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Deoxycholic Acid Injection

Injectable deoxycholic acid for submental fat reduction

Duration
15-30 min
Downtime
3-14 days
Sessions
2-4 sessions (4-8 wk intervals)

About This Treatment

Injectable deoxycholic acid disrupts adipocyte membranes and is approved as Kybella/Belkyra for submental fat in several regions. It has stronger regulatory evidence than many generic fat-dissolving cocktails.

It is for pinchable submental fat, not laxity-dominant contour issues.

Mechanism of Action

Deoxycholic acid emulsifies adipocyte membranes; inflammatory clearance by macrophages removes lipid, sometimes with mild fibrosis/tightening.

Indications

Sagging / contourGeneral indication (see detailed description)Body contouring / slimming

Expected Results

Submental volume and contour are assessed after 2-4 sessions. Swelling can be substantial and changes emerge over weeks.

Clinical Evidence

Jones DH, et al. (2016)
ATX-101 for reduction of submental fat: phase 3 trials. Dermatol Surg
Clinical improvement was reported in this study (see original paper for details).
U.S. FDA (2015)
KYBELLA prescribing information. FDA label
Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Swelling, pain, induration, bruising, numbness, marginal mandibular nerve paresis, dysphagia and skin necrosis may occur.

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