Skip to main content

Advertisement

Log in

Effect of a Formulation Containing Low-Dose Sodium Deoxycholate on Local Fat Reduction

  • Original Article
  • Basic Science/Experimental
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Synthetic deoxycholic acid (DCA) has been approved as an injectable drug for the nonsurgical reduction of submental fat.

Objective

In this study, we evaluated the fat-reducing effects of a new formula containing a low dose of DCA and fat dissolution by topical application of DCA.

Methods

Sodium deoxycholate (99.1% pure) and the new formulation containing 10% DCA were injected or topically applied to the dorsa of obese mice (induced by a high-fat diet). The rate of change in body weight was evaluated, together with comparisons of micro-computed tomography images, body composition measurements, and histology findings.

Results

The results showed that the new formula containing low-dose DCA was as effective as the older high-dose formulation with respect to the rate of change in body weight and reductions in subcutaneous fat pad area, body fat weight, and the thickness of the subcutaneous fat layer. Furthermore, topical application of the high-dose, but not the low-dose, formulation yielded promising effects.

Conclusions

The development of a better protocol for the high-dose preparation, including dose optimization and application methods that minimize the adverse effects of DCA, merits further study.

No Level Assigned

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors - www.springer.com/00266 .

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Ginsberg HN, MacCallum PR (2009) The obesity, metabolic syndrome, and type 2 diabetes mellitus pandemic: part I. Increased cardiovascular disease risk and the importance of atherogenic dyslipidemia in persons with the metabolic syndrome and type 2 diabetes mellitus. J Cardiometab Syndr 4:113–119

    Article  Google Scholar 

  2. Kim JY, Kwon MS, Son J, Kang SW, Song Y (2017) Selective effect of phosphatidylcholine on the lysis of adipocytes. PLoS ONE 12:e0176722

    Article  Google Scholar 

  3. Seretis K, Goulis DG, Koliakos G, Demiri E (2015) Short-and long-term effects of abdominal lipectomy on weight and fat mass in females: a systematic review. Obes Surg 25:1950–1958

    Article  Google Scholar 

  4. Georgesen C, Lipner SR (2017) The development, evidence, and current use of ATX-101 for the treatment of submental fat. J Cosmet Dermatol 16:174–179

    Article  Google Scholar 

  5. Humphrey S, Beleznay K, Beleznay JD (2016) Sodium deoxycholate for submental contouring. Skin Ther Lett 21:1–4

    CAS  Google Scholar 

  6. Tierney EP, Kouba DJ, Hanke CW (2011) Safety of tumescent and laser-assisted liposuction: review of the literature. J Drugs Dermatol 10:1363–1369

    PubMed  Google Scholar 

  7. Bechara FG, Sand M, Hoffmann K, Sand D, Altmeyer P, Stücker M (2007) Fat tissue after lipolysis of lipomas: a histopathological and immunohistochemical study. J Cutan Pathol 34:552–557

    Article  Google Scholar 

  8. Rotunda AM, Suzuki H, Moy RL, Kolodney MS (2004) Detergent effects of sodium deoxycholate are a major feature of an injectable phosphatidylcholine formulation used for localized fat dissolution. Dermatol Surg 30:1001–1008

    PubMed  Google Scholar 

  9. Thuangtong R, Bentow JJ, Knopp K, Mahmood NA, David NE, Kolodney MS (2010) Tissue-selective effects of injected deoxycholate. Dermatol Surg 36:899–908

    Article  CAS  Google Scholar 

  10. Rotunda AM, Ablon G, Kolodney MS (2005) Lipomas treated with subcutaneous deoxycholate injections. J Am Acad Dermatol 53:973–978

    Article  Google Scholar 

  11. Humphrey S, Sykes J, Kantor J, Bertucci V, Walker P, Lee DR, Lizzul PF, Gross TM, Beddingfield FC 3rd (2016) ATX-101 for reduction of submental fat: a phase III randomized controlled trial. J Am Acad Dermatol 75:788–797

    Article  CAS  Google Scholar 

  12. Reeds DN, Mohammed BS, Klein S, Boswell CB, Young VL (2013) Metabolic and structural effects of phosphatidylcholine and deoxycholate injections on subcutaneous fat: a randomized, controlled trial. Aesthet Surg J 33:400–408

    Article  Google Scholar 

  13. Duncan D, Rotunda AM (2011) Injectable therapies for localized fat loss: state of the art. Clin Plast Surg 38:489–501

    Article  Google Scholar 

  14. Salti G, Ghersetich I, Tantussi F, Bovani B, Lotti T (2008) Phosphatidylcholine and sodium deoxycholate in the treatment of localized fat: a double-blind, randomized study. Dermatol Surg 34:60–66

    Article  CAS  Google Scholar 

  15. Gupta A, Lobocki C, Singh S, Robertson M, Akadiri OA, Malhotra G, Jackson IT (2009) Actions and comparative efficacy of phosphatidylcholine formulation and isolated sodium deoxycholate for different cell types. Aesthet Plast Surg 33:346–352

    Article  CAS  Google Scholar 

  16. Duncan D (2013) Commentary on: Metabolic and structural effects of phosphatidylcholine and deoxycholate injections on subcutaneous fat: a randomized, controlled trial. Aesthet Surg J 33:411–413

    Article  Google Scholar 

  17. Dayan SH, Humphrey S, Jones DH, Lizzul PF, Gross TM, Stauffer K, Beddingfield FC 3rd (2016) Overview of ATX-101 (deoxycholic acid injection): a nonsurgical approach for reduction of submental fat. Dermatol Surg 42(Suppl 1):S263–S270

    Article  Google Scholar 

  18. Walker P, Fellmann J, Lizzul PF (2015) A phase I safety and pharmacokinetic study of ATX-101: injectable, synthetic deoxycholic acid for submental contouring. J Drugs Dermatol 14:279–287

    CAS  PubMed  Google Scholar 

  19. Rzany B, Griffiths T, Walker P, Lippert S, McDiarmid J, Havlickova B (2014) Reduction of unwanted submental fat with ATX-101 (deoxycholic acid), an adipocytolytic injectable treatment: results from a phase III, randomized, placebo-controlled study. Br J Dermatol 170:445–453

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sang Wha Kim.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest to disclose.

Human and Animal Rights

The animal care and experimental procedures were approved by the Institutional Animal Care and Use Committee.

Informed Consent

For this type of study, informed consent is not required.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Park, S.H., Hyun, M.R. & Kim, S.W. Effect of a Formulation Containing Low-Dose Sodium Deoxycholate on Local Fat Reduction. Aesth Plast Surg 43, 1657–1662 (2019). https://doi.org/10.1007/s00266-019-01514-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-019-01514-2

Keywords

Navigation