Why chose a non-surgical procedure involving many injections that might involve a few visits over a single surgical procedure?
The answer is the risk/benefit ratio.
Liposuction, also known as lipoplasty or suction-assisted lipectomy, is cosmetic surgery performed to remove unwanted deposits of fat from under the skin. The doctor sculpts and recontours the patient’s body by removing excess fat deposits that have been resistant to reduction by diet or exercise. The fat is permanently removed from under the skin with a suction device. The patients is typically under general anesthesia.
The morbidity and mortality from liposuction is reported from several studies to be on average, 20-100 deaths per 100,000 surgeries. Higher with general anesthesia and higher when combined with other procedures like a tummy tuck. Tummy tucks have a death rate of 1 per 600 procedures just by itself.
Lipodissolve is a non-surgical procedure where phosphatidyl choline (lecithin) and deoxycholate (bile salt) is injected directly into the subcutaneous storage fat. The fat cells are lysed open from the substances and the patient’s immune system sends macrophages to the area to clean up the debris. Swelling ensues enabling many macrophages or clean up cells to enter the area and the body then eliminates the macrophages and dead fat cell debris via the lymphatic system and the intestinal tract. This procedure is performed for the same reason liposuction is performed and in the same areas.
There is a zero mortality risk from lipodissolve. Thousands of procedures have been performed world wide without any death risk. The morbidity is also close to nil. There have been a few cases of infection of the area treated, but these cases were not performed by medical personnel.
The results from lipodissolve can be remarkable. The skin shrinks over the area where the fat has been lysed as needles promote skin tightening and the fat disappears over a few weeks allowing the skin to shrink as well.
There is swelling and some bruising, this is part of the process and necessary for the process, but not a risky side effect.
Lipodissolve can be done in small areas such as the jowls, under the chin and on knee fat pads, liposuction is difficult in such small areas.
With a desirable outcome and little risk, lipodissolve is preferable to the surgical procedure liposuction.