Degradation Therapy with Collagenase and Deoxycholate

Facial Plast Surg Clin North Am. 2023 Nov;31(4):525-533. doi: 10.1016/j.fsc.2023.05.005. Epub 2023 Aug 14.

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.

Keywords: ATX-101; Collagenase; Degradation therapy; Deoxycholate; Deoxycholic acid; Kybella; Non-invasive facial contouring; Submental fat.

Publication types

  • Review

MeSH terms

  • Adipose Tissue
  • Collagenases / therapeutic use
  • Cosmetic Techniques*
  • Deoxycholic Acid* / pharmacology
  • Deoxycholic Acid* / therapeutic use
  • Humans
  • Injections, Subcutaneous
  • Subcutaneous Fat

Substances

  • Deoxycholic Acid
  • Collagenases