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 AQUALYX – Revolutionary Fat Busting Treatment

 What is Aqualyx?

Aqualyx is a compound solution from the deoxycholate family that has been physically modified and, by creating a slow release sugar-based system, the biological half-life is reduced which results in minimal side effects. Developed by renowned aesthetic surgeon the late Professor Motolese, Aqualyx has been available internationally since 2009, and over 2,000,000 vials have been used for patient treatments in 49 countries worldwide.

Professor Motolose developed an injection technique, for the treatment known as ‘Aqualysis ™’ or ‘Aquaplasty™’ and a precise protocol is followed. Aqualysis™ or Aquaplasty™ consists of injecting the solution into localised fat deposits in areas such as saddle bags, thighs, stomachs, chins and knees. It can also be used to treat pseudo-gynocomastia in men. Aqualyx liquefies the fat cell, destroying it permanently, releasing the lipids that are then eliminated naturally through the lymphatic system. Aqualysis™ can be used in conjunction with an ultrasound device to assist in the dissipation of Aqualyx throughout the localised fat cells.

Find out more on the Aqualyx Website

  How Does Aqualyx Work?

The solution is injected into the treatment area whereby Aqualyx alters the surface tension of the fat cell membrane and increases the permeability of the membrane. An ultrasound device is then applied over the surface of the skin in the targeted area and this causes the movement of liquids both inside and outside the fat cells. The fat cells start to balloon and break up, leading to the drainage of micro droplets of fatty liquid into the body, which is then metabolised through the lymphatic system and excreted.


  Uses & Application of Aqualyx

There are some other interesting uses for Aqualyx:

  • For those people who are regular gym goers but cannot shed the last bit of fat to define a six pack, Aqualyx can be used very successfully to give that definition.
  • For people with lipomas, Aqualyx can be injected into these.
  • For people with a buffalo hump, Aqualyx can be used to reduce the size of this.
  • People with uneven lumps of fat after other treatments such as Vaser or liposuction can have smoothness restored with Aqualyx.

Aqualyx can able used over the entire body for dissolution of fat deposits.
Areas include:

  1. Upper limbs – around triceps
  2. Folds on the back (below the ribs)
  3. Belly
  4. Loins
  5. Breeches
  6. Outer buttocks region
  7. The inner side of thighs
  8. The inner side of knee
  9. Double chin / Jaw contouring

Only 3 to 6 sessions are normally required to get the best results and what’s more – once you have completed your treatments the results can be maintained through a healthy lifestyle.

  How Many Treatments Are Required?

The time taken for a treatment session will depend upon the size of the area and indication being treated. Treatment can take between 30 – 60 minutes per treatment and you will typically require 2 – 8 treatments, 4 weeks apart. Some people may see significant results after 1 or 2 sessions. Treatment for fat pockets underneath the neck and chin, for example, may require 1 – 3 treatments of 2 – 3 injections, while treatment for fat pockets on the hips and thighs may require 8 treatments.


 The Treatment

Typically, two injection spots are required for each area being treated; patients report good tolerance of the treatment and an anaesthetic solution is normally added prior to injection for greater comfort.

The treatment will be repeated between two and eight times depending on the number of small pockets of fat tissue to be reduced. The injections are repeated every three to four weeks.

After each treatment patients can expect some swelling, redness and skin irritation and tenderness in the area treated, which will subside after four to six days.


  After Treatment

The results of an Aqualyx treatment are consistent under the condition of maintaining a constant weight measurement (i.e. assuming you don`t gain excess weight). Once the freed fatty acids have been processed through the body’s lymphatic system, they do not reappear. However, the procedure is only consistent if you follow a healthy diet and exercise frequently following treatment.  If a healthy lifestyle is maintained, the results can also be maintained.



Frequently Asked Questions








An ideal patient is one who is close to their ideal body weight but has isolated stubborn areas of fat deposition. These can be genetically predetermined and can prove very difficult to get rid of in other ways. You must be able to pinch at least 1.5cm of fat for an area to be suitable for treatment. Patients who have lost considerable weight often have loose skin rather than significant fat deposits. If we feel this is the case for you then we will suggest Aqualyx is not appropriate for you.


