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Injection lipolysis for reduction of saddlebag trochanteric bulges ‐ half‐side controlled pilot study
Author(s) -
Kopera Daisy,
Horejsi Renate,
Werner Stefan,
Moeller Reinhard
Publication year - 2008
Publication title -
jddg: journal der deutschen dermatologischen gesellschaft
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 60
eISSN - 1610-0387
pISSN - 1610-0379
DOI - 10.1111/j.1610-0387.2007.06571.x
Subject(s) - medicine , reduction (mathematics) , adipose tissue , surgery , mathematics , geometry
Summary Background: Phosphatidylcholine, a lecithin extracted from soybeans can reduce serum cholesterol to some extent. Intravenous use may prevent fat embolism in polytrauma patients. When injected intralesionally in a formulation containing also deoxycholate and ethanol it is supposed to act as “fat burner” to reduce undesired fat deposits; there is little evidence‐based scientific support for this indictaion. Objective: To evaluate the capability of phosphatidylcholin + deoxycholate + ethanol (PPC/DC/E) to reduce body fat with a half‐side pilot study for the reduction of saddlebag trochanteric bulges. Methods: PPC/DC/E was injected into the right posterior trochanteric areas three times at weeks 0, 3 and 6. Treatment areas and the same regions of the contralateral side as a control were evaluated by sonography. Tape measurements were taken and the thickness of the subcutaneous adipose tissue (SAT) was measured with an optical device (Lipometer ® ) at baseline and at week 8 and week 20 (2 and 14 weeks after completign therapy). Results: In this half‐side trial, no significant reduction of subcutaneous fat was achieved after three treatments with PPC/DC/E when compared to the untreated side.Transient inflammatory reactions occurred in all patients. Limitations: Only the commercially available formulation containing the three components was tested. Conclusion: The off‐label use of PPC/DC/E as a “fat burner” did not produce measurable reduction of undesired trochanteric fat deposits.