Ge Shealinna, Weiss Robert A, Schilling Laura, Noell Claire M
Maryland Laser Skin & Vein Institute, Hunt Valley, Maryland, USA.
Aesthetic Dermatology Associates, Paoli, Pennsylvania, USA.
J Cosmet Dermatol. 2025 Mar;24(3):e70072. doi: 10.1111/jocd.70072.
The study investigates the efficacy of combining low-dose triamcinolone acetonide (TAC) and lidocaine with deoxycholic acid (DCA) injections to reduce adverse effects (AEs) without compromising long-term results.
A double-blind, randomized trial was conducted with 15 subjects, divided into a control group (DCA with lidocaine) and an intervention group (DCA with low-dose TAC and lidocaine). The primary outcomes measured were injection pain, swelling, and submental fat reduction.
Results indicated that the intervention group experienced significantly reduced pain and swelling compared to the control group. Both groups showed similar efficacy in submental fat reduction, with the intervention group demonstrating a greater mean volumetric loss.
The study concludes that the addition of low-dose TAC and lidocaine to DCA injections is a safe and effective method to enhance patient comfort and treatment outcomes without inducing steroid-related side effects.
本研究调查了低剂量曲安奈德(TAC)和利多卡因与脱氧胆酸(DCA)联合注射在不影响长期效果的情况下减少不良反应(AE)的疗效。
对15名受试者进行了一项双盲随机试验,分为对照组(DCA加利多卡因)和干预组(DCA加低剂量TAC和利多卡因)。测量的主要结果是注射疼痛、肿胀和颏下脂肪减少。
结果表明,与对照组相比,干预组的疼痛和肿胀明显减轻。两组在颏下脂肪减少方面显示出相似的疗效,干预组的平均体积损失更大。
该研究得出结论,在DCA注射中添加低剂量TAC和利多卡因是一种安全有效的方法,可以提高患者的舒适度和治疗效果,而不会引起类固醇相关的副作用。