Contouring, Slimming, Lipolysis injection (Facial contouring, Body lipolysis, GPC injection, DCA injection)

Customized facial contouring injections that consider the balance of the entire face. Facial contour is not determined solely by body weight or face size. A person's facial impression is created by the interplay of subcutaneous fat concentrated around the chin and jawline, sagging buccal fat near the corners of the mouth, localized volume above the nasolabial folds, prominence around the cheekbones, skin thickness and elasticity, and the degree of skeletal and muscular development. Therefore, rather than repeatedly injecting the same amount into one area, it is important to examine the face in detail from both the front and side, and to establish a treatment plan by distinguishing the fat layers and surrounding anatomical structures of each area. Our clinic's facial contouring injections target areas such as the double chin, buccal fat, jawline, fat above the nasolabial folds, and the area around the cheekbones. We selectively perform the procedure on necessary areas after assessing individual differences in facial width, left-right asymmetry, fat thickness and location, and the degree of skin sagging. For the double chin and jawline, we focus on creating a more defined boundary between the neck and the lower jaw, while for buccal fat and fat above the nasolabial folds, we approach the causes of heaviness or sagging around the mouth differently. For the cheekbone area, we first determine the suitability of the procedure through an examination, as cases with actual excess fat differ from cases where the area appears wide due to skeletal or muscular influence. Unlike surgical liposuction, contouring injections are performed via injection without incisions and are used to gradually adjust localized volume in relatively small areas. However, this is not a treatment that completely changes the face shape or reduces body weight with a single session. In cases where there is a large amount of fat or accompanying skin sagging, we may consider combining the procedure with lifting treatments, muscle treatments, or other contouring procedures. Conversely, excessive treatment for those with little facial fat or sunken cheeks can result in a tired appearance or imbalance, so it is more important to select appropriate candidates and areas rather than using an unconditional high dosage. After the procedure, swelling, bruising, tenderness, heat, or temporary firmness or unevenness may occur at the injection site, most of which will subside over time. The number of sessions, intervals, ingredients used, and dosage vary depending on the application area and individual condition. Our clinic confirms the fat layer, skin elasticity, facial asymmetry, and surrounding structures through pre-procedure consultation and palpation, and performs customized treatments within a range that does not compromise the natural proportions of the entire face.

Body fat-dissolving injections for localized areas that are difficult to address with exercise alone Even with weight loss, subcutaneous fat in specific areas such as the upper arms, abdomen, flanks, and thighs can remain for a relatively long time. This is a phenomenon that occurs depending on individual differences in fat distribution, skeletal structure, muscle mass, skin elasticity, and body type. Body fat-dissolving injections are not a weight-loss treatment for reducing overall body weight, but rather a non-surgical contouring procedure targeting the subcutaneous fat layer that accumulates locally in specific areas and obscures body curves. The main areas treated at our clinic include the inner and outer upper arms, upper abdomen, lower abdomen, flanks, back flanks or 'love handles,' inner and outer thighs, inner and outer knees, calves, upper and lower back, accessory breasts, and the bra line. Even within the abdomen, the thickness of the fat layer and skin sagging differ between the upper and lower regions, and the anatomical structure and movement of the inner and outer parts of the upper arms and thighs are different. Therefore, rather than injecting uniformly over a wide area, we check the overall body shape and left-right balance in a standing position, mark the range where the subcutaneous fat is actually concentrated, and then create a plan for each area. For upper arm procedures, we approach the outer volume visible outside the sleeve and the inner fat that folds when the arm is lowered separately. For the abdomen, we analyze the upper/lower abdomen and the flanks/love handles together to examine the connecting lines from the front, side, and back. For the thighs, we distinguish between the inner friction area and the outer 'saddlebag' shape, and for the area around the knees and calves, we first evaluate whether appropriate improvement can be expected with fat-dissolving injections alone, as muscle development, edema, and skin laxity have a significant impact on body shape in addition to fat. For the back, bra line, and accessory breast areas, we also determine the treatment range by distinguishing between the fat layer, breast tissue, skin folds, and curves created by bra pressure. While fat-dissolving injections have the advantage of being performed without incisions or suction, they are not intended to achieve the same level of immediate or massive fat removal as liposuction. Treatment results may vary depending on the thickness of the fat layer, skin elasticity, lifestyle habits, and weight changes, and wide or thick areas may require multiple staged procedures. In cases where factors other than subcutaneous fat are significant, such as the abdomen where skin sagging is pronounced or visceral fat is the main cause, or calves with high muscle mass, other treatments may be more appropriate. After the procedure, swelling, bruising, tenderness, heat, itching, temporary firmness, or asymmetry may occur. As discomfort and recovery time can vary depending on the extent of the treated area, it is important to proceed by dividing safe dosages and areas rather than treating an excessive range at once. Our clinic confirms the fat layer through body shape analysis and palpation before the procedure, and guides you through a treatment plan tailored to your individual body type and goals by selecting only the necessary areas.

