title: A CE-Marked Drug Used for Localized Adiposity Reduction: A 4-Year Experience.
abstract: BACKGROUND
  Injectable fat-reducing therapies are not an alternative to liposuction. Rather, they may be best suited for patients who are unwilling or unable to undergo surgical reduction of small collections of fat, and for patients who desire touchups for liposuction-induced irregularities.
  
  
  OBJECTIVE
  The authors report their 4-year experience with a novel injectable CE-marked drug, used in an off-label manner.
  
  
  METHODS
  Between October 2009 and November 2013, 186 patients were treated by injection of an adipocitolytic solution in 1 of 4 private Italian aesthetic facilities, by 1 of 4 independent physicians. Treated areas included the neck, hips/saddlebags, abdomen/love handles, inner thighs, and buffalo hump. Complications and side effects were documented.
  
  
  RESULTS
  All patients experienced mild to moderate swelling and reddening of the skin, which resolved 3 to 5 days after injection. No major complications or side effects occurred, such as necrosis. Rates of transient events were as follows: hematoma, 1.61%; paresthesia, 1.07%; and ecchymosis, 6.45%. Pruritus was reported by 21.5% of patients, which began 3 to 7 days following injection. Subcutaneous nodules were noted in 1.61% and resolved within 4 months of injection. A transitory "unusual sensation" was reported by 12.9% of patients, which lasted up to 2 months after final injection.
  
  
  CONCLUSIONS
  Results demonstrate that this CE-marked agent appears to be effective and safe for medical treatment of fat reduction.
authors: Dr Rauso is an Assistant Professor, Department of Dentistry, University of Foggia, Foggia, Italy. Dr Salti is an aesthetic physician in private practice in Florence, Italy.
authors: Raffaele
authors: R
authors: Rauso
authors: Dr Rauso is an Assistant Professor, Department of Dentistry, University of Foggia, Foggia, Italy. Dr Salti is an aesthetic physician in private practice in Florence, Italy.
authors: Giovanni
authors: G
authors: Salti
mesh_terms: D000328:Adult; D003357:Cosmetic Techniques; D005260:Female; D005685:Galactans / Q000627:therapeutic use*; D005690:Galactose / Q000031:analogs & derivatives* / Q000627:therapeutic use; D006801:Humans; D007279:Injections, Subcutaneous; D008297:Male; D008875:Middle Aged; D056687:Off-Label Use; D050151:Subcutaneous Fat / Q000187:drug effects*; D055815:Young Adult
chemical_list: C000604731:Aqualyx; D005685:Galactans; C117625:3,6-anhydrogalactose; D005690:Galactose