Body Sculpting FAQ

1)  What medications are used?

Kybella (deoxycholic acid, a derivative of sodium deoxycholate below) is one option. It is used only to dissolve fat under the chin. 

Another option is a combination of phosphatidylcholine and sodium deoxycholate. Phosphatidylcholine is a natural emulsifier derived from soy. It is a major constituent of our cell membranes and pulmonary surfactant. It is widely used orally as the food additive Lecithin, and as an intravenous treatment to break down fat emboli in the bloodstream, lower cholesterol levels, and to protect the liver from disease and toxicity.  Sodium deoxycholate is a bile salt used as a biological detergent to lyse (dissolve) fat cells. It is used as an additive to stabilize the intravenous formulation of Amphotericin B, a medication that treats potentially life-threatening systemic fungal infections. 


2)  What areas can be treated?

Treatments are targeted to reduction of localized areas of fat pockets and areas of asymmetry, including:  double chins, fat rolls in the bra line and flanks, upper arms, abdominal fat areas, love handles, saddlebags, lower buttock areas, and upper thighs.

3)  How does it work?

The medications are naturally occurring proteins and enzymes that break down the fat cell membrane and its structures that keep the fat together. The destroyed fat is then metabolized by the body.

4)  What happens before the treatment?

  • Avoid Aspirin, Vitamin E, anti-inflammatory drugs (ie: Motrin, Advil, or Aleve), as well as Willow Bark, Gingko Biloba supplements for at least 5 to 10 days prior to treatment.

  • Try to limit caffeine and alcohol intake in the 24 hours before your treatment.

  • Pre-treat with an anti-viral if any history of cold sores, genital herpes, or shingles. 

  • If you take any prescription stimulants, do not take them on the day of treatment.

  • Wash the area to be treated well with antibacterial soap.

  • Do not use any lotions, creams, bath oils, or sprays on the areas to be treated.

  • Eat a light, high-protein meal 2-4 hours before your treatment. A high protein bar (with 30 grams protein or more) approx. 30-45 min. before your treatment can really help.

5)  What happens after the treatment?

Slight redness, itching and hives may occur at injection sites minutes after injection (due to histamine release). Light swelling, soreness, and a burning sensation may be experienced at the targeted areas for one to five days. Light bruises will disappear within two weeks (this can be minimized by avoiding Aspirin, Vitamin E, anti-inflammatory drugs (ie: Motrin, Advil, Aleve), Willow Bark and Gingko Biloba for 5 to 10 days before and after treatment). You may experience some "lumps" (inflammatory debris), but these disappear by themselves within 4-6 weeks.  

You will want to wear loose fitting clothing and drink lots of water (10 glasses/day ) for the next 48 hours. Avoid alcohol and caffeine for the first 24 to 48 hours after treatment. You will need to avoid vigorous exercise, sunbathing, tanning beds, hot baths/showers, and creams/lotions on the area for at least 48 hours. No hot tubs, saunas, swimming in the ocean or open water for two weeks after your treatment. For maximal results, you will need to follow a high protein/low fat diet and exercise is encouraged (48-72 hours after your procedure).  

5)  How long does it last?

According to the current state of knowledge, fat cells that have once been dissolved do not return. The results of the lipolysis treatment should also remain constant for several years. However, new fat cells can be generated in the area treated and in other areas if you develop unhealthy lifestyle habits, such as poor eating and lack of exercise.

6)  How many treatments do I need?

Treatment number is individualized to each patient, based on area of treatment, how well you respond to the treatment, and your goals.  This can range from 1 to 6 treatments. The treatments are spaced 4 to 6 weeks apart. Inch loss can range 1 to 3 inches per treatment, with an average of 1 inch per treatment. 

7)  How do I know if I'm a good candidate?

Absolute contraindications include, but not limited to: age <21 years, pregnancy, breast feeding, hemophiliacs, anti-coagulant therapy, current serious or significant illness or active infection, allergy to soy products, diabetics, liver disease, renal disease, cardiac disease, cancer, autoimmune disease, impaired circulation, body mass index BMI>30, previous adverse reaction to this treatment, severe needle phobia, immunocompromised patients such as transplant recipients, HIV patients, and those unable to follow a high protein/low fat diet during the treatments.

8)  OK, I'm ready to do this. How much does it cost?

Treatments start at $200 and are based on the region and size of the body area to be treated. 

© 2017 by About You. Kathleen M. McManus, DO, PLLC

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Serving Central North Carolina and Southern Virginia