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Injection Lipolysis,
Kybella “Fat Dissolving”

What is Injection Lipolysis?

Injection Lipolysis chemically reduces the number of fat cells around the injection site. The chemical, called “Deoxycholic Acid”, results in fat cell disruption and death. Currently, it is FDA approved for the treatment of the area underneath the chin to eliminate what is known as a "Double Chin." A commonly known type of Injection Lipolysis is Kybella®.

What is Injection Lipolysis used for?

Non-surgical candidates and patients interested in a non-surgical approach to reducing the fat beneath the chin may be interested in Injection Lipolysis.

a woman undergoing treatment

Who is an ideal candidate for treatment?

Adults over the age of 21 who are medically healthy and who are not allergic to the active ingredients in the formula of this treatment are generally ideal candidates. This treatment is ideal for those who have a moderate amount of unwanted fat beneath the chin, particularly those who have struggled to get rid of this fat with traditional means.

a fit woman who is running

Who is not recommended for the treatment?

  • Active cancer

  • Diabetes – especially insulin-dependent

  • Liver disease

  • Renal disease

  • HIV

  • Active skin infections in treated areas

  • Cardiac problems (or related medications – anticoagulants)

  • History of scarring or pigmentation changes

  • Pregnancy or breastfeeding


Additional
contraindications

include:

  • BMI over 30 (results will be poor at best)

  • Age under 21

  • Inability to follow a weight loss plan of ½ to 1 pound a week

  • A high protein/low-fat diet is required

  • Poor metabolism or hypothyroidism

  • Unrealistic expectations or distorted body image

  • Unhappy with prior cosmetic procedures

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A woman undergoing injection Lipolysis

Does Injection Lipolysis require anesthesia?

This procedure can be done under local anesthesia, which is injected into the treatment area beneath the chin.

What can I expect during the treatment?

After the local anesthesia has been injected, a precise amount of medication is injected in a grid pattern that has been pre-marked on the skin beneath the chin. The medication is injected as a single treatment.

A man who lost waist

What are the risks of Injection Lipolysis?

Complications are uncommon and include nerve injury that can result in an uneven smile. In rare instances, patients have also reported difficulty swallowing after the procedure.

What should I expect as I am recovering from Injection Lipolysis?

There is no downtime, but patients may experience swelling, bruising, pain, redness, and feel areas of hardness that typically soften with time. Fat reduction is typically visible by eight weeks.


What are the results of Injection Lipolysis?

Most patients have at least two treatments spaced 4 to 6 weeks apart, which is the typical duration of swelling. Patients can have up to six treatments to the area under the chin. Your plastic surgeon can develop a plan that best suits your individual anatomy. During the period of swelling, the area can look fuller than it did before treatment, but as the fat cells are disrupted and the inflammation subsides, most patients see results by 6 to 8 weeks after treatment. Unless a patient were to gain weight, the results should be long-lasting.

Is there preparation for the treatment?

Individuals should review medical, surgical, medication, and allergy history with a provider prior to treatment. Prepare for your treatment by reading about Dermal Fillers, schedule your treatment 2 weeks before any special events, wash your skin and remove any makeup, excess oil, and lotions, and relax. Read the pre and post-treatment instructions to prepare yourself and stop any medications prior to your treatment.

Are additional treatments needed?

Maintenance treatments may be needed for continued benefits. To maintain the effects, a diet should be followed, and the treatment may be repeated. The need for additional treatments varies from patient to patient. The procedure listed above is for initial treatment for small fat pocket reduction. The procedure requires multiple treatments dependent upon the amount of area, fat mass, anatomical area, and other factors. Please refer to injection chart suggestions for further instruction. If the patient is returning for subsequent treatments, please repeat the procedure using the same policy as listed above. Patients returning for additional treatments should have realized a change to the area, and re-marking the patient and working in a smaller diameter area for treatment should be seen, and injection pattern and area should be adjusted accordingly. The number of treatments needed for the final resolution of fat prominence is between 2 and 8, dependent upon body part area and fat prominence in general.

Treatment Areas

  • Chin & Jowls – 1 area (1-3 or more Treatments)

  • Eye Pads – 1 area (1-2 Treatments)

  • Arms – 1 area (2-5 Treatments)

  • Armpit Flank – 1 area (2-5 Treatments)

  • Buffalo Hump – ½ area (2-5 Treatments)

  • Abdomen – 1-1 ½ area (3-8 Treatments)

  • Bra Bulge Area – ½ to 1 area (2-5 Treatments)

  • Flanks – 1 area (2-3 Treatments)

  • Love Handles – ½ to 1 area (2-5 Treatments)

  • Hips – ½ to 1 area (2-5 Treatments)

  • Thighs (Fat) – 1-2 areas (2-5 Treatments)

  • Saddlebags – 1-1 ½ area (2-3 Treatments)

Pre-Treatment Instructions

Post Treatment Instructions

Sample Mesotherapy Diet High Protein / Low Fat Diet

  • Any high protein/low-fat diet can be used.

  • 25gm high protein, low-fat meals on the day of treatment.

  • Consider protein shake or bar before treatment.

  • 72 ounces of water per day.

  • Restrict caffeine intake.

  • Low-carb, a low saturated fat diet designed to lose ½ pound a week.

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