- Definition of the concept
- Mechanism of action
- Direct lipolytics and drug categories
- Examples of substances
- Indirect lipolytics, application features
- Examples of drugs
- Indications for the use of lipolytics
- Contraindications
- Effects of direct lipolytics
- Effects of indirect lipolytics
- Aspects of work
- Methods of administration
- Stages
- Differences between mesotherapy and injection lipolysis
- Rehabilitation period
- Side effects
- Well
- Age threshold for starting procedures
- Combination with cosmetology techniques
- Non-injection methods of administration
- Using lipolytics at home
- Advantages
- conclusions
Subcutaneous fat is a necessary depot for energy and biochemical processes of self-regulation and recovery. With age or under the influence of external and internal causes (improper lifestyle, hormonal changes), the processes of lipid synthesis predominate over decay, which leads to local accumulation of fats in the hypodermis and vascular structures.
Local fat deposits are a concentrated accumulation of fat cells that cause an excessive increase in overall volumes and disruption of the physiological and psychological balance. To correct such areas, lipolytic substances are used that improve body contours and normalize metabolism. To choose the right products, you need to know the principles of action of the products and their features.
Direct lipolytics and drug categories
These substances burn and dissolve fat cells, followed by disposal of the contents through the body's excretory systems.
They work in specific, hard-to-reach areas and are the most effective way to remove excess fat, especially in the abdomen, upper and lower extremities.
Examples of substances
- Phosphatidylcholine (lecithin, soy phospholipid) - converts refractory fat into a liquid emulsion with subsequent removal from the body, giving a quick effect (Veluderm Phosfatidylcholine).
- Sodium deoxycholate (Kosmolitic III-IV) is a bile acid salt that destroys adipocyte membranes and releases fatty products into the space between cells.
Injection lipolysis. How do lipolytics work?
Two metabolic processes constantly occur in the body - synthesis and breakdown.
This also applies to fats. In a healthy body, these processes are in balance. But as soon as the effect of negative factors begins (a sedentary lifestyle, diseases with impaired basal metabolism, overeating, etc.), the process of fat formation begins to prevail over their breakdown, which leads to the accumulation of fatty tissue and an increase in body volume. The breakdown of fats occurs under the action of the enzyme phosphatidylcholine (lecithin) . The fatty acids that are formed in this case are removed from the body naturally through the drainage system of the lymphatic vessels.
It is this process that underlies injection lipolysis . Lipolytic enzymes are introduced into the subcutaneous tissue, which break down fat accumulations and promote their elimination.
The main problem during the development of drugs for lipolysis was that the enzymes do not act on the whole fat cell, but only on the damaged one. A solution has been found. Substances that destroy adipocytes (deoxycholate) have begun to be added to body modeling preparations, which “opens the door” for the action of lipolytic enzymes.
Also, various substances are added to modern preparations that help improve the processes of peripheral blood circulation and lymphatic drainage, so that fatty acids are removed from the body and do not accumulate with the reverse formation of fats.
Indirect lipolytics, application features
These components accelerate metabolism, stimulate lymphatic drainage processes, normalize microcirculation for subsequent reduction of excess volumes. Unlike direct substances, they have a natural, physiological, painless, mild and complex effect on the cells and tissues of the face and body.
There are 2 types of funds:
- first type (L-carnitine, caffeine, cocoa extract, guarana, yohimbine) - to accelerate the transport of free fatty acids and energy production;
- the second type (artichoke extract, centella asiatica, ginkgo biloba, melito) - to ensure lymphatic drainage, accelerate lipolysis and prevent the formation of swelling. They are often combined with vascular drugs (troxerutin) to improve blood vessel tone.
Examples of drugs
- Caffeine is a plant alkaloid that is found in tea leaves and coffee beans to improve blood circulation, increase basal metabolism and utilization of fatty acids (Caffeine Care Kosmoteros).
- Artichoke is a drug of natural origin for decongestant, choleretic and vascular strengthening effects (Veluderm Artichoke Extract 2%, Artichoke Care Kosmoteros).