Initially we will have a consultation to discuss your areas of concern and to take a thorough medical history. This will also involve weighing you, examining you to make sure treatment is appropriate, and taking some photographs as a record of your starting point. We will then mark the area of the fat deposit and ask you to look in a mirror and confirm that this is the area that bothers you. You will then be positioned on the couch in a way that gives best access to the area to be treated. The treatment itself takes anywhere from 15 to 45 minutes depending on the size of the area we are treating. Usually each area only requires one or two needle insertion points, although we will fan the product in several directions from this one point.


We mix the Aqualyx solution with a small amount of a local anaesthetic drug called lignocaine to make it more comfortable. The needle we use is very fine. Most people describe the procedure itself as a little uncomfortable but not painful. You could take some Paracetamol tablets an hour before treatment if you are concerned.


Have some Paracetamol available should you feel you need it. Buy some supportive garments for the treated area – Spanx are an excellent option. This is because you will find the extra support will make you feel more comfortable afterwards. Avoid tight clothing – you will be swollen and wearing your tightest jeans may be uncomfortable.


Once the local anaesthetic starts to wear off you may feel quite tender. Make sure you have some Paracetamol you can take, but avoid non-steroidal anti-inflammatory drugs (such as Ibuprofen and Aspirin).
The treated area will look swollen initially, but you should expect this swelling to double in size within the first 24-48 hours. The swelling will go down over the course of the next week, although in rare cases may persist longer. Remember – SWELLING IS GOOD! The more you swell the more you are responding to treatment.
The treated area will look red and feel warm afterwards, and this may persist for 2 days.
You may develop some bruising in the treated area, may feel itchy, and may have some minor aches and pains.
The skin overlying the treated area will feel numb, even after the local anaesthetic wears off. This can persist for upto a month.
Rarely you can develop systemic symptoms such as nausea, diarrhoea, intracyclic menstrual bleeding (in women) and hyperpigmentation.

  • Aqualyx should not be administered to pregnant women, or to breast-feeding mothers.
  • Diabetic patients should avoid treatment with Aqualyx, as the potential complications of diabetes can complicate treatment.
  • Patients with autoimmune conditions such as scleroderma should avoid treatment.
  • Patients with severe liver disease should not be treated with Aqualyx, as the extra fat it has to process could overwork the liver.
  • Any patient with a history of an allergic reaction to an ingredient of Aqualyx should avoid treatment.
  • Patients with acute or chronic skin diseases in the affected area, or with infection in the skin overlying the treatment area are not suitable for treatment.
  • Patients on blood thinning medication, in particularly warfarin, will almost certainly not be suitable for treatment due to the risk of severe bruising.
  • Patients with severe kidney disease are not suitable for treatment.

This will depend on the protocol we follow after discussion with you at our consultation. Traditionally between 2 and 6 treatments were suggested, depending on the area being treated. These treatment sessions would be spaced around 4 weeks apart. It is possible to use a modified technique where we would inject a much higher volume in one treatment, but you should expect to only require one treatment. This will obviously carry a higher initial cost, as more product is being used. However you will only need to deal with the side effects on a single occasion.


We recommend wearing pressure garments of some description to improve your comfort. This could be a pair of Spanx, or we may suggest using an old pair of tights tied around your chin overnight to help reduce swelling.
Drink plenty of water after your Aqualyx treatment.
Follow a low-fat diet for the period between your Aqualyx treatment and your follow-up appointment. This is because you do not want to cause additional stress to your liver by having to cope with processing two sources of fat.
We would suggest avoiding exercise on the day of treatment. After this you can resume gentle exercise as and when you feel ready. You may not feel ready for strenuous exercise for the first week, as you may feel a little tender.
Avoid taking any anti-inflammatory medication as this will dampen your body’s response to the Aqualyx and potentially mean you do not respond to treatment as well as you would otherwise have done.
Avoid exposure to extremes of temperature (including saunas, steam rooms and sunbathing) for a week after treatment.
Keep pinching the treated area to continue stimulating it. This will improve the body’s response to the Aqualyx.


No you will not see any difference on the scales after Aqualyx treatment. Subcutaneous fat accounts for a small proportion of our overall body fat, and dissolving this in one area will not produce a change in your weight.


You will start to notice an improvement anywhere between 3 and 6 weeks, and could notice ongoing improvements up to 6 months.


The fat cells that have been destroyed by Aqualyx are permanently eliminated from the body. If you gain weight in the future you may put it on in a different distribution to where you would have done prior to Aqualyx treatment.