Papain as a non-surgical facial enhancement
Dear Jamie Fire:This is a most interesting idea. To my knowledge, this technique has not been described in the surgical literature other than superficially for wound debridement; and is painful. Papain, an enzyme from papaya, is useful as a digestive enzyme when taken orally. Most patients desire an upward redistribution of fat and lifting of skin and soft tissues of the face (trunk, arms and thighs). The idea of using papain injection, even if it were to work, would counter this desire. You certainly live in a city of medical discovery, pass your idea to the research gurus at Hopkins and the University of Maryland. All the best!