- L-carnitine is a substance for converting fats into energy (Lipo Slim).
- Rutin + melilot extract (Kosmo-Tonus Kosmoteros, Melilotus Extract) - to strengthen blood vessels, stimulate regeneration and energy metabolism.
- Ginkgo biloba - to restore capillary tone and reduce swelling (Ginkgo Biloba Care Kosmoteros).
Indications for the use of lipolytics
Lipolitics normalize metabolic mechanisms, therefore they highlight general principles of use.
- General swelling and drooping of the soft tissues of the face.
- Stagnation in subcutaneous fat tissue.
- Cellulite correction.
- Disturbances of microcirculation of the body and lymphatic stagnation.
- Sagging skin after childbirth or sudden weight loss.
- Rehabilitation after invasive procedures (liposuction, surgical facelift).
The anatomical pattern with the main areas of accumulation of fatty deposits is individual for each organism, therefore zonal points of influence are identified.
- Sagging skin in the lower part of the face (“jowls”).
- Thickening of the chin area (“double” chin).
- Hernias, cholesterol plaques (xanthelasmas) and fatty capsules of the lower eyelids.
- Loss of contours and a clear oval in the cheekbones and cheeks.
- Fat “packets” in the middle third of the face and neck.
- Lipid “pockets” in the area of the VII cervical vertebra (“widow’s hump”).
- A large amount of subcutaneous fat in the forearms, inner surface of the shoulders, above the elbows.
- Lateral “rollers” and folds of the torso and back.
- "Lumpiness" of the hips and buttocks.
- Local fat deposits on the front of the abdomen, in the “breeches” area and knees.
Contraindications for lipolytic injections
- Pregnancy, lactation.
- Blood clotting disorders.
- Increased body temperature.
- Autoimmune processes (scleroderma, systemic lupus erythematosus, rheumatoid arthritis).
- Malignant and benign neoplasms.
- Damage to the skin at the site of drug administration (pustular lesions, dermatitis, wounds).
- Acute inflammatory and exacerbation of chronic diseases.
- Viral and herpetic infections.
- Hormonal imbalances (decompensated diabetes mellitus).
- Severe diseases of the heart and blood vessels (arterial hypertension, atrial fibrillation).
- Pathologies of the gastrointestinal tract, urinary system.
- Varicose veins with trophic skin disorders.
- Tendency to form keloid scars.
- Epilepsy.
- Tuberculosis.
- Presence of implants in the area of proposed injections.
- Generalized obesity (body mass index over 30).
- Individual intolerance to components.
Effects of lipolytic injections
Different types of lipolytics produce heterogeneous results.
Direct lipolytics
- Correction of the chin area.
- Increasing tone and smoothing of the skin.
- Reduction of volume in the area of the upper and lower extremities, abdomen, buttocks.
- Alignment of the hips.
- Elimination of excess fat in the neck area.
- Reduction of knee folds.
- Increased muscle density.
- Removing toxins and excess fluid.
Indirect lipolytics
Unified consequences
- Indirect stimulation of biochemical processes in subcutaneous fat tissue.
- Normalization of water and lipid balances.
- Stimulation of blood circulation.
- Activation of lymphatic drainage processes.
- Blood thinning.
- Removal of free fatty acids and metabolic products.
- Producing energy through the processing of fats.
For front seats
- Restoration of the oval and contour of the face.
- Highlighting the cheekbone area.
- Elimination of “painting bags” and tightening of the skin around the eyes.
- Reduces sagging and puffiness of the cheeks.
Aspects of work
To “soften” fat deposits and improve lymphatic drainage, the first 3-4 procedures are carried out with angioprotective and lymphatic drainage agents. A main injection is carried out (along the spine, thighs, legs) in the amount of 5 ml and a local one (to certain areas). Preparations with artichoke, rutin + melilot or ginkgo biloba extract are used. For example, Veluderm Natural Reducing.
To normalize metabolism and correct local fat deposits, direct and indirect lipolytics are administered, alternating with each other, in an amount of 5-10 ml.
