Injection lipolysis


Loose your fat without surgery

The permanent reduction of fat pads through lipolysis therapy for face and body contouring! At Berkei Aesthetic, the injection lipolysis is used as a gentle and effective method for targeted removal of small fat deposits. This treatment option for bothersome problem areas has worked well for years. It is the gentlest way to eliminate fat pads and dimples without surgery, without anaesthesia, without scars and without time off.

Description of the treatment

Removal of fat deposits without an operation!  We always begin with comprehensive evaluation and analysis of the fat deposits. The skin areas to be treated are marked and prepared with a local anaesthetic cream. After thorough disinfection, we inject the active substance in several small amounts spaced at 1-2 cm into the tissue under the skin using special ultrathin needles. This outpatient procedure takes 20 minutes and is almost pain-free.

You might feel some mild tingling and burning. The injection triggers the melting down of the fat deposit. The broken-down fat is transported away by the lymphatic system. It is an acceleration of the processes that take place naturally in the body. The melted-down fat cells are gone forever, like after liposuction.

It is very important for us to make the treatment pleasant and gentle. We give the tissue enough time to work with the medication and to shrink. According to our experience, the treatment should be repeated at intervals of 4-8 weeks. In general, depending on area and fat amount, one to four sessions (rarely more) are necessary for a visible and long-term success.

PPC – the active substance in lipolysis

PPC – an active substance, an extract from soybeans! PPC is the abbreviation for phosphatidylcholine. This substance is contained in the injection and is extract (lecithin) of soybeans. It is a natural building block of animal and plant cells. In humans, PPC is an important component of bile and facilitates the digestion of fat from food. This substance has been used in medicine for decades against fat deposits in blood vessels with great success and almost without side effects.

It has been classified as safe by the medicines committee of the German medical profession and is now also used in the beauty medicine.

History of the injection lipolysis

The active substance was discovered in 1959 in Odessa, Russia. Since then, it has been used to treat fat embolisms and lower blood lipids, among others. Cholesterol deposits in the in eyelids (xanthlasma) were treated for the first time in 1988 in Italy. Dr Patricia Rittes treated bags under the eyes in 1995 in Brazil. Dr Hasengschwandtner studied and continued to develop the substance in 2001-2002. The NETWORK-Lipolysis was founded in 2003. Since then, there has been ongoing work to refine the treatment and on the training of treating doctors.  The NETWORK-Lipolysis is a group of more than 600 doctors in the whole world.

Treatment areas

Basically the injection lipolysis is suitable for the shaping and gentle tightening of various small problem areas. Liposuction should be considered for larger fat areas and skin folds thickness (fat thickness) of more than 5 cm. This substance can also be used for removal of benign fat tumours (lipomas). We look forward to advising you and helping you choose the right therapy.

The most common indications for shaping various problem areas:

  • Face: double chin, sagging cheeks
  • Breast: anterior axilla in women, breast fat in men
  • Abdomen: fat deposits at the rib margin, area of lower abdominal and hips
  • Back: isolated fat deposits
  • Extremities: arms, upper inner thigh, knee
  • Lipomas
  • Treatment of cellulite

Risks and side effects of the injection lipolysis

The injection lipolysis is not complicated to use and has been used successfully in many patients. After the injection, patients may develop redness and swelling, as well as small blue spots, light burning, itch and sensitivity to pressure in the treated areas. These problems resolve after few days. You will be able to carry out your regular activities and even work on the day of the treatment with injection lipolysis. You should be prepared for a possible visible area of swelling or redness and have a plan to cover it with make-up or clothing. The Lipolysis Report of 2012 has shown a complication rate of 0.017% for a number of 43,000 procedures.

Our patients report alleviation of the discomfort with cooling the affected area and taking 400 mg of ibuprofen.

In rare cases, at most 5% of all patients, there is no response to the therapy. These patients are called non-responders.


  • Pregnancy/breast-feeding
  • Minors or children
  • Diabetics

If you have any of the following diseases, we have to be extremely cautious. You must inform us if you suspect any of these problems:

  • Autoimmune diseases
  • Serious liver diseases
  • Acute infections and chronic risk of infection
  • Severe obesity (morbid obesity BMI > 30)
  • Known hypersensitivity to one of the ingredients (for instance allergy to soybeans)
  • Serious kidney diseases
  • Clotting disorders
  • Menstrual disturbances

We will give you more information on whether this therapy is suitable for you during your personal consultation.

Particularities of the injection lipolysis

The results vary between individuals. Some react to the substance very quickly, others with a marked delay. Some patients break down fat tissue very much, others less. The effect is most pronounced between 3 and 6 weeks after the treatment.

You could influence positively the therapy results by following these instructions:

  • Drink plenty of fluids
  • Do not have any massage, sauna or sun studio, and do not do physical exercise for 2 days after the injection
  • Increase the physical activity and oxygen delivery
  • Do physical exercise
  • Have manual lymph drainage or light tissue massage after 3 days
  • Be very careful with sun exposure in the beginning, use high sun protection!

Frequently asked questions:

  1. Can I lose weight with the lipolysis injection? The lipolysis injection is not suitable for weight loss. It is designed to reduce fat deposits such as `double chin`, `spare tyre` or abdomen. 
  2. For which body areas is injection lipolysis particularly suitable? Areas with soft body fat in the face, inner side of the thigh and hip are ideal.
  3. How long do results last? The results are considered durable. If however you gain much weight, the contours of the treated area could change again.
  4. What is the main advantage of the injection lipolysis? The injection lipolysis gives good results in areas that cannot be reduced by diet or physical activity. No complex pre- or postoperative measures are necessary. Your ability to work and carry out your usual activities remains unaffected. After treatment of facial areas you may need to work with make-up or clothing if significant swelling develops.
  5. How do I decide which method is suitable for me? The main difference is that injection lipolysis is a non-surgical treatment method that involves no anaesthesia, no incisions, and no scars. In contrast, liposuction allows the removal of much higher fat deposits. The results are visible immediately, not after 4-8 weeks like after lipolysis. In addition, lipolysis is an ideal treatment method after liposuction to remove remaining fat tissue and to tighten the surrounding skin.
  6. How many treatment sessions are necessary? In most cases, 1-4 sessions at intervals of 4-8 weeks will suffice.
  7. Is the cost covered by the health insurer? The injection lipolysis is considered aesthetic therapy and in most cases is not covered by health insurers. The patient must cover the cost.
  8. What do I have to pay attention to after the therapy? Drink plenty of fluid and do plenty of physical activity. High oxygen delivery during physical activity increases the metabolic rate and thus the breakdown of fat deposits. Have no sauna or massage for 3 days after the treatment. Expose the treated areas to sun only with good sun protection for 4 weeks.
  9. For who is the treatment not suitable? The treatment is not suitable and should not be performed under any circumstances for minors or children, pregnant women and lactating mothers.