flow is immediately stimulated in the treated
area. This causes the erythrocytes to release O2 and
collect CO2 so that the tissue receives major
oxygenation and allows the elimination of CO2 through
the lungs. This process is called the Bohr Effect.
How does Carboxytherapy work?

 The vasodilation (increase in blood flow) causes hyper oxygenation at a microcirculatory level, which
produces lipolysis (fat destruction) and reduction of fibroses. Additionally, the micro trauma provoked by
the needle and gas injection indirectly induces the stimulation and proliferation of connective tissue cells like
collagen and elastin, secondary to the inflammation caused in the treated area.
Co2 effects? - a) Vasodilation

 The most significant effects that follow the CO2 injection

are strong vasodilation, blood flow increase and a higher
concentration of O2 in the treated area.

 The local oxygen release is improved by the Bohr Effect.

The Bohr Effect describes the tendency of haemoglobin to
have less affinity with Oxygen when the CO2 concentration
in the blood is increased. This low affinity leads
haemoglobin to release oxygen to tissues and superficial
muscles in a homogenous manner. CO2 rapidly gets
converted to bicarbonates and H + acid in the presence of
the Carbonic Anhydrase Enzyme.
Co2 effects? a)Vasodilation

 This reaction causes the

PH tissues to become
acidic with even more
dissociation of O2 from
haemoglobin, allowing the
tissue to receive major
oxygenation
Co2 effects? a) Vasodilation
Co2 effects? b) Neo-angiogenesis
Eeffect
 Experiments in the 1930s to prove Carboxytherapy effect, consisted of
injecting CO2 into a frog’s leg, which showed strong vasodilation associated
with the creation of new capillaries
Co2 effects? c) Lipodisolution Improvement

…in the circulation, which leads to an increased blood flow and to a greater release of oxygen, which is
known as Oxidative Lipolytic Effect.
Co2 effects? c) Lipodisolution Improvement

 The pressure receivers of the Golgi apparatus

work in synergy with the pressure receptors of the
corpuscle of Pacini. When stimulated with
pressure, trauma or pain, they lead to a synthesis
or release of bradykinin, histamine, serotonin and
catecholamine. These mediators activate beta-
adrenergic receptors and cyclic AMP tissue,
leading to stimulation of lipase enzymes. These
reactions improve the lipolysis process in injected
areas.
How to inject?

 Begin by injecting the dermis, once done,

push the needle farther and deeper to inject
the subcutaneous layers. This is normally
the approach preferred by beauticians,
although injecting the subcutaneous layers
first also works.
How to inject? a) Injection Points

Injections points should be made in the area where cellulite resides. It is almost
always in the hips and thighs

The division of each area depends on the fat paniculus thickness, it should be a surface of approximately 7 to
10 cm side.
How to inject? b) Endpoint

 The subcutaneous injection will allow the gas to

diffuse and create a disc of 15-20 cm in diameter.
The skin will look granite and will show erythema,
move the needle 15-20 cm from the previous
injection site (not overlapping) to treat the entire
cellulite surface.

 After several sessions, typically five to six, the skin

becomes less resistant to gas diffusion. At such point one
or two injections may be sufficient to treat the entire
affected area
General Contraindications and Indications

 Needle phobia
 Stress, with history of vagal unconsciousness
event
 Severe heart failure, congestive heart disease
 Recent heart attacks and unstable angina
pectoris
 Restrictive pulmonary disease, chronic
obstructive lung diseases
 Sleep apnea
 Renal failure, dialysis
 Recent cerebrovascular accident
General Contraindications

 Uncontrolled blood pressure

 Epilepsy
 Recent phlebitis or pulmonary embolism
 Uncontrolled diabetes
 Immunosuppression or deficiency
 Chemotherapy, cancer (healing disorders)
 Patients with impaired healing
 Connective tissue disorders or diseases
 Bleeding diseases: Willebrand’disorder, hemophilia
General Contraindications a) Local Contraindications
 Bacterial infection: dermatitis, cellulitis
 Foreign body in the area to be treated
(jewelry or implants)
 Herpes simplex in acute phase and other
acute skin viral infection
 Skin disease with abnormally increased local
circulation
 Facial rosacea
 Poikiloderma of cavit
General Contraindications b) Temporary Contraindications

 Pregnancy (precautionary principle)