To maintain the result and strengthen the skin at the end of the lipolytic course (3-5 procedures), preparations with DMAE, peptides, and vitamins are used. For example, Mesoestetic DMAE 3%.
Drugs used in body mesotherapy procedures
Vascular drugs. These are drugs that have lymphatic drainage, vasodilating effects, normalize blood circulation, and strengthen the walls of vascular tissue.
Lipolitics are means that stimulate fat cells to destruction, and also prevent the formation of new fat deposits and lymph stagnation.
Preparations that loosen the connective adhesions between lumps of fatty tissue, which create the “orange peel” effect.
Preparations that strengthen and tighten the skin.
A specially selected complex of microelements and vitamins to strengthen the immunity of the entire body and skin.
Methods of administering lipolytics (injections)
For a correct and effective result, a manual method of administering lipolytics is used, which is carried out:
- using a disposable syringe with the finest needles - for precise and specific delivery of lipolytics to hard-to-reach areas.
- using a cannula (a special blunt-ended needle 7-20 cm long) - to introduce components using a reciprocating technique.
Technique
Infiltration - for introduction into the body area to a depth of 12-13 mm and into the face and neck areas to a depth of 6-8 mm. The needle is positioned perpendicular to the surface of the skin and inserted into the thickness of the subcutaneous fat.
Fan - to eliminate excess fatty tissue in the area of the eyelids, cheeks, chin and distribute drugs at different angles to a depth of 3-6 mm.
Mesoperfusion - to normalize tissue nutrition and auxiliary correction of fat “traps”. Injections are made to a depth of 6-13 mm at right angles, depending on the selected area.
Mesodissolution - for membrane “rupture” of fat cells and reduction of compactions. A hypoosmolar solution with caffeine and vitamin C is used in an amount of up to 40-50 ml in one zone to a depth of 13 mm.
Stages of introducing lipolytics into adipose tissue
- Preparatory stage (collection of general and allergological anamnesis, consultations with a gastroenterologist and endocrinologist, conducting the necessary studies - ultrasound of the abdominal organs, kidneys, general clinical and biochemical blood tests).
- Compliance with recommendations (excluding the use of strong drinks, anti-inflammatory drugs) 2 weeks before sessions due to the risk of a subsequent decrease in effectiveness.
- Measuring the thickness of the fat fold to evaluate performance when body volumes are reduced by 6-10 cm.
- Strict marking of impact points for correct administration of substances.
- Cleansing the target areas and applying a local anesthetic, if necessary, under the film 20-30 minutes before the procedure.
- Selection of the necessary lipolytics and administration using the selected optimal technique.
- Maintain injection depth to prevent the formation of large hematomas and foci of necrosis. The products are injected exclusively into the subcutaneous fat to a depth of 10-13 mm for the body, 6-8 mm for the face, neck, and décolleté.
- Remove the needle or cannula only after complete administration of the drugs.
- The procedure time is 15-20 minutes.
- Treatment of 2-3 zones in one session, maintaining a total dose of the lipolytic mixture of no more than 50-100 ml.
- Perform a light massage after injections to evenly distribute the products throughout the fat layer.
- The use of soothing, healing agents after manipulation to restore the skin in accordance with the recommendations.
Differences between mesotherapy and injection lipolysis
Mesotherapy and therapeutic lipolysis are varieties of the same direction in injection cosmetology that perform different tasks.
- Mesotherapy stimulates skin elasticity and affects connective tissues with a penetration depth into the middle layer of skin up to 5 mm. Lipolitics act only on subcutaneous fat tissue with an injection depth of up to 13 mm.
- Mesotherapy cocktails saturate cells and tissues with vitamins, microelements and stimulate the formation of collagen and elastin. Lipolitics destroy adipocytes (fat cells).
- Mesotherapy changes the surface and quality of the skin. Lipotherapy models and corrects the face and body with local fat deposits.
- Mesotherapy is a consolidating and more superficial technique for improving intra- and extracellular processes. Intralipotherapy is a procedure to combat excess weight.
