What is medical lipolysis ?

Medical lipolysis or lipodissolve is a non-surgical procedure that enables to treat localised fat deposits (roll of fat, flab), though a series of micro-injections (1 cm deep) of a mixture containing phosphatidylcholine and other cellulitis elimination components (caffeine, carnitine, artichoke, melitot, hypoosmolar water & draining substances. The three types of cellulitis (fatty, hydrocellulitis and fibrocellulitis) can be treated. Other fat dissolving substances can be added if need be.

Lipodissolve works particularly well on areas that resist all kinds of massages, sports and diets. Typically, these areas reluctant to disappear, whatever your efforts, are love handles, abdomen, hips, inner thighs, knees, hips, jodhpur thighs, saddlebags, fat around the bra staps, upper arms, etc.

What should you expect from lipolysis?

The injections induce fat to melt in localised cellulite clusters. Fatty tissue gradually diminishes and fibrates, resulting in a local thinning of several centimeters, whilst preventing skin slackening (no unattractive wrinkles or orange peel appearance). The fat is evacuated by natural routes (liver, kidneys). Cellulite is then replaced by healthy and non-fatty fibrous tissue.

Dissolved fat cells are then eliminated by natural means (liver, kidneys). Cellulitis is replaced by healthy fibrous tissue exempt of fat, which avoids the appearance of “orange peel” aspect due to skin retraction as is often the case with lipoaspiration

For small flabs, 4 sessions are generally sufficient with 2-3 weeks interval (maximum 2 syringes per zone). For larger areas of fat, 5 to 8 sessions of lipodissolve with an interval of 2-4 weeks are required. It should be noted that longer breaks between each treatment session are not detrimental.

For example, to treat love handles on the waist, which have been present for years, it takes on average 2 to 3 syringes per session and about 3 to 5 sessions.

Lipolysis is even more effective if combined with lymphatic drainage by mesotherapy (mesodissolove).

Who can benefit from lipolysis?

Active and not overweight people, anxious to lose fat in local areas, are perfect candidates for this procedure.

People with high body mass index should first benefit from dietary advice. Later, once weight is stabilised, lipolysis can be considered to decrease residual localised fat.

Is the procedure safe ?

Although not yet recognised by SwissMedic for weight control, phosphatidylcholine has been used for more than 10 years with good results for fat reduction, provided it is performed by a medical doctor and in reasonable quantities, for elimination pruposes.

It is considered safe, provided patient is in good health and is not allergic to the medication used. To our knowledge, there have been no cases of adverse complications, permanent or life threatening side effects reported since 2005.


Pregnant or breastfeeding women, patients below 18 years old, patients with known liver or kidney problems.

A history of stroke, cardiovascular accident, hypertension, phlebitis, or an ongoing infection are also contraindicated

Allergy to one oft he medications’ components.


What is a lipolysis treatment like?

A liposdissolve session lasts approximately 30 minutes. Targeted areas are decided with the patient prior to the session. Comfortably lying down, the skin is cleansed and disinfected before Dr Roux applies an anaesthetic spray, which he will leave on for at least 10-15 minutes before the injections.

Needles used for this procedure are very thin, and injections are approximately 1-2 cm deep. The local anaesthetic applied makes the session quite bearable. Everything is of course sterile and disposable, for your safety. Injections are done by hand, by the doctor, every inch, taking into account the anatomical restrictions (vessels, muscles, glands). A syringe is used to treat an area of ​​about 20 cm x 20 cm.

After treatment, local warmth and redness appear, following the destruction of fat cells. This is the effect of soya lecithin, which causes the lysis of adipocytes.Subcutaneous fat is thus liquefied and gradually eliminated by the body.

It is frequent that the skin becomes pink or dark on the injection site. Some localised discomfort and a burning sensation are to be expected, even reddening or occasionally bruising. Tissue beneath skin may harden, area treated may seem enlarged for a few days due to inflammation. All these normal side effects gradually diminish after a few days.

Generally, you feel better the next day. The heat and/or hematomas begin to disappear. The area is still subject to a little soreness for a few days if you touch it, but adapting one’s clothing usually does the trick, and there is no need for downtime.

Side effects

Although injections are not deep, some patients mention local sensitivity during treatment.

Local bruising may appear, especially if you are subject to them, but they are rapidly absorbed and can be soothed by application of arnica.


Avoid heat (sauna, hot baths, etc.) for 1-3 days after treatment (for comfort). It is also advisable to avoid intensive sport for a few days.

Avoid taking aspirin or other anti-inflammatory medication 2 days prior and 2 days after treatment, to limit risk of bruising.

Arnica homeotherapy can be taken before treatment to avoid bruising. An arnica-based cream will also be useful in the event of a bruise.

Comfortable clothes, not compressing injection site, are recommended the day of the session and possibly for a few days after.

Do not to apply pressure or massage the area immediately after the session (localised discomfort). Depending on the area being treated, it may be appreciated by some to wear slightly compressive tights or a panty girdle.


Each person being unique, a specific protocol will be recommended for you.

Number of sessions and of syringes will be determined by the type of cellulitis to treat and its width. Generally, 2 to 5 sessions spaced 15-30 days are advised.

Results vary from one person to another, if localised fat is new or has been in place for years, and depend of the individual’s morphologic type. Normally, improvement is achieved after each session.

Before / After