Deoxycholic acid is a naturally occurring molecule that helps break down and absorb fat. When injected, it destroys fat cells permanently, making it a popular treatment for non-surgical fat reduction.

They are Health Canada and the FDA approved for reducing submental fat (double chin) but are also used off-label for areas like:

• Jawline contouring

• Jowls (lower face fat pockets)

• Bra fat

• Armpit fat (axillary fat)

• Abdomen and love handles

• Inner knees

The injections break down fat cell membranes, causing them to be absorbed and naturally eliminated by the body. Once destroyed, the fat cells do not regenerate.

Most people need 2–4 sessions, spaced 4–6 weeks apart. Some may require up to 6 sessions for optimal results.

Results are permanent, as the treated fat cells are destroyed. However, significant weight gain can cause remaining fat cells to expand.

Visible improvement occurs within 4–6 weeks, with full results after 3–6 months as the body processes and eliminates fat.

Patients may feel a burning or stinging sensation during injection. Most providers use numbing cream, ice, or lidocaine to minimize discomfort.

Common side effects include:

• Swelling (most noticeable in the first 5–7 days)

• Bruising, redness, or tenderness

• Numbness or tingling in the area (temporary)

• Mild lumpiness or hardness at the injection site (resolves over time)

Rare but serious risks:

• Nerve damage (can cause temporary weakness in the lower face)

• Uneven fat reduction (if not injected properly)

Per visit: $600–$1,200 depends on the number of vials needed.

Before:

• Avoid blood thinners, alcohol, and NSAIDs for 24–48 hours to reduce bruising.

• Stay hydrated for better healing.

After:

• Apply ice packs to reduce swelling.

• Sleep with your head elevated for the first few nights.

• Avoid strenuous exercise, alcohol, and excessive salt intake for 48 hours.

No, they only dissolve fat. If there is significant skin laxity, additional treatments like radiofrequency skin tightening or a neck lift may be needed.

Yes! Other fat-reduction options include:

• CoolSculpting (fat freezing)

• Liposuction (surgical removal)

• RF or ultrasound-based treatments (like Morpheus8 or Ultherapy for tightening)

Avoid treatment if you:

• Are pregnant or breastfeeding

• Have an active skin infection

• Have loose or sagging skin

• Have a history of difficulty swallowing or nerve damage in the face

Look for a licensed and experienced medical professional, such as a board-certified dermatologist, plastic surgeon, or nurse injector. Proper injection technique is key to avoiding uneven results or nerve damage