Lipolitics - injections for weight loss in Novosibirsk at the Center for International Cosmetology "Bi Lucci"
Excess weight and figure defects are a problem of our time.
It is possible to achieve a slim silhouette through diligent physical training and diet. But what to do if, when losing weight, areas of the body decrease disproportionately? For example, with significant weight loss, the area of the riding breeches, the inner surface of the thighs does not decrease, or the “double” chin does not disappear. Progressive techniques will help solve problems. An innovative cosmetic procedure for local dissolution of adipose tissue - lipolytic injections.
The composition of the preparations includes: natural soy enzyme and vitamin and mineral complexes, amino acids and antioxidants. Together they dissolve fat cells and make the figure more toned and slender, and facial injections also eliminate wrinkles and tighten the oval.
Injection lipolysis is not used to treat obesity, but is used for liposculpture to achieve perfection in working on the shape of the face and body.
Indications for subcutaneous administration of lipolytics:
- cellulite
- fat deposits on the face: chin, cheeks, jowls
- excess fatty tissue on the body: waist, abdomen, arms, hips, folds on the back
- problems with metabolism in tissues due to failures in oxidative processes.
How is the injection lipolysis procedure performed?
A cosmetologist-dermatologist determines the exact injection sites for the lipolytic and the dosage. The procedure is carried out with special needles that do not cause pain or discomfort. Needles with a small diameter penetrate the skin to the depth where a person has fatty layers that he would like to get rid of.
After administration, the lipolytic components break down fat, after which fat cells enter the bloodstream and are eliminated from the body naturally.
At the sites where the needle was inserted, small hematomas may appear, which quickly disappear. After the procedure, the areas where the injections were made are treated with a soothing cream.
Efficiency and long-term results
A full course of lipolytics guarantees a reduction in volume by 4-6 centimeters. In addition, the drugs have a positive effect on overall well-being, increase immunity, and improve blood circulation.
Lipolitics burn fat, but do not strengthen muscles. Combining the lipolysis procedure with other methods of combating fat deposits will increase the effectiveness of the procedure many times over!
Procedures that enhance the results during a course of injection lipolysis:
LPG – massage using the Cellu M6® Alliance device, France:
will eliminate swelling, remove decay products, improve the production of collagen and elastin in a short time, eliminate stretch marks, improve skin condition.
Radiolifting using the INTRADERMA device:
will remove age-related sagging skin, make the skin elastic and hydrated, tighten muscles, reduce fat deposits and cellulite.
Bio-Ultimate Gold Microcurrent Therapy:
normalizes cellular metabolism, reduces swelling, improves blood and lymph circulation, improves the color and structure of the skin, increases muscle tone.
Contraindications
Injection lipolysis is contraindicated for patients who suffer from leukemia, diabetes, varicose veins, are sensitive to the components of the drug, kidney and liver diseases, and other diseases. The procedure is contraindicated during pregnancy and lactation.
Rehabilitation period after lipolytic injections
- In the first 30 minutes after the procedure, you should be in a lying position under the supervision of a specialist to monitor your general condition.
- After completing the session, drink 200-300 ml of water to start lymphatic drainage processes.
- Do not wet or apply decorative cosmetics to the treated areas of skin for 12-24 hours.
- For 3-5 days, use dry cooling compresses and special anti-inflammatory agents (Troxevasin gel, Traumeel cream, Bepanten) to relieve pain, inflammation and swelling.
- For 7-10 days, do not visit the bathhouse, swimming pool, sauna, or engage in active physical exercise.
- During the course, maintain an adequate drinking regime for detoxification and adhere to a balanced diet, limiting fatty, spicy and fried foods.
- You cannot sunbathe or visit a solarium for 14 days.
- Use manual and hardware lymphatic drainage techniques 3-5 days after injections.
- Avoid alcohol for 3-7 days.
- For 7-10 days after the administration of lipolytic agents, do not wear tight clothing to prevent congestion, but use elastic compression garments for the body with uniform pressure.
- For 24-72 hours, avoid mechanical impact and friction (massage, electrical techniques).
