PCDC Lipolysis injections, targets and breaks down fat cells, resulting in a more sculpted and toned appearance. They are a potent non-surgical substitute for liposuction to remove small, stubborn pockets of fat. PCDC (Phosphatidycholine and deoxycholic acid) not only gets rid of fat cells, but also tightens the skin in the treated area. This is because the solution helps to stimulate collagen production, resulting in firmer, smoother skin.
PCDC Consent
The purpose of this informed consent form is to provide written information regarding the risks and potential adverse outcomes relating to the procedure named above. This material serves as a supplement to the discussion you have with your provider. It is important that you fully understand this information, so please read this document thoroughly. If you have any questions regarding the procedure, please address your concerns with your provider at the time of your consultation.
This procedure involves the injection of a fat dissolving solution PCDC (Phosphatidycholine and deoxycholic acid) for the purpose of breaking down unwanted fat. This product comes from a compounding pharmacy that is regulated and licensed to develop.
Common areas of treatment are Abdomen, Thighs, Hips, Arms, Back and Double Chin. The treatment of subcutaneous fat outside the submental region (double chin) has not been established with the FDA and is considered off label for treatment. Multiple treatments may be needed to achieve the desired goal.
Mild side effects are the most common that include redness, swelling, stinging, bruising, and general soreness, which may persist for a few days post-procedure. Most trauma during the procedure is caused by needles and includes bleeding, bruising, hematoma, damage to underlying structures including veins, arteries, nerves, salivary glands, lymph nodes, bone, muscle and other soft tissue structures are possible. In rare cases this could cause continuous problems in appearance, sensation or function and may require medical intervention to treat or may be permanent.
Bacterial, viral or fungal infections can occur post any invasive procedure. Infections if not treated properly can progress into abscesses which can be slower to recover. These problems may resolve in time, but medical intervention may be required in some cases, and long-term effects may persist in rare cases.
Rare but potential side-effects include but are not limited to: Nerve injury: Injury to the marginal mandibular nerve (double chin region) may result in an uneven smile or facial muscle weakness (4% of cases). In clinical trials, these all resolved without treatment in an average of 6 weeks. Swallowing Difficulty: Injections may temporarily cause trouble swallowing (2% of cases)
Skin Effects: Although exceedingly rare, injections may cause superficial skin ulcers and/or alopecia