A bright tre­at­ment room, a calm atmo­sphe­re and a per­fect touch. Dr. Lia Geor­gouli checks the struc­tu­re of a pati­en­t’s skin. The chin struc­tures are sag­ging – the­re is alre­a­dy a slight dou­ble chin. The tre­at­ment of choice is inno­va­ti­ve – a mix of rege­ne­ra­ti­ve enzy­mes. A few minu­tes later, the actu­al appli­ca­ti­on beg­ins. Not on the sur­face, but deep in the tis­sue: whe­re enzy­mes actively influence skin rege­ne­ra­ti­on. The pro­ce­du­re is bare­ly noti­ceable for the pati­ent. The enzy­mes are injec­ted using tiny need­les and only take a few seconds. 

The Swiss Derma Clinic as a training center for Swiss doctors

Recom­bi­nant Enzy­mes (pro­duct name pbse­rum) is a new bio­lo­gi­cal tre­at­ment approach. Dr. Lia Geor­gouli was trai­ned as part of an inter­na­tio­nal „train-the-trai­ner“ event and is expec­ted to con­duct the first phy­si­ci­an trai­ning cour­se in Zurich next year.

Recombinant enzymes: What’s behind them?

Enzy­mes are bio­lo­gi­cal cata­lysts. They have long been used in medi­ci­ne to spe­ci­fi­cal­ly acti­va­te or regu­la­te pro­ces­ses in tissue. 

What is spe­cial about our method is that the recom­bi­nant enzy­mes used are bio­tech­no­lo­gi­cal­ly pro­du­ced and pre­cis­e­ly tail­o­red to various skin pro­blems. Depen­ding on their com­po­si­ti­on, they can dis­sol­ve fat cells (they then act as a fat-remo­ving injec­tion), renew the skin sur­face or loo­sen and refi­ne con­nec­ti­ve tis­sue if this has har­den­ed due to scars or fibrosis. 

„For our pati­ents, this means less fat in the right places, more ela­s­ti­ci­ty, fewer wrink­les and a visi­ble impro­ve­ment in skin qua­li­ty. Wit­hout sur­gery, just on a bio­lo­gi­cal basis.“ Dr. Lia Geor­gouli, Medi­cal Direc­tor of the Swiss Der­ma Clinic

Who is the treatment suitable for?

Bio­lo­gi­cal skin tigh­tening can be useful if the skin loses its ela­s­ti­ci­ty, small fat depo­sits such as a dou­ble chin appear or uneven­ness such as cel­lu­li­te or scars dis­rupt the over­all appearance. For: 

• sag­ging skin on the face, neck or upper arms,
• Sag­ging cheeks or dou­ble chin,
• Cel­lu­li­te and irre­gu­lar tis­sue on the sto­mach or thighs,
• Scars after sur­gery or inju­ries and
• Skin age­ing on hands and décol­le­té.

Enzy­ma­tic the­ra­py does not work on the sur­face of the skin, but direct­ly in the tissue.

What the enzyme treatment does to the skin:

At the Swiss Der­ma Cli­nic, we have various enzy­me injec­ta­bles at our dis­po­sal. Each pre­pa­ra­ti­on has a dif­fe­rent approach. They tigh­ten the skin or make fats „melt“, they smooth wrink­les and scars or streng­then the con­nec­ti­ve tis­sue. Enzy­mes can: 

• acti­va­te the cell meta­bo­lism,
• impro­ve blood cir­cu­la­ti­on and oxy­gen sup­p­ly,
• Redu­ce fat depo­sits and
• sti­mu­la­te the pro­duc­tion of col­la­gen and elas­tin and thus reju­ve­na­te the skin.

Combinations and skin longevity: the holistic treatment

Holi­stic tre­at­ment in terms of skin lon­ge­vi­ty is one of our strengths. It is the basis for healt­hy and resi­li­ent skin in the long term. Recom­bi­nant enzy­mes fit seam­less­ly into this phi­lo­so­phy and can be per­fect­ly com­bi­ned with other methods. We do this to enhan­ce or pro­long results. For example: 

Sof­wa­ve® for ultra­sound-based lif­ting (for face and body)

Geni­us® for deep-acting radio fre­quen­cy need­ling (for body firming)

Cris­tal Fit® for mus­cle defi­ni­ti­on and ton­ing of body parts such as the sto­mach, thighs or upper arms.

Your skin – revitalized and activated

At the Swiss der­ma Cli­nic, we take a clo­se look: Which skin struc­tures need sup­port? Whe­re does natu­ral cell rene­wal and fat reduc­tion make sen­se? Make an appoint­ment for a skin ana­ly­sis and con­sul­ta­ti­on in Zurich.

FAQ on enzyme-based treatments

Which skin pro­blems can be trea­ted with enzymes?

Thanks to dif­fe­rent enzy­me for­mu­las, the tre­at­ment can be cus­to­mi­zed. At the Swiss Der­ma Cli­nic in Zurich, we use the­se for: 

• Sag­ging skin on the face, neck, décol­le­té or arms
• Loca­li­zed fat depo­sits on the chin, sto­mach or thighs
• Cel­lu­li­te with irre­gu­lar skin structure
• Scars and fibro­sis, for exam­p­le after ope­ra­ti­ons or injuries

How many ses­si­ons are necessary?

Initi­al impro­ve­ments can often be seen after the second tre­at­ment. For las­ting results, three to four ses­si­ons at inter­vals of two to three weeks are recom­men­ded. The exact fre­quen­cy depends on the tre­at­ment goal, skin con­di­ti­on and tis­sue type (e.g. scars, cellulite). 

Is the tre­at­ment pain­ful or asso­cia­ted with downtime?

The use of enzy­mes is usual­ly well tole­ra­ted, even by sen­si­ti­ve skin. A slight bur­ning sen­sa­ti­on or red­ness or a mini­mal fee­ling of pres­su­re may occur brief­ly after the injec­tion. The­se, if pre­sent, usual­ly subs­i­de after a few hours. The­re is usual­ly no downtime. 

How does tre­at­ment work?

After a brief ana­ly­sis, we inject the enzy­me pre­pa­ra­ti­on whe­re it is sup­po­sed to work. For exam­p­le, under the skin on the chin, on the upper arms or in the thighs. A ses­si­on lasts around 30 minutes.