- Engage in physical activity (walking, jogging) at low intensity for 3-5 days after the procedure.
- Use cosmetics in home care to model body contours (gels, creams).
Side effects
Pain is a natural discomfort due to damage to the skin and the type of components.
An allergic reaction (itching, rash, blisters) is a response mechanism to the composition of substances.
Headache, disturbances in the gastrointestinal tract (nausea, vomiting) and urinary system (frequent urination) are generalized effects on the removal of toxins from the body.
Hematomas occur due to increased fragility of subcutaneous capillaries.
The addition of a secondary infection is possible due to non-compliance with the rules of disinfection and subsequent recommendations.
An increase in temperature is an expected reaction to increased blood circulation and the breakdown of fatty tissue.
Redness, compaction, burning, swelling, feeling of heat are natural short-term processes affecting the characteristics of the composition.
Fibrosis, necrosis are complications due to improperly performed procedures and injection of the drug into the skin or muscles.
How many procedures are needed?
Mesotherapy is usually carried out in courses of 4 to 10 procedures. The required number of procedures is selected by the doctor in accordance with the specific problem. The break between sessions is from one to one and a half weeks. This is due to the gradual resorption of medicinal drugs injected under the skin of the body. The next administration is advisable after the already administered “cocktail” has completely dispersed throughout the body. In one procedure, it is possible to introduce from five to twenty cubes of the medicinal composition (“meso-cocktail”), which again depends on the specific case. After the procedure, you should refrain from visiting the sauna and bathhouse for 3 days.
There are no age-related contraindications for Body Mesotherapy, so the sooner you start regular courses, the more pronounced the results will be!
During one course of mesotherapy, the body loses up to 12 centimeters in volume. This effect can be maintained for a long period of time if you additionally adjust your diet.
It should also be noted that it is advisable to combine Mesotherapy with methods such as vacuum, lymphatic drainage, anti-cellulite massages, underwater shower massage, Charcot shower (to increase skin turgor), thermolifting (to increase the level of skin elasticity, as well as muscle tone).
Well
When using indirect lipolytics, noticeable results in the form of stimulation of the breakdown of fat reserves appear after 1-1.5 months, therefore, to obtain a lasting effect, 10-20 procedures are necessary with an interval of 1 time in 2-3 weeks.
When using direct lipolytics, there is a consistent change in processes from inflammation to recovery, so the course of procedures is 3-10 sessions with an interval of 1 time every 3-4 weeks.
Courses are repeated 1-2 times a year with effects lasting up to 10-12 months with an optimal comprehensive approach.
Benefits of Lipolysis
- A safe alternative to liposuction and other surgical methods of body contouring;
- Minimal pain;
- Minimum rehabilitation period;
- Visible results after 1-3 procedures;
- Quick effect in the form of normalization of blood flow, restoration of metabolism and lipid metabolism.
- The ability to correct individual small areas, such as a double chin.
- The procedures allow you to get rid of cellulite, reduce the fat layer by 5-6 cm, and improve the condition of the skin.
- With the help of lipolytics, you can reduce the volume of the abdomen, remove folds on the sides, and outline the waist.
Combination with cosmetology techniques
Drug lipolysis is an effective procedure when combined with additional methods of influence. Several different methods are used to enhance the effect.
- LPG massage - endermological vacuum rollers eliminate puffiness, cellulite and revive the condition of the skin.
- Ozone therapy - the introduction of oxidizing gas corrects cellulite and normalizes tissue microcirculation.
- Carboxytherapy - dosed administration of carbon dioxide activates the restoration and regeneration of the skin.
- Wraps provide firmness and elasticity to the skin by nourishing cells with beneficial substances.
- Pressotherapy - chamber compressed air improves metabolism.
- Radiofrequency lifting - high-frequency currents warm up the skin and subcutaneous fat, reducing fat pads in hard-to-reach places.
- Anti-cellulite massage - reduces local fat deposits and stimulates muscle activity.
- Ultrasonic cavitation lipolysis - under the influence of ultrasound, metabolic processes are accelerated and fat cells are destroyed.