 Lactation (precautionary principle)
 Anticoagulation, recent aspirin or anti-inflammatory
drugs intake.
 Acute skin infection (wait until it is cured)
 Other aesthetic procedure or skin traumatism less
than 15 days prior to CDT.
General Indications Vascular
Aesthetic  Raynaud’ phenomenon
 Lower limbs arterial diseases and
 Localized fat
ischemia
 Cellulite
 Erectile dysfunction with micro
 Acne scars vascularization disorders
 Surgical scars
 Traumatic scars
 Stretch marks
 Eye wrinkles, fat deposits and under-eye dark circles
 Rejuvenation of the hands, décolletage, neck
 Psoriasis
 Nasolabian folds and peri-oral wrinkles
 Skin Rejuvenation
 Skin whitening
Carboxytherapy Protocols
Application in clinic – Table for Epidermal (Average
Depth 1~3mm)

Injection Speed Total Volume Injection Point Frequency

Face 10cc/min 40-60cc 4-6 punto 6-8 Tiempo

Abdomen 30-100cc/min 240-1000cc 6-8 punto 8-10 Tiempo

Arms 30-60cc/min 120-360cc 4-6 punto 6-10 Tiempo

Thighs 30-100cc/min 120-600cc 4-6 punto 6-10 Tiempo

Calves 20-50cc/min 40-300cc 2-6 punto 4-10 Tiempo

Stretch Marks 50cc/min 1500-2000cc 4-6 punto 6-8 Tiempo

Carboxytherapy Protocols
Application in clinic – Table for Epidermal (Average
Depth 5~7mm)

Injection Speed Total Volume Injection Point Frequency

Face 10-15cc/min 100-200cc 4-6 punto 3-6 Tiempo

Abdomen 50-100cc/min 500-2000cc 6-8 punto 8-10 Tiempo

Arms 40-60cc/min 120-600cc 4-6 punto 6-10 Tiempo

Thighs 50-100cc/min 500-1500cc 4-6 punto 6-10 Tiempo

Calves 20-50cc/min 40-300cc 2-6 punto 4-10 Tiempo


Move the needle from the injection zone immediately after
the gas has been injected
Injection Time: 2-5 “ for each injection point
Injection Volume: 10-15cc / min
Limitation of total injection volume: Should be less than
90cc and gradually increased from 60cc to 90cc
Move the needle from the injection zone immediately after
the gas has been injected
Injection Time: 2-5 "for each injection point
Injection Volume: 10-15cc / min
Limitation of total injection volume: Should be less than
90cc and gradually increased from 60cc to 90cc

Double Chin: Draw an imaginary V

line, and perform the CO2
application below the chin from
bottom to top

The injection should be place with extreme care

avoiding CO2 excess in surrounding parts of the
eye not included in treatment, with the help of a
small pressure with the left index finger
It is normal for the to present
swollenness after CO2 injection
 It is favourable to perform a small massage in the
For the correct application of CO2 treated area to achieve better gas expansion
press the area to be treated in the Injection Volume: 50-60cc / min
needles' opposite direction to avoid Total limitation of injection volume:
gas application in areas not Recommended that it be between 400 and
indicated 1,000cc depending on the patient's condition

Because there is usually a higher concentration

of CO2 in certain parts of the abdomen,
treated areas should be massaged smoothly
and continuously to spread the gas
homogeneously and to alleviate the patient's
perception of pain
Injection Volume: 50-100 cc / min
Total injection volume limitation: Must be less
than 1,000cc and not be more than 2000cc per
total application. BodyHT suggests not
applying more than 20cc per injection.
For the application a
minimum distance of 5cm
from the navel must be kept
CO2 applications should be performed
following the protocol of dividing the The application of CO2 should
back into 10x10cm grids, in each grid a not be perform in the middle of
minimum of 10cc of gas should be shoulder blades or in bone area
applied .
 Good care should be taken not to apply CO2
into the knee joints when treating the calves or
thighs as this may cause severe pain.

Injection volume: 30-50cc / min

Total limitation of injection volume:
From 600 to 1,000cc depending on
the patient's condition
Treating cellulite is generally more painful than
CO2 applications in other parts of the body with
localized fat because it is mostly present in the
thighs, therefore application points should be
placed with a minimum of 2 to3 cm of separation
To treat calves it is advisable to
from each other.
leave the needle injected for a few
minutes for optimal results

Injection volume: 30-50cc / min

Total injection volume limitation: From 600 up to
1,000cc depending on the patient's condition

The CO2 application must be

done from top to bottom
Carboxytherapy Protocols - Usual Injection Points
Carboxytherapy Protocols - Usual Injection Points
Visible Results
Body Health Carboxytherapy Machine