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Fat Dissolving Injection (Deoxycholate)

Deoxycholic acid for non-surgical localized fat reduction

Duration
15-30 min
Downtime
3-7 days
Sessions
2-5 sessions (4-6 wk intervals)

About This Treatment

Fat dissolving injections use deoxycholic acid (Kybella/Belkyra) or phosphatidylcholine (PPC) to destroy fat cell membranes. BNLS neo combines deoxycholic acid with plant-derived ingredients for facial use (less swelling). Cabelin contains 0.5% deoxycholic acid + L-carnitine for body use.

Mechanism of Action

Deoxycholic acid, a bile acid, has surfactant properties that solubilize cell membrane phospholipid bilayers. Fat cell destruction releases triglycerides for macrophage phagocytosis. Destroyed fat cells do not regenerate, providing semi-permanent results.

Indications

Sagging / contourBody contouring / slimmingGeneral indication (see detailed description)

Expected Results

Kybella: significant submental fat reduction in 2-4 sessions (FDA approved). BNLS: facial fat improvement in 3-5 sessions. Semi-permanent as fat cells are destroyed (unless weight gain).

Clinical Evidence

Ascher B, Hoffmann K, Walker P, et al. (2014)
Efficacy, patient-reported outcomes and safety profile of ATX-101 for reduction of submental fat. J Eur Acad Dermatol Venereol
Clinical improvement was reported in this study (see original paper for details).
Rotunda AM, Kolodney MS (2006)
Mesotherapy and phosphatidylcholine injections: historical clarification and review. Dermatol Surg
Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Injection site swelling (3-7 days, especially Kybella), pain, bruising, induration. Rare marginal mandibular nerve injury (transient smile asymmetry, Kybella). Experienced practitioners recommended for facial use.

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