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Injectable Treatment

Fat Dissolving Injections
Deoxycholic Acid Treatment

£150–£500 Permanent (fat cells destroyed) 3–5 days downtime

What are Fat Dissolving Injections?

Fat dissolving injections use deoxycholic acid — a naturally occurring bile acid that the body uses to break down dietary fat — to permanently destroy localised fat cells when injected directly into fatty tissue. The most well-known brand is Aqualyx, though other products including Kybella (approved in the US) and various compounded solutions are also used.

Once injected, deoxycholic acid disrupts the fat cell membrane, causing the cells to rupture and release their contents. The body then processes and eliminates the destroyed fat cells through the lymphatic system over the following weeks. Because fat cells are permanently destroyed, results are long-lasting provided weight is maintained.

Clinical note

Fat dissolving injections are not a weight loss treatment. They are designed for small, localised pockets of stubborn fat that are resistant to diet and exercise. They are not suitable for patients with significant weight to lose. The ideal candidate has good skin elasticity and a specific, defined area of concern.

What areas can be treated?

  • Double chin (submental fat): The most common treatment area, with the most clinical evidence.
  • Jowls: Reducing fatty deposits along the jawline.
  • Bra fat: Targeting small fat deposits around the bra strap area.
  • Inner thighs: Small fat deposits on the inner thigh.
  • Abdomen: Small localised fat deposits (though larger areas may require more sessions).
  • Knees: Fatty deposits around the inner knee.

What to expect — the process

  • Consultation: A thorough assessment of the treatment area, skin quality, and medical history is essential. The practitioner should assess whether fat dissolving or an alternative (such as CoolSculpting or liposuction) is more appropriate.
  • The treatment: Multiple small injections are placed in a grid pattern across the treatment area. A chin treatment typically involves 20–40 injections. Topical or local anaesthetic is used to manage discomfort.
  • Downtime: Significant swelling, redness, and tenderness is expected for 3–7 days. The area may feel firm and lumpy during the healing process.
  • Results: Visible reduction in fat is typically seen after 4–8 weeks. Most patients require 2–4 sessions spaced 6–8 weeks apart.
Important safety information

Fat dissolving injections carry a risk of nerve damage if injected near the marginal mandibular nerve (in the chin area). This can cause temporary weakness of the lower lip. Skin necrosis is a rare but serious complication. Only use a practitioner with specific training in this treatment who understands the relevant anatomy.

How much do fat dissolving injections cost across England?

RegionChin (per session)Body area
London£300–£600£400–£800
South East£250–£500£350–£700
Midlands£200–£400£300–£600
North West£200–£400£300–£600
Yorkshire£180–£380£280–£550

How to choose a clinic

Fat dissolving injections require a thorough understanding of facial and body anatomy. Ensure your practitioner is medically qualified and has specific training in this treatment. Ask about their complication management protocol and whether they have treated the specific area you are concerned about before.

Visit our full safety guide for the complete list of questions to ask before booking any aesthetic treatment.

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