Why Use Deoxycholic Acid For Body Contouring?

IIWAM – International Institute of Wellness & Aesthetic Medicine is a One-Stop Centre of Excellence in Wellness & Aesthetic Medicine that provides Education, an Online Library & Learning Portal, and Advanced Cosmetic Procedures. IIWAM is destined to be the Future of Aesthetic Medicine.

IIWAM Aesthetic Education (previously known as Aesthetic Academy Asia) provides evidence-based Aesthetic Medical courses with Dual International Certificates for Medical Doctors, Dentists, Nurses & Certified Aestheticians.

In a recent article, we spoke about the various non-invasive procedures to remove facial fat

(Read the blog here- Fat melting for facial jowls and double chin)

In today’s article, we will help to educate you further about body contouring using deoxycholic acid, the proper procedure, and the various advantages.

About deoxycholic acid

Deoxycholic acid in simple layman terms is also called cholanoic acid. It is actually a secondary bile acid that is manufactured by the intestinal bacteria based on the primary bile acids secreted by the liver in a human body. In the digestive tract, deoxycholic acid tends to break down the fat by destroying the overall cell membrane. Deoxycholic acid emulsifies the fats which in turn improves the overall intestinal absorption. Deoxycholic acid tends to destroy the adipocytes or the fat cells present in a human body when injected into the subcutaneous fat layers of the skin. The resulting inflammatory tissue reaction then causes an overall reduction of fat deposits with minimal scarring. This is known as adipo cytolysis. The dissolved fat which is now reduced to cellular debris then gets cleared into the lymphatic and circulatory systems by the specialized immunologic cells present in the human body. However, this happens slowly over the span of several weeks. And as for deoxycholic acid, they too get metabolized and broken down with time.

Deoxycholic acid administration procedure

To begin with, a topical or local anesthetic agent is used to minimize the discomfort in the target area. An ink ‘tattoo grid’ can be applied to the area to be treated to guide the delivery of injections; this is removed with an alcohol-soaked swab after the cosmetic medical procedure. Small amounts of Deoxycholic acid are then injected subcutaneously at regular intervals.

It is absolutely essential that the needle placement should be in respect to the mandible to reduce the potential for injury to the marginal mandibular nerve, a motor branch of the facial nerve. Injury to the nerve presents as an asymmetrical smile due to paresis of lip depressor muscles. To avoid any injury to the marginal mandibular nerve, injections should be placed above the inferior border of the mandible. Also avoid injections into other tissues such as the muscle, salivary glands, lymph nodes, and artery or vein. The number of injections and the number of treatments should be tailored to the individual patient’s overall submental fat distribution and treatment goals.

Administration of Deoxycholic acid injections for non-surgical body sculpting procedures should be performed by a trained doctor with a sound understanding of physiology and adipose tissue anatomy. The procedure often has slight side effects like pain, bruising, numbness and tenderness or redness and swelling, but sometimes may also lead to induration or depression at the site of injection, dysphagia, nerve injury causing temporary numbness, or in some rare cases, even skin ulceration.

Facial Anatomy Course Online

Significance of Deoxycholic acid

A deoxycholic acid is a manmade form of a substance the human body makes that helps to absorb fats. In the field of mesotherapy, Deoxycholic Acid is administered to perform lipolysis (eg, as a non-surgical treatment of lipoma). Deoxycholic acid tends to be less destructive in skin and muscle tissue due to the nature of protein binding. Kybella® is a proprietary formulation of purified synthetic deoxycholic acid that was initially developed for therapeutic use but has gained much popularity for its usefulness in lipolysis in today’s time.

About IIWAM training in Deoxycholic acid administration procedure

As always, the practitioner must undergo proper training in facial aesthetics to understand the procedure, the product, and the patient. Equally, he/she must know the benefits, risks, and counter-measures to correct complications. IIWAM also offers an Online Aesthetic Certification programme for Non-Surgical Body Sculpting, Advanced Dermal Filler Training (Restylane, Juvéderm, Teosyal, Bellotero), Advanced Botulinum Toxin Training (Botox, Dysport, Xeomin), Skin Booster Training (Restylane Skin Booster, Profhilo, Rejuran), Platelet Rich Plasma (PRP) Training, and Thread Lift Training (PDO, Aptos, Happy Lift).

At IIWAM, our trainers pay utmost attention to teaching the following subjects for proper deoxycholic acid administration procedure under the best Trusted Online International Cosmetology Course.

  • What are the layers of the skin and subcutaneous fat? 

  • How does Deoxycholine work? 

  • What are Deoxycholine complications? 

  • How to avoid Deoxycholine complications? 

  • How to treat Deoxycholine complications?

About IIWAM Aesthetic Education

At IIWAM, we provide an International Aesthetic Certification program and also Advanced Online Aesthetic Courses for Doctors, Dentists, Nurses, Aestheticians, and Spa Owners in the field of Aesthetic Medicine.

Our Institute is based in Malaysia and has international students from the Philippines, Myanmar, Cambodia, India, Indonesia, and other parts of Asia. With our insignia of “Be Certified, Be Recognized”, we develop knowledgeable, skilled, and confident aesthetic practitioners of international repute. Our Aesthetic training focuses on teaching the principles of Aesthetic procedures before venturing into Aesthetic clinical skills. IIWAM training Programs are a combination of Onsite Training, LIVE Online Webinars, and Online Learning. IIWAM is the first Institute in the World to have its Programs assured by City & Guilds of London and certified by European International University. IIWAM is also a registered CPD Training provider with CPD Standards Office in the UK and by CPD Malaysian Medical Association.

Onboard is our Assoc. Prof Dr. Morthy, the lead trainer, medical director of the International Institute of Wellness & Aesthetic Medicine (IIWAM), formerly known as Aesthetic Academy Asia ( In the Aesthetic part of our Institute, we provide Advanced Aesthetic Medical Procedures that are Safe, Effective, and Affordable, offering a wide range of specialized treatments for All Your Aesthetic Needs.