GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Body / Fat · Cellulite dimpling

Injectable lipolysis deoxycholate or mesotherapy evidence for Cellulite dimpling

D 34.5 / 100 Supported 3 RCT/meta · 0 clinical/observational · 2 case · 11 total
Insufficient evidence

There is not yet enough PubMed evidence for this combination. The procedure exists, but research on this indication may be scarce.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Median year 2010 Last 5 years 18% Positive results 36%

Known in Korea as

브이올렛윤곽 주사제로핏 주사지방분해 주사

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 Evaluation and efficacy of carbon dioxide therapy (carboxytherapy) versus mesolipolysis in the treatment of cellulite. Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology · 2018 · PMID 29338476

Abstract summary (English) BACKGROUND: Cellulite is an irregular alteration of the skin surface giving it cottage cheese appearance. Carboxytherapy is transcutaneous infusion of carbon dioxide into the affected site. Mesolipolysis aims to remove cellulite and improve skin texture.

Comparative Study, Journal Article, Randomized Controlled Trial

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tier1 Phosphatidylcholine and sodium deoxycholate in the treatment of localized fat: a double-blind, randomized study. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2007 · PMID 18053049

Abstract summary (English) BACKGROUND: Recent articles have introduced the novel concept of chemical lipolysis through local injections. Phosphatidylcholine is the active drug in the commercial preparation used for this purpose, but some studies have suggested that sodium deoxycholate, an excipient of the preparation, could be the real active substance. AIM: We decided to investigate whether phosphatidylcholine and sodium deoxycholate have...

Journal Article, Randomized Controlled Trial

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tier1 The effectiveness and safety of topical PhotoActif phosphatidylcholine-based anti-cellulite gel and LED (red and near-infrared) light on Grade II-III thigh cellulite: a randomized, double-blinded study. Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology · 2007 · PMID 17558758

Abstract summary (English) BACKGROUND: Cellulite of the upper lateral and posterior thighs and lower buttocks represents a common, physiological and unwanted condition whose etiologies and effective management are subjects of continued debate. OBJECTIVE: The purpose of this controlled, double-blinded study is to evaluate the efficacy and safety of a novel phosphatidylcholine-based, cosmeceutical anti-cellulite gel combined with a...

Journal Article, Randomized Controlled Trial

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tier0_review Mesotherapy and phosphatidylcholine injections: historical clarification and review. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2006 · PMID 16681654

Abstract summary (English) BACKGROUND: Mesotherapy was originally conceived in Europe as a method of utilizing cutaneous injections containing a mixture of compounds for the treatment of local medical and cosmetic conditions. Although mesotherapy was traditionally employed for pain relief, its cosmetic applications, particularly fat and cellulite removal, have recently received attention in the United States. Another treatment for localized...

Journal Article, Review

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tier_other Sonophoresis mediated diffusion of caffeine loaded Transcutol® enriched cerosomes for topical management of cellulite. European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2024 · PMID 39121922

Abstract summary (English) The goal of this research was to augment the deposition of caffeine loaded Transcutol® enriched cerosomes (TECs) gel for efficient topical treatment of cellulite utilizing the sonophoresis technique. Caffeine-loaded TECs were prepared using thin film hydration method applying 23 factorial design to study the impact of different factors, each with two levels on the entrapment efficiency (EE%), particle...

Journal Article

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tier_other Development of Sustained Release Formulations Based on Lipid-Liquid Crystal to Control the Release of Deoxycholate: In Vitro and In Vivo Assessment. AAPS PharmSciTech · 2023 · PMID 37946092

Abstract summary (English) Subcutaneous injections of phosphatidylcholine (PC), sodium deoxycholate (NADC), and a mixture of them were found to be an effective option for treating cellulite. However, it is noteworthy that the injection of NADC may result in inflammation as well as necrosis in the injection area. The preparation of a sustained release formulation based on lipid-liquid crystal that controls the release of NADC could be a...

Journal Article

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tier3 Complications after self-injection of hyaluronic acid and phosphatidylcholine for aesthetic purposes. Aesthetic surgery journal · 2010 · PMID 20601573

Abstract summary (English) Various types of dermal fillers have been developed for soft tissue augmentation, including hyaluronic acid products, which have been approved by regulatory agencies in Europe, the United States, and elsewhere. Phosphatidylcholine (PPC) injection has attracted attention for its application in the treatment of cellulite, weight loss, and skin rejuvenation. Because the public can now buy PPC and similar products from...

Case Reports, Journal Article

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tier3 Histological changes associated with mesotherapy for fat dissolution. Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology · 2005 · PMID 16020211

Abstract summary (English) Mesotherapy is a form of medical therapy popular in Europe and South America. It is used for treating a variety of medical conditions, including the treatment of localized fat deposits and cellulite. Phosphatidylcholine/deoxycholate injections are a popular technique to treat localized fat accumulations and have recently become synonymous with mesotherapy, although their history and technique are distinct.

Case Reports, Journal Article

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tier_other Phosphatidylcholine Causes Lipolysis and Apoptosis in Adipocytes through the Tumor Necrosis Factor Alpha-Dependent Pathway. Pharmacology · 2017 · PMID 29186713

Abstract summary (English) A phosphatidylcholine (PPC) formulation has been used to treat cellulite; however, its underlying mechanism of action remains unclear. In this study, we demonstrated that PPC induces lipolysis and apoptosis in adipocytes, and evaluated a possible tumor necrosis factor alpha (TNFα)-dependent pathway, whereby PPC exerts these effects. For in vitro study, fully differentiated 3T3-L1 cells, mouse adipocytes were treated...

Journal Article

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tier_other Mesotherapy - The french connection. Journal of pharmacology & pharmacotherapeutics · 2010 · PMID 21808584

Abstract summary (English) Mesotherapy involves the use of multiple intradermal or subcutaneous injections of a mixture of compounds in minute doses, by means of very fine needles, directly over/near the affected sites. Originally invented in France to manage painful medical conditions, it is presently the buzz word in the field of cosmetic dermatology, chiefly to get rid of disfiguring fat. Depending upon the condition treated, the drugs...

Journal Article

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Suggested interpretation

Limited evidence

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