Lipolitics, enzyme therapy

Enzymes are protein compounds naturally present in the body that act as catalysts for metabolic processes. Without them, biochemical processes in the body would function incompletely.

Injections of specific enzymes target localized fat deposits, cellulite, and help restore skin elasticity. This treatment method is called enzyme lipolysis or enzymotherapy.

There are two generations of enzyme-based products:

First generation – a triad consisting of lipase, hyaluronidase, and collagenase. Each enzyme serves a specific purpose:

• Lipase stimulates the breakdown of fat cells, reducing fat deposits in volume.

• Hyaluronidase decreases intercellular edema, which is important in treating edematous cellulite.

• Collagenase stimulates the production of new collagen, making the skin firmer and more elastic.

Second generation – contains lipase, lyase, collagenase, and hyaluronic acid, which additionally hydrates the skin.

Each enzyme comes in an individual vial. The doctor selects the necessary enzyme types, creating a unique cocktail for each patient based on the treatment goal, skin condition, age, and individual characteristics. A local anesthetic, longocaine, is added to the cocktail to ensure maximum comfort during the procedure. Using a topical anesthetic cream is not recommended, as it increases the risk of bruising and can reduce the procedure’s effectiveness.

Enzymotherapy is often used for body contouring, helping create smoother, more feminine body curves. A minimum of 4 to 6 sessions is recommended, with intervals of 7–14 days.

Lipolytic injections are most commonly used for the following areas:

• Lower abdomen

• Fat deposits on the thighs (“saddlebags”)

• Upper back under the shoulder blades

• Base of the neck (“buffalo hump”)

• Lipomas in any area

• Lower thigh, areas above the knees

• Mammary glands (for gynecomastia in men)

PBSerum enzymes are used to correct the following areas:

• Face contouring

• Waist shaping

• Areas above the knees

• Thigh “saddlebags”

• Lower abdomen

• Arms

• Buttocks and inner thighs

The main advantages of lipolytics are:

• Relatively fast results

• Ability to target specific areas

• Can reduce cellulite and fat layers up to 5 cm

• Minimal recovery period

• Relatively long-lasting effect

Disadvantages include:

• Relative pain (even with local anesthesia)

• Possibility of scars and bruising

• Allergic reactions

• Possible uneven results (“dimpling”)

• Loose and sagging skin in the treated area

Today, PBSerum enzyme therapy offers many advantages with virtually no drawbacks.

Benefits of enzyme therapy:

• Pronounced and long-lasting aesthetic results

• Free of preservatives

• Hypoallergenic

• High safety profile

• Ability to create individualized cocktails for each patient

• Lipolysis combined with tissue lifting

• Precision correction of areas requiring “fine-tuning”

• Minimal discomfort during the procedure

• No recovery period

• Minimal risk of complications

Enzyme therapy is currently considered the most effective, modern, and safe method for injection-based body contouring, as it stimulates and enhances the body’s natural processes and addresses multiple concerns—not only localized fat reduction but also cellulite treatment, skin hydration, and lifting after weight loss.

Visible results can be seen after the very first session. The maximum effect develops within two months after completing the course of treatments. For more significant results, ANACOSMA clinic doctors recommend combining lipolytic injections with lymphatic drainage mesotherapy, subcutaneous fat ozone therapy, and device-based procedures such as Cristal cryolipolysis, along with an additional course of skin lifting and body contouring on the Eximia device.

The optimal combination of treatments to achieve the desired results is selected individually by the doctor.

• Pregnancy and breastfeeding
• Blood clotting disorders
• Infection in the injection area
• Kidney diseases
• Diabetes mellitus
• Moderate to severe obesity