Effectiveness, safety, and patient satisfaction of carboxytherapy as an adjunctive treatment for periorbital hyperpigmentation
Skin Research and Technology,
Journal Year:
2024,
Volume and Issue:
30(3)
Published: March 1, 2024
Abstract
Introduction
Dark
under‐eye
circles
or
periorbital
hyperpigmentation
constitute
a
prevalent
and
challenging
cosmetic
problem
with
diverse
etiologies
types.
While
modifying
exacerbating
habits
can
provide
partial
relief
for
the
pigmentary
vascular
factors
associated
this
condition,
despite
abundance
of
available
treatment
options,
there
is
currently
lack
gold‐standard
evidence‐based
treatments
proposed
curing
disorder.
Objectives
This
study
aimed
to
assess
safety
effectiveness
carboxytherapy
in
treating
hyperpigmentation.
Material
Methods
In
4‐week
single‐arm
clinical
trial,
20
eligible
Iranian
patients
symmetric
received
weekly
intradermal
carboxytherapy.
The
involved
administering
10–20
mL
CO2
at
rate
mL/min
temperature
15°C
duration
ranging
from
few
seconds
1
min.
Follow‐up
assessments
were
conducted
month
after
final
session.
primary
outcome
was
defined
as
changes
ΔE
variations
pigmentation
observed
between
orbital
extra‐orbital
skin
before
trial.
Results
reported
satisfaction
statistically
significant
reduction
achieved
through
lateral
(
p
=
0.002),
middle
0.001),
medial
0.001)
regions
area.
total
response
estimated
20%.
Patient
exceeded
changes,
no
linear
relationship
0.084).
Conclusion
Carboxytherapy
be
an
effective
safe
Language: Английский
Is there a gold standard for treating periorbital hyperpigmentation? – A narrative review of the latest evidence
Maria S. Santos,
No information about this author
Maria Luísa Sequeira,
No information about this author
Rogério Souza Silva
No information about this author
et al.
Journal of Cutaneous and Aesthetic Surgery,
Journal Year:
2025,
Volume and Issue:
0, P. 1 - 9
Published: March 19, 2025
Background
Periorbital
hyperpigmentation
(POH)
is
a
common
esthetic
concern,
characterized
by
light
to
dark
brown
pigmentation
or
violaceous
discoloration
of
the
eyelids.
It
multifactorial,
associated
with
signs
aging
and
tiredness,
affects
approximately
30%
individuals,
predominantly
women
aged
16–25.
Objective
This
narrative
review
aims
evaluate
efficacy
various
treatments
for
POH,
identifying
potential
gold
standard
therapies
based
on
latest
evidence
from
clinical
trials.
Methods
A
comprehensive
search
was
conducted
MEDLINE
(PubMed)
trials
addressing
POH
treatments,
excluding
those
focused
cosmetic
interventions
tear
through
type
POH.
The
initial
yielded
654
publications,
18
studies
meeting
inclusion
criteria,
encompassing
total
619
participants.
Results
reviewed
evaluated
range
including
platelet-rich
plasma
(PRP),
laser
therapy,
carboxytherapy,
chemical
peels,
microneedle
fractional
radiofrequency,
autologous
fat.
PRP
showed
high
patient
satisfaction
but
less
effective
compared
peels
emulsified
fat
in
some
studies.
Laser
therapies,
particularly
Q-switched
Nd
carbon
dioxide
(CO2)
lasers,
demonstrated
favorable
outcomes,
CO2
showing
higher
than
carboxytherapy
microneedling.
Carboxytherapy
well-tolerated
potent
treatments.
Chemical
especially
involving
glycolic
acid,
rapid
significant
improvement
pigmentation.
Microneedle
radiofrequency
Vitamin
C
mesotherapy
also
proved
beneficial,
latter
achieving
highest
despite
procedural
discomfort.
Conclusion
No
single
treatment
modality
emerged
as
definitive
Most
effectiveness
reducing
fell
short
complete
eradication.
choice
should
be
individualized,
considering
patient-specific
factors
preferences.
Further
comparative
are
needed
optimize
strategies
Language: Английский
The investigation and comparison of the efficacy and safety of stromal vascular fraction (SVF), platelet rich plasma (PRP), and 1064‐nm Q‐switched Nd:YAG laser in reducing nanofat treated infraorbital dark circles and wrinkles: A controlled blinded randomized clinical trial
Skin Research and Technology,
Journal Year:
2024,
Volume and Issue:
30(6)
Published: June 1, 2024
Abstract
Background
To
evaluate
the
efficacy
and
safety
of
stromal
vascular
fraction
(SVF),
platelet
rich
plasma
(PRP),
1064‐nm
Q‐switched
Nd:YAG
laser
in
reducing
nanofat
treated
dark
circles
wrinkles
under
eyes.
Method
This
study
was
a
single‐blinded
randomized
clinical
trial
conducted
on
patients
with
suborbital
darkening
eyes
that
randomly
divided
into
control
case
groups.
In
group,
15
were
one
session
injection
only,
five
each
intervention
groups
received
nanofat+SVF
injection,
nanofat+PRP
injection+Nd:YAG
laser,
respectively.
Assessments
methods
(1)
evaluation
degree
darkness
repair
by
blinded
dermatologist
based
photographs,
(2)
investigating
patient
satisfaction,
(3)
using
biometric
variables
for
color,
thickness,
density
skin
(only
3
months
after
treatment),
(4)
recording
possible
adverse
effects.
Conclusion
terms
extent
reduction
intensity
eyes,
combined
treatment
together
SVF,
PRP,
had
much
greater
therapeutic
effect
than
alone.
all
three
treatments,
100%
satisfied.
variables,
amount
changes
colorimeter,
complete
dermal
density,
between
different
statistically
significant.
The
use
treatments
including
SVF
1064
may
be
more
effective
alone,
infraorbital
wrinkles.
Language: Английский
The assessment of the impact of carboxytherapy and selected chemical peels on cosmetic defects and signs of aging of skin around eyes
Journal of Cosmetic and Laser Therapy,
Journal Year:
2024,
Volume and Issue:
unknown, P. 1 - 9
Published: Aug. 13, 2024
Objective
The
purpose
of
this
study
was
to
assess
changes
in
skin
elasticity
and
other
defects
related
the
aging
around
eyes
following
use
combination
treatment
carboxytherapy
chemical
peels
(ferulic
acid
combined
with
ascorbic
acid,
lactobionic
acid).
Language: Английский
EXPERIMENTAL RESEARCH OF THE PHARMACOLOGICAL EFFECT OF CARBON DIOXIDE IN THE CORRECTION OF INFLAMMATION
ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS,
Journal Year:
2024,
Volume and Issue:
2, P. 48 - 53
Published: July 9, 2024
Osteoarthritis
is
considered
one
of
the
leading
causes
chronic
disability
and
a
significant
problem
on
human
health
economy.
Chronic
pain
dominant
symptom
that
prompts
patients
to
seek
medical
attention.
Pain
mechanisms
in
osteoarthritis
remained
unknown
for
long
time.
However,
it
known
inflammation
joint
can
be
key
factor
occurrence
exacerbation
or
changes
perception
pain.
Pharmacological
therapy
often
based
use
steroidal
non-steroidal
anti-inflammatory
drugs,
but
their
long-term
large
doses
cause
side
effects.
That
why
development
new
methods
treatment
inflammatory
processes
object
active
research,
as
they
affect
various
mechanisms.
In
this
context,
carboxytherapy
an
interesting
alternative
addition
existing
regimens
aimed
at
reducing
with
osteoarthritis.
This
method
involves
administration
carbon
dioxide
(CO2)
improve
blood
supply
tissues,
which
contribute
humoral,
biochemical
tissue
Studying
effects
animal
models
important
understanding
its
potential
benefits
action.
Objective.
Study
properties
both
monotherapy
combined
use.
Methods.
Carboxytherapy
injection
when
used
combination
formalin
model
animals.
Results.
The
obtained
research
results
prove
inflammationin
Conclusions.
enhanced
effect
conventional
drugs
establishment
indicates
therapeutic
value
CO2,
while
emphasizing
need
further
in-depth
studies
explore
confirm
efficacy
clinical
Language: Английский
The Impact of Carboxytherapy and Treatments Combining Carboxytherapy and Selected Chemical Peels on Vascular and Pigmentary Components of the Dark Circles
Clinical Cosmetic and Investigational Dermatology,
Journal Year:
2024,
Volume and Issue:
Volume 17, P. 1875 - 1885
Published: Aug. 1, 2024
Particular
attention
is
given
to
the
enhancement
of
melanin-related
pigmentation
(dark
circles,
photoaging)
and
vascular
which
are
commonly
located
in
tear
trough.
The
objective
study
provide
an
evaluation
impact
carboxytherapy
treatment
regimen
combining
with
lactobionic
acid
(20%,
pH
2.1)
or
ferulic
(14%,
4.0-5.0)
ascorbic
(12%)
on
skin
defects
eye
area.
Language: Английский