Non-Liposculpture Surgery (localized adiposity)

fosfatidilcolina-201Localized fat deposits are accumulations of fat (adipose tissue) that tend to persist despite a correct and balanced diet and physical activity.
Although muscle activity facilitates lipolysis may remain areas of fat (fat pads) that is more difficult to eliminate. Usually these fat deposits are localized in the hips and buttocks, the abdomen, neck or arms. After a careful examination in the studio, and after analyzing what adipose tissue accumulations are present, Dr. Grassetti can recommend the best treatment.
Liposuction is not always indicated and not everyone has the time to recover after ‘intervention. In these cases injecting a drug treatment can be equally effective.
The new method takes origins from MESOTHERAPY (technique that involves injecting drugs into the dermis). The drug (phosphatidylcholine – sodium deoxycholate) is’ a phospholipid abundantly present in our body. It ‘also present in some foods (soy and egg white) and in several pharmacological preparations either orally or intravenously (Liposom, Essentiale, Tricortin, Essaven, Lipostabil), as well as a dietary supplement.
Phosphatidylcholine is the most common phospholipid in animals and plants, and the most important for the composition of cell membranes. It is used since 1965 to treat hypercholesterolemia, atherosclerosis, liver disease (hepatoprotective effect) and fat embolism. The injectable preparations when intralipoterapia (second off label mode) are produced in the dosage form by some pharmaceutical companies.
The sodium deoxycholate is an emulsifier. And ‘present in injectable solutions of phosphatidylcholine as a solubilizing agent and appears to be the main if not the only responsible action adipocitolitica in fat cell level. Without this element, the phosphatidylcholine can not be brought from the solid state to the liquid.
Once reconstituted, the solution is injected into the subcutaneous fat at predetermined distances with accuracy in order to create a targeted and homogeneous loss of subcutaneous fat. This is chemically “loose” and then absorbed and eliminated by the liver as after a regular and abundant fatty meal.
Tolerability and adverse reactions (damage and contraindications with phosphatidylcholine).
The international scientific reading in more than 20 years of study does not report any side effects of long-term relief even while recent scientific report positive results in 98% of treated patients. Currently the protocols proposed in Aesthetic Medicine see the exclusion of children, pregnant women and breastfeeding (although it has never shown any side effects), diabetic vascular disease, patients with liver disease, diabetes, infectious diseases in place, autoimmune, hormonal diseases and of course those who are allergic to soy. There are other risk conditions for assessment during a visit: the liver and / or kidney failure, adiposity with a BMI> 30, some immune-endocrine conditions such as thyroiditis or particularly risky chronic infections; bleeding disorders.

Which parts of the body can be treated

The correct indication for treatment is represented by small accumulations of fat in patients of normal weight or moderate overweight with a body mass index comprised between 20 and 30.
The method is particularly effective in the correction of localized fat deposits and cellulite interesting:
• trochanter
• Inner and outer thighs
• Internal knees
• Double Chin
• thoracic folds
• Upper limbs
• Buffalo Hump
Cellulite better defined by the technical term P.E.F.S., represents a structural alteration of the adipose tissue is not necessarily accompanied by a localized adipose excess. This condition can be treated when it is associated with adiposity. And contraindicated treatment in the presence of PEFS fibro-sclerotic without excess fat.


It is not necessary because the treatment is painless. It runs into surgery.

After treatment

Immediately after infiltration of phosphatidylcholine solutions with the intralipoterapica method not usually observed redness of the treated since there is involvement of the dermal-up action of the drug. Generally, the effects of the solutions once injected into the subcutaneous determine, in the majority of patients a slight burning sensation or itching, sometimes described as tingling that lasts a few minutes. In the early days of the session we are witnessing the formation of a swelling that disappears in 3 days more or less associated with an area soreness treated too short. Nothing compared to the aftermath of a liposuction!
Possible side effects, although rare, are represented by infections and subcutaneous nodules. The latter are due to small subcutaneous bleeding that triggered inflammatory reactions, which may persist for up to 90 days.
We recommend using graduated compression stockings (at least 70 DEN), practicing physical exercise regularly, do unlinfodrenaggio a week after the session and try to follow a low-fat diet. The use of ultrasound (cavitation) seems to show a further action favoring the optimization of results.

How many sessions

In the course of a session they are able to treat two to four bearings, depending on the extent of the imperfection. Assuming a typical situation, in three or four sessions you can permanently delete saddlebag and accumulating on the hips. After the treatment you can immediately resume normal activities.
The prescribed sessions are generally variable from 3 to 4, with three weekly or monthly basis. This frequency can be adjusted by your doctor based on personal clinical variables. A second course of treatment in the same body area should be undertaken if necessary after a break of at least 6 months (stabilization phase)