Localised fat reduction is the reduction of stubborn fat deposits that cannot be eliminated with diet and exercise using non-surgical methods. The double chin, waist, hips and the area around the belly are the most commonly treated areas. The aim is not weight loss but correcting disproportion in the body contour — this distinction is important for setting the right expectations.
Who is it suitable for?
- People whose body mass index is close to normal and whose weight has been stable for some time
- Those with stubborn excess fat only in certain areas
- Those whose skin elasticity is preserved — the result is more noticeable in this group
- People who do not want a surgical procedure and cannot set aside time for a recovery period
In people who are generally overweight, these treatments do not provide the expected benefit; weight management is recommended first. They are also not sufficient if there is marked skin laxity.
How is mesolipolysis performed?
In the mesolipolysis method, a medication containing fat-dissolving products of plant origin such as phosphatidylcholine and L-carnitine is injected into the fat tissue. This substance disrupts the metabolism of fat cells and causes them to break down. In recent years, the biolipolysis method, developed by adding enzymes to this formulation, has also been used; here too the aim is to break down fat tissue so that it is eliminated from the body.
During the treatment, the medication is delivered into the fat tissue with special-tipped syringes. After the procedure, drinking plenty of water is recommended so that the broken-down fat tissue can be eliminated from the body. Sessions are usually planned 10 days apart, depending on the area to be treated and the person's fat tissue structure; the number of sessions varies from person to person.
This method may also be considered for people who do not want surgery and are bothered by under-eye bags.
Difference between non-surgical methods and liposuction
| Non-surgical (mesolipolysis / biolipolysis) | Liposuction | |
|---|---|---|
| Level of effect | Limited; gradual reduction | A significant amount of fat is removed in a single session |
| Number of sessions | More than one session is needed | Single operation |
| Recovery time | Immediate return to daily life | Compression garment, swelling and a recovery period |
| Anaesthesia | Not required | General or regional anaesthesia |
| When it is suitable | Limited excess fat, person who does not want surgery | Marked and widespread excess fat |
When are results visible, and are they permanent?
The change appears gradually; a noticeable result is usually assessed a few weeks after the last session. Results vary from person to person and no definite result can be promised.
The treatment reduces localised fat tissue but does not prevent weight gain. If a balanced diet and activity routine are not maintained, fat can build up again both in the treated area and in other areas.
Risks and an important warning
Temporary redness, swelling, tenderness and bruising may occur in the treated area. These procedures must be performed by a specialist physician; incorrect technique and injection into the wrong layer can cause indentations and an asymmetric appearance in the treated area. They are not performed during pregnancy and breastfeeding, in the presence of an active infection or in people with an uncontrolled chronic illness.
For other non-surgical procedures, see the non-surgical aesthetics page; for a suitability assessment, you can contact the clinic.
Frequently Asked Questions
What is localised fat reduction?
Localised fat reduction is the general name for treatments aimed at reducing stubborn fat deposits that cannot be eliminated with diet and exercise — in areas such as the double chin, waist, hips and belly. The aim is not weight loss but correcting disproportion in the body contour. There are surgical and non-surgical methods; which one is suitable is determined by the amount of fat and the skin's elasticity.
Who are localised fat reduction treatments suitable for?
They are suitable for people whose body mass index is close to normal, whose weight has been stable for some time and who have stubborn excess fat only in certain areas. The result is more noticeable when skin elasticity is good. In people who are generally overweight, these treatments do not provide the expected benefit; weight management is recommended first. Suitability is assessed during the consultation.
What is the difference between non-surgical methods and liposuction?
Non-surgical methods (injection-based treatments, cooling- or radiofrequency-based devices) provide a limited reduction in fat tissue, usually require more than one session, and their effect varies from person to person. Liposuction, on the other hand, directly removes a significant amount of fat tissue in a single session, but it is a surgical procedure and requires a recovery period. Expectations should be set with this difference in mind.
How many sessions are needed and when are results visible?
Non-surgical treatments usually involve 3-6 sessions a few weeks apart; the number of sessions varies according to the area, the thickness of the fat and the response obtained. The change appears gradually, and a noticeable result is usually assessed a few weeks after the last session. Because results vary from person to person, no definite result can be promised.
If weight is gained after treatment, is the result affected?
Yes. These treatments reduce localised fat tissue but do not prevent weight gain. If a balanced diet and activity routine are not maintained, fat can build up again both in the treated area and in other areas. Maintaining the result depends largely on lifestyle after treatment.