Aspen, Colo. – At the summer Cosmetic Bootcamp (CBC), Chytra V. Anand, M.D., explained her approach to volume limits and a dilution strategy for injectable lipolysis. She is a celebrity cosmetic dermatologist at Bangalore and Chennai-based Kosmoderma Clinics in India.
Although American physicians perform injection lipolysis with Kybella (deoxycholate/DC), she said, physicians in India have used a mixture of phosphatidylcholine (PC) and DC for more than a decade.
“People in India are still very resistant to surgery. They do not want liposuction. The idea is, what can we do that’s noninvasive? They’re willing to wait longer” for results, and PC-DC products in India are less expensive than Kybella in America, she said.
Along with the labeled submental area, she said, “We also do cheeks (off-label). The reason is, faces in India can sometimes be very round and heavy.” PC is a soybean extract that increases lipid solubility, Dr. Anand said. In India, she added, a 5 mL vial contains 250 mg of PC-DC total. Although local physicians treat several body areas per session, “We don’t exceed 4, 000 mg, which is 20 vials, for a session. We pace the sessions 6 to 8 weeks apart” to allow postprocedural edema to resolve.
After marking trouble spots that require higher concentrations of PC-DC, “In India, we combine the mix 50-50 with saline and some amount of lidocaine. That way we have a dilute version of the product, and we’re able to get spread, because you want to work with a larger area” for body contouring. She typically performs 3 sessions (30 mL of PC-DC total), combined with the Exilis bipolar radiofrequency (RF) device. “The reason is, we need a little bit of tightening. We’re not as fit as American people are.” She may also add fractional RF treatment for stretch marks.
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