Non-injection methods of administering lipolytics
In cases of severe fear of pain and the presence of contraindications, hardware administration of indirect lipolytics is used.
- Iontophoresis - with the help of galvanic current and specialized electrodes for the face or body, active substances stimulate blood circulation and trigger metabolic processes.
- Ultrasonic method - using wave vibrations, the components penetrate into the deep layers of the skin and activate metabolism.
- Laser exposure - a focused beam of light delivers drugs deep into the skin and normalizes microcirculation.
How is Mesotherapy performed?
A small amount of the prepared drug is injected into problem areas (buttocks, arms, abdomen, shoulders, thighs). The composition for injection is selected individually. The injection is administered using 0.3 mm thick microneedles no deeper than 1-3 mm under the skin. Penetrating into the layers of the skin, the meso-cocktail substances begin to act in a specific area, stimulating lymphatic drainage, breaking down fat, improving blood circulation and stimulating the synthesis of collagen and elastin.
After the procedure, the skin is disinfected and lubricated with cream to soften it.
The method of performing Mesotherapy is painless. However, much depends on individual sensitivity to the drugs used in the “mesococtail”. If the injections cause discomfort, a special anesthetic cream is used.
Using lipolytics at home
The administration of drugs for direct lipolysis requires a clear knowledge and understanding of the anatomy and functioning of the main body systems, therefore using the drugs at home is not recommended.
Injections can be dangerous:
- pain during administration prevents the exact and necessary dosage;
- if the drug gets into the skin, an abscess may occur;
- when a lipolytic enters a muscle, the likelihood of fibrosis increases several times;
- to shrink the skin and prevent consequences, the dosage of substances may change during the session, which excludes the correctness of independent selection and requires the supervision of a specialist;
- failure to maintain sterile conditions increases the risk of infection.
In some cases, to maintain and consolidate the effect, mesoscooters with special cocktails containing indirect lipolytics are used. Dermarollers are compact devices for personal use in the form of a roller on a handle with thin metal needles in the amount of up to 1200 pieces and up to 3 mm in length.
The depth of the punctures does not allow substances in the subcutaneous fat to act actively, but it stimulates metabolic processes and improves microcirculation. Sessions in the amount of 10-20 with an interval of 2-3 times a week must be carried out in compliance with the rules of asepsis and antisepsis and with prior consultation with a doctor to select the right drug (for example, LIPO CONTOUR, for correcting stretch marks and giving elasticity - Mezorollers Elastin, Mezorollers Collagen) and method of influence.
Oxygen mesotherapy for the body
Oxygen mesotherapy for the body at A Clinic is carried out using Jet Peel gas-liquid peeling technology.
Jet Pil is both cleansing and rejuvenating of the skin. Gas-liquid peeling affects the skin with a directed stream of water with oxygen. This allows you to combine several effects at once: exfoliation and removal of dead epidermal cells, massage, micromassage, lymphatic drainage massage, elimination of edema, tightening effect.
Active oxygen comes with a stream of water. It activates metabolic processes and also disinfects, that is, has an antiseptic and antibacterial effect. The high pressure of the gas-liquid jet completely cleans the pores at great depths.
You can also add various vitamin and mineral complexes to the apparatus for the procedure.
The massage effect of a directed flow of water improves lymph flow, blood circulation, and metabolic processes. Therefore, Jet Peel gas-liquid peeling is one of the rare technologies that combines the cleansing effect with rejuvenation and healing.
Advantages
Direct lipolytics
- Long lasting effectiveness.
- Fast results.
- Possibility of correction of a specific target zone.
- Short rehabilitation period.
Indirect lipolytics
- Physiological due to the natural action of the drugs.
- Delicacy of components due to the natural composition.
- No damage to fat cells when achieving the fat burning mechanism.
- Absence of unwanted reactions when substances are administered correctly.
Flaws
- Soreness.
- Systemic manifestations of the body on the breakdown of fats.
- Course methodology.
- Risk of allergic reactions.