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Managing Lipolytic Complications: Prevention, Recognition, and Treatment
Injectable lipolytics — deoxycholic acid (DCA) and phosphatidylcholine/DCA combinations — are among the most technically demanding of all aesthetic injectables to administer safely. The reason is straightforward: DCA is cytolytic by design. It destroys cells. In the correct tissue plane, targeting subcutaneous adipocytes, this is precisely the therapeutic mechanism. In the wrong plane, at the wrong depth, or with incorrect product placement, it destroys non-target cells — dermis, muscle, nerve — with consequences that range from prolonged discomfort to visible, permanent injury.
