How does Mesotherapy compare with liposuction?

With liposuction, the amount of fat removed is measured and easily controlled in the right hands. Mesotherapy involves the injection of nonstandardized chemical that are meant to "dissolve" fat.
I have several patients who present to me for liposuction who have tried mesotherapy and report no improvement, or even a few who state that treated areas increased in size. In fairness, those patients with excellent results wouldn't present to my office for liposuction. I get the sense there are not many patients satisfied with the results, however.
If mesotherapy did actually work, there is another issue to consider in my opinion. Where does the fat, lipid, and cholesterol go? Hopefully we don't find in the future that it leads to premature vascular disease or heart disease.

Liposuction is a tried and true procedure with amazing results. You will see a difference after liposuction. It is very rare to ever see a difference after 10-20 sessions of mesotherapy. I don't know of anybody still doing mesotherapy for fat reduction. It just doesn't work worth a darn. I have been doing liposuction for 25 years and I have adapted as new techniques have advanced the results of this procedure over the years. I use to do mesotherapy 15 years ago as many surgeons did when we were taught about it as an adjunctive procedure to melt away tiny lumps and bumps after liposuction. We learned our lesson that it was just a waste of time and money.
David Hansen, MD