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Gestion des complications lipolytiques : prévention, reconnaissance et traitement
Les lipolytiques injectables — l’acide désoxycholique (ADC) et les combinaisons phosphatidylcholine/ADC — font partie des injectables esthétiques les plus techniquement exigeants à administrer en toute sécurité. La raison est simple : l’ADC est cytolytique par conception. Il détruit les cellules. Dans le plan tissulaire correct, ciblant les adipocytes sous-cutanés, c’est précisément le mécanisme thérapeutique. Dans un mauvais plan, à une mauvaise profondeur ou avec un placement incorrect du produit, il détruit des cellules non ciblées — derme, muscle, nerf — avec des conséquences allant de l’inconfort prolongé à des lésions visibles et permanentes.
