Published On February 28, 2026
Journal Issue LJMHR Volume 26 Issue 2

Effectiveness and Safety of Treatment of Double Chin with Combined Enzymatic Therapy

Joana Bernedo Alcazar
Joana Bernedo Alcazar
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Jorge A. López Berroa
Jorge A. López Berroa
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Research ID 1KMXK

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Abstract

Cellulite is a common aesthetic concern that may significantly impact on individuals' self-image and quality of life. Despite being a non-threatening condition, it may have a negative effect on the psychological well-being of affected individuals. This condition is multifactorial and involves several physiopathology pathways. The role of enzymes in the management of cellulite is a novel approach, particularly lipase and collagenase, which play key roles in adipocyte size reduction and collagen degradation, respectively. The potential of high-molecular-weight hyaluronic acid to promote tissue repair and regeneration is also highlighted. Our case report describes the effectiveness of an association of recombinant enzymes and high-molecular-weight hyaluronic acid by reducing cellulite manifestations in a patient, with a history of multiple unsuccessful treatments, showing visible improvements from the initial treatment session. The importance of understanding the complex physiopathology of cellulite and choosing a targeted approach is emphasized.

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Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

Not applicable

Data Availability

The datasets used in this study are openly available at [repository link] and the source code is available on GitHub at [GitHub link].

Funding

This work did not receive any external funding.

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  • Version of record

    v1.0

  • Issue date

    28 February 2026

  • Language

    en

Effectiveness and Safety of Treatment of Double Chin with Combined Enzymatic Therapy
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CC-BY-NC 4.0
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