DCA injections, which act directly on adipocyte membranes, require precise site selection. DCA stands for deoxycholic acid. Deoxycholic acid is a cytolytic agent that physically damages cell membranes to induce cytolysis; its mechanism of action and precautions differ from those of commonly used mixed contouring injections or lipolytic injections. Therefore, rather than simply approaching it as a "stronger lipolytic injection," it is crucial to assess the thickness and depth of the fat layer in the treatment area, identify the locations of surrounding nerves, blood vessels, muscles, and salivary glands, and administer it into the correct layer for appropriate candidates. The facial areas we consult on at our clinic include the double chin, deep cheek fat (jowls), and nasolabial fat pads, while body areas include the inner and outer upper arms, upper abdomen, lower abdomen, flanks, love handles, inner and outer thighs, inner and outer knees, calves, upper and lower back, accessory breast tissue, and bra line. However, among these, the approved efficacy and effect of domestic deoxycholic acid pharmaceuticals are limited to the improvement of moderate to severe convex or excessive submental fat in adults; safety and efficacy for deep cheek fat, nasolabial fat pads, and body areas have not been established under domestic regulatory approvals. Use in areas other than the double chin may constitute off-label use; therefore, it must be judged restrictively after separately explaining the approval status, evidence, expected benefits, and risks for each product, and obtaining informed consent. Double chin DCA treatment is not performed simply because the area under the chin appears thick. Other causes such as thyroid enlargement, cervical lymphadenopathy, skin laxity, platysma banding, or a small chin/skeletal structure must first be ruled out, and it must be confirmed that an appropriate subcutaneous fat layer actually exists between the dermis and the platysma. Incorrect injection into vulnerable structures such as the marginal mandibular nerve, muscles, salivary glands, thyroid, blood vessels, or lymph nodes can cause nerve or tissue damage, and administration into a dermis layer that is too shallow can lead to skin ulceration or necrosis; therefore, anatomical knowledge and precise determination of the injection layer are essential. After the procedure, significant swelling, pain, bruising, numbness, heat, erythema, induration, or nodularity may occur. Rarely, marginal mandibular nerve injury leading to asymmetric smile, dysphagia, infection, alopecia, skin ulceration/necrosis, and vascular injury have been reported. The risk of bruising and bleeding may increase in patients taking antiplatelet or anticoagulant medications or those with bleeding disorders; it is also mandatory to check for infection at the treatment site, existing dysphagia, pregnancy/lactation status, and history of past surgeries or procedures. Our clinic does not uniformly recommend DCA for all areas. If the fat layer is insufficient, if skin laxity is the primary issue, if the area is deemed difficult to treat safely due to proximity to nerves and blood vessels, or if the primary cause of the body shape is muscle or edema rather than fat, we restrict the procedure or recommend alternative treatments. We prioritize safety by fully explaining not only the expected effects but also the post-procedure swelling and recovery process, the approval status for each area, and potential side effects, and by determining the feasibility and scope of the procedure for each patient individually.

GPC injections considering localized fat layers on the face and body GPC is an injectable procedure that utilizes glycerophosphocholine, also known as choline alfoscerate. It is not an obesity treatment for reducing overall body weight in the face or body, but is selectively performed by considering localized subcutaneous fat and body contours that remain relatively persistent even after exercise or weight loss. Since the depth and thickness of fat layers, skin elasticity, and the location of muscles, nerves, and blood vessels differ by area on the face and body, it is important to confirm through a pre-procedure examination whether fat is the actual primary cause rather than uniformly injecting the same dosage. The application areas for facial GPC injections include the double chin, deep cheek fat, jawline, nasolabial fat, and the area around the cheekbones. For the double chin and jawline, the location of subcutaneous fat that blurs the boundary between the lower jaw and neck is checked along with skin sagging. For deep cheek fat and nasolabial fat, the scope of the procedure is determined by examining not only the amount of fat but also the presence of cheek sagging or facial hollowing to prevent an appearance that looks tired or aged due to excessive volume loss. For the cheekbone area, a selective approach is taken only when it is appropriate after distinguishing whether the cause of the protrusion is fat, or the influence of the skeleton or muscles. Body GPC injections can be consulted for the inner and outer upper arms, upper abdomen, lower abdomen, flanks, back flanks or love handles, inner and outer thighs, inner and outer knees, calves, upper and lower back, accessory breasts, and the bra line. For the abdomen and flanks, the connecting lines of the front, side, and back are analyzed together, and for the upper arms and thighs, the fat distribution of the inner and outer areas is distinguished. For the knee and calf areas, the suitability of the injection procedure is determined first because muscle development and edema have a significant impact on body shape in addition to subcutaneous fat. For accessory breasts and the bra line, the possible scope of the procedure is determined by distinguishing between fat layers, breast tissue, skin folds, and contours caused by underwear pressure. GPC injection is not a surgical treatment that removes a large amount of fat at once like liposuction, nor is it a treatment that significantly changes body shape or reduces weight with a single session. The expected changes and the number of sessions required may vary depending on the thickness of the fat layer, skin elasticity, the area of application, and individual lifestyle habits. If there is very little fat or skin sagging is the main issue, if visceral fat is the primary cause of abdominal protrusion, or if the volume appears large due to muscle or edema, the expected changes may be limited. After the procedure, swelling, bruising, pain, tenderness, redness, itching, heat, or temporary firmness and unevenness may occur at the injection site. Since the face has a high density of nerves and blood vessels, and the body has different anatomical structures and safe injection ranges by area, it is necessary to check medications being taken and past procedure/surgery history before the procedure. Our clinic evaluates the fat distribution, skin condition, and left-right balance of the face and body, avoids excessive dosages or ranges, and determines the feasibility and scope of the procedure according to each individual's condition.