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Lipodissolve, PCDC, Kybella, Fat Dissolving is an excellent option for those who have stubborn or unwanted fat in areas of the chin, stomach, thighs, arms, hips and body who do not wish to undergo surgery procedures such as liposuction. 

 

What is fat dissolving?

Lipodissolve / fat dissolver is a series of micro-injections used to dissolve fat deposits of the face and body. It is a non-surgical and minimally invasive procedure that is designed to melt localized fat and improve cellulite. This is a procedure of injecting primarily a mixture of two naturally occurring chemicals, phosphatidylcholine and deoxycholate (PC/DC), into the skin. A formulated compound, identical to the substance produced by your body, which has been used to dissolve fat, you will notice a change in the shape of your body and texture of your skin.

Is PCDC right for me?

Anyone with small areas of stubborn fat deposits of the face and body that desire reduction may be a good candidate. Those with large areas or high BMI may be better suited for liposuction.

What is the difference between PCDC and Kybella?

PCDC was first used 60+ years ago to treat fatty blockages in blood vessels, high cholesterol, and fatty liver disease. Eventually, PCDC also began to be used for aesthetic purposes, such as reducing stubborn fatty pockets of the face, neck, and body. PCDC inspired the creation of Kybella. Allergan created Kybella, which only contains DC, but still works in the same way as PCDC. Allergan pursued FDA approval for Kybella for the reduction of submental (double chin) fat. However, like PCDC, it is used to treat many different areas. In our experience, PCDC has fewer adverse reactions, such as swelling, tenderness/soreness, and bruising, than Kybella. 

How does it work?

When the PCDC mixture is injected into fat tissue of the skin, the fatty tails of the phosphatidylcholine and deoxycholate mix with the fatty tails of the lipids on the cell wall of the fat cell and the aqueous or electrically charged side of the phosphatidylcholine and deoxycholate mix with water. The phosphatidylcholine and deoxycholate are working as detergents causing the oily cell wall and other fats to be dissolved in the watery fluid around the fat cell. This causes the cells to burst and release their enzymes. The immune system, led by white blood cells migrating into the fat tissue, is then activated to clean up the debris from the dissolved cells. This inflammatory response of the body is responsible for some of the soreness felt after an injection. Soreness can last several weeks. The inflammatory response not only completes the destruction of the fat cells; it also causes some collagen and other proteins to be deposited in the area leading to the tightening and compacting of the subcutaneous tissue. Biopsies of sites show that the destruction of the fat cells is permanent. The fat and cellular debris that have been cleared are returned with the immune cells as waste into the normal metabolic pathways. Your body with get rid of the fat cells naturally.

What can be expected during treatment?

The area being treated will first be treated with numbing cream if necessary. The PCDC will be evenly distributed into the subcutaneous tissue via a needle. Treatment will require multiple injections. The area will be massaged after treatment to ensure even distribution of the PCDC. The procedure typically takes 30 - 45 minutes.

How effective is the treatment?

Results may vary depending on the site that is treated, the amount of fat in the area, number of treatments and the desired result. Most patients can expect a reduction of two to six centimeters or one to two inches of circumference per treatment. 

Will the fat return after treatment?

The fat will return if you gain more weight in the future. Follow up observations of PCDC have shown that the fat deposits often stay off quite well in the treated area even if some overall weight gain is experienced.

Can results become uneven?

Different injection techniques can be used for either skin retraction or fat reduction. In procedures for fat reduction there have been no reports to date of unevenness in the injection areas. Often PCDC has been used to correct uneven effects from other procedures, such as liposuction.

Which parts of the body can be treated with PCDC?

  • Thighs

  • Hips

  • Double chin/neck

  • Upper arms

  • Lower arms

  • Upper abdomen

  • Lower abdomen

  • Love handles

  • Fat deposits of the back

What are the side-effects?

Common side-effects might include some light burning, bruising, swelling and aching in the area injected. Women should avoid treatment just before and during their menstrual period, as this may create a greater degree of discomfort and swelling. Cellulite treatment is generally more uncomfortable, but this can be reduced with topical anesthetics or ice.


 

Who should avoid PCDC treatments?

  • If you are pregnant or nursing.

  • You have chronic conditions such as heart disease, kidney disease, uncontrolled diabetes, thyroid disorders, or infections.

  • You're currently on aspirin therapy.

  • You have a soy allergy (the PCDC mixture is soy based.


Do the injections hurt?

Most people experience very mild discomfort from the injections. The needle is very small the size that is used to give an insulin injection. Some people report mild soreness at the injection site after the shot is given. This soreness can last up to a week.

How long is the downtime or recovery?

Depending on the body area treated, patients often return to normal activity immediately after treatment. Patients having facial treatments for a double chin or facial fat may have extensive and unattractive swelling and may wish to stay off work for 3-4 days, although this is not necessary. The normal time for swelling to resolve is one week. Some minor swelling or soreness may persist longer.

How many treatments will I need?

This varies from patient to patient and body areas targeted. It is normal that results are seen in 1-4 sessions, although your case can differ.

When will I see results?

The treatments take about 30 minutes to perform. Initially there is some increased swelling for up to a week. It takes 6 to 8 weeks for the full body sculpting effect to occur and the inflammatory process to be complete.

Treatments are repeated every 6 weeks. If you address large body areas, such as the abdomen, and require several sessions, you may notice minimal results between the first and second session. Many smaller areas, like double chin, often give satisfactory results two months after a single session.

Results vary from patient to patient. Sculpting can be very dramatic in some patients and have excellent cosmetic results, while minor in other depending on their body type and metabolic profile.

How much can one get treated in one session?

We treat one area about the size covered by laying two hands on your body. This is the largest area that can be treated safely. This also called a treatment area.

Why does it take 3 or 4 treatments per area to get the results?

Sometimes dramatic results can occur after one treatment such as 2 or 3 inches lost in one area. This occurs in the minority of treatments. Most people see only small results in one treatment usually an inch or less. The majority of people respond after 2 or 3 treatments in one area. 95% of people respond with 2 or three inches of loss after 4 treatments. You must remember that the response also depends on the area treated and if there is any overall change in weight of the person treated. This is why we strongly recommend planning on treating each area 3 or 4 times to make sure you are in 95% who respond to the treatment.

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