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Injection lipolysis (breakdown of fat) may work best when two ingredients are used, according to an expert.

Phosphatidylcholine, when it is combined with deoxycholate for injection lipolysis, "may lead to reduced swelling and fewer nodules," says Adam Rotunda, M.D., a Newport Beach, Calif., dermatologist.

A recent study conducted by Giovanni Salti, M.D., of the Florence Surgical Center, Florence, Italy, has suggested the procedure is effective at breaking up fat cells in the region where it is injected, Dr. Rotunda says.

When phosphatidylcholine is included with the other agent commonly used, sodium deoxycholate, the effect was the same, but the inflammation and immune reaction was less.

Patients treated with injection lipolysis often have localized adverse effects including swelling, redness, and sometimes the development of nodules that may last for months.

At BC LASER we use combined phosphatidylcholine and sodium deoxycholate for reducing small pockets of persistent fat. The other alternative that we offer is the use of Ultrashape using ultrasonic waves to break up fat.