Lipodissolve: your questions

Dr Mark Kohout
Monday, October 10, 2005
Dr Mark Kohout

Lipodissolve is a nonsurgical method of body contouring as an alternative to minor liposculpture. Lipodissolve injections are based on a mixture of four standard medications that are administered directly into the fat to initiate the breakdown of fat accumulation. Lipodissolve originated in Europe and was developed further in the United States and Latin America. Dr Kohout is one of the first surgeons to bring this technique to Australia after studying it in United States.

Is Lipodissolve for me?
Both women and men who have pockets or areas of stubborn fat that is concentrated particularly in areas such as double chin, abdomen, pecks, "love handles", thighs and legs can benefit from Lipodissolve.

Fat dissolving treatments should not be regarded as a new miracle drug for weight reduction. However in the case of fat deposits which can not easily be removed by diet or exercise, then these treatments help the natural metabolic process during which fat is melted away and then eliminated from the body. This is achieved by the medication being directly injected into the area concerned.

It is generally recommended for women to avoid therapy during menstruation. The therapy can become uncomfortable and can increase bruising.

Who isn't a candidate?
The absolute contraindications of fat-reducing treatment include the patient's age being under 18 years, pregnant women, nursing mothers, certain diabetic patients, and patients with current infections, or suffering from severe immune deficiency disorders. You must declare any of these to your doctor.

What is the substance used in Lipodissolve?
The main component of Lipodissolve is phosphatidylcholine, which is a natural compound produced from the soya bean. The body uses the same substance in a number of chemical pathways, including fat metabolism.

To ensure a smooth reduction of the fat deposit, it is important to achieve the necessary concentration of phosphatidylcholine in every part of the treated area. This requires a specific multi-injection technique. At the time of consultation the required dosage per area will be calculated. The amounts of phosphatidylcholine injected into one fat deposit range between four ml and 80 ml per application according to your individual needs.

What can I expect in my consultation?
During the initial consultation you may be asked to point out exactly what you would like to see improved. This will help your plastic surgeon understand your expectations and determine whether they can realistically be achieved with this treatment. You will be asked about your medical history including previous operations, past and present medical conditions and current medications.

Your doctor may examine the area of concern while you are standing as well as lying down. He or she will also evaluate the amount of excess fat in those areas to determine how much phosphatidylcholine will be required for optimal results. Pre-treatment photographs may be taken during your initial consultation or at a subsequent visit. Your surgeon will discuss with you the details of the treatment and answer any questions you may have regarding this treatment.

What can I expect on the day of treatment?
Prior to the treatment you will have the procedure plan explained, which will include where the injections will be made as well as how many injections you will need before the treatment commences. If you have not already done so, you will need to sign the consent form prior to treatment. Your treatment will be performed in the surgery by the surgeon. No additional medication is required after surgery.

How long does the procedure take?
The Lipodissolve procedure takes between 15 and 30 minutes, depending on how many areas you are having treated per session.

How many treatments will I require?
The number of treatments differs from person to person, depending upon body region and body size. As a rule, two to four treatments in intervals of six to eight weeks apart are necessary to successfully complete the treatment and produce the best results.

How long before I see results?
The effect of the treatment session becomes apparent after about six to eight weeks as the active ingredients works on breaking down the fat cells in the injected area.

When can I resume my normal activities?
You can resume normal activity as usual and there are no special requirements after this procedure. You may continue to experience some mild discomfort and swelling during this time, but such feelings are normal for just one to three days.

What should I avoid after treatment?
Avoid heat, saunas and sunbathing after therapy for one week.

What are the long-term results?
The treatment has proven to be effective, with an over 95 percent success rate with very few risks or side effects. Over dosage or intoxications are not known to have occurred. Long-term follow-up of patients treated with phosphatidylcholine injections to reduce local fat deposits indicate that the reduction of fat deposits is permanent, provided weight gain is low or none.

What are the risk and possible complications of the Lipodissolve treatment?
Fortunately, significant complications from Lipodissolve are infrequent. There is only slight discomfort and swelling and this will subside after one to three days. You can help to minimise these symptoms by using ice packs.

Maintaining a relationship with your plastic surgeon
If you have any questions regarding Lipodissolve make sure they are answered in advance. After treatment, you will return to your plastic surgeon's office for follow-up care and possibly additional treatment at prescribed intervals, at which time your progress can be evaluated.

Post-operative photographs and measurements will form a part of the evaluation of your result. Once the immediate postoperative follow-up is complete, many surgeons encourage their patients to come back for periodic check-ups to observe and discuss the long-term results of the treatment.

Please remember that the relationship with your plastic surgeon does not end when you leave the surgery. If you have questions or concerns, or need additional information at a later time, you should contact your surgeon or his staff for assistance.

If you are considering any procedure we want you to be thoroughly informed. Reading this information is the first step. However, a personal consultation with your surgeon is the best way to obtain any additional information you need.

Dr Mark Kohout FRACS
Plastic Surgeon
Ph: 1300 551 151
Leichhardt — Bondi Junction — Orange NSW

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