Degradation Therapy with Collagenase and Deoxycholate.

Facial plastic surgery clinics of North America 2023 Vol.31(4) p. 525-533

McDonald L, Hoffman L, Chapas A

Abstract

Deoxycholate (deoxycholic acid) and collagenase are naturally occurring substances whose ability to degrade adipose tissue and collagen respectively has given rise to a variety of therapeutic applications. This article will discuss the indications for the use of deoxycholic acid, primarily its well-established role in the non-surgical reduction of submental fat, with a focus on patient assessment, procedural technique, risks, pitfalls, and key clinical tips. It will also review the indications for collagenase as a degradation therapy, its mechanism of action, and benefits in the management of wound healing, scarring, and adipose tissue modification.

MeSH Terms

Humans; Deoxycholic Acid; Cosmetic Techniques; Injections, Subcutaneous; Adipose Tissue; Collagenases; Subcutaneous Fat