What does Dr. Steinsapir think of Mesotherapy? Is this a good alternative to liposuction?

Mesotherapy involves the injection of solutions containing, among other things, the bile salt deoxycholate and phosphatidylcholine. These treatments are marketed under the names Lipo-dissolve, Lipodissolve, LipoShape, and Lipostabil. Other chemicals that may be in mesotherapy solutions may include: Aminophylline, Dimethylethanolamine, Glutathione, Hyaluronidase, Isoproterenol, L-arginine, Lidocaine Pentoxifylline, and Yohimbine. What you may not know is that mesotherapy is an untested, and unproven treatment with a lot of documented unpleasant side effects. Whenever a doctor (or whoever) picks up a syringe and injects fat with a mesotherapy solution, they are essentially conducting an uncontrolled experiment. Mesotherapy solutions are not FDA approved. The labs that concoct these solutions are unlicensed. In many cases, doctors buy the raw materials and mix them up in their office. There are numerous reports of infections due to the less than ideal conditions in which these preparations are made. These treatments particularly deoxycholate and phosphatidylcholine do destroy fat cells but they also damage blood vessels and produce scaring. Ultimately with a better understanding of these agents and preparation under sterile conditions, there may be a role for these agents in reducing a small fat deposit. However, at this time, Mesotherapy does not live up to the hype and represents an unreasonable danger to the public. Mesotherapy is not a replacement for liposuction.

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