Has anyone ever heard of hydrolipoclasia? If so, is it safe/effective?

Question

My massage women wants me to try hydrolipoclasia. Over the last year we did coolsculpting treatments and now she is suggesting hydrolipoclasia.

Semih Yildiz, MD, FEBOPRAS · Answer

Hydrolipoclasia usually refers to injecting fluid into the fat layer and using ultrasound or cavitation-type energy to try to disrupt fat cells. It is not the same as liposuction, and the results are less predictable. The published evidence and standardization are limited compared with established body contouring options.

The main safety issue is not only the device or technique, but who is doing it, what is being injected, whether sterile technique is used, and whether the person is medically trained to recognize complications. Possible problems include infection, burns, bruising, contour irregularity, pain, swelling, or no meaningful improvement. I would be cautious about having an invasive fat treatment performed in a massage setting. A consultation with a board-certified plastic surgeon or dermatologist can help you compare whether observation, more nonsurgical treatment, or liposuction is a better match for your anatomy and goals.

Connie Hiers, MD, FACS · Answer

Hydrolipoclasia is not liposuction, is not surgery, and does not always work. Some do get some improvement, but not all. Your massage lady is not a surgeon so she is limited in what she can do. I would suggest have liposuction that does work to remove areas of excess fat.

Mats Hagstrom, MD (license on probation) · Answer

Liposuction is the gold standard for the removal of Septimius fat. When done by a sufficiently talented procedure it is the best treatment options in regards to getting quality results that are consistent.
The overall patient satisfaction for all non-surgical alternatives tends to be low.
How was your experience with coolsculpting?
If something turns out to work better, then what’s currently being used it will quickly become the standard of care. If cool sculpting works better than Liposuction then all plastic surgeons would give up doing Liposuction.
Hydrolipocalasia will most likely leave you underwhelmed. Even if it’s effective at removing fat, the treatment results will most likely be unpredictable.
I suggest having multiple in person consultations with local plastic surgeons in your area.
Best,
Mats Hagstrom, MD

Has anyone ever heard of hydrolipoclasia? If so, is it safe/effective?

Answers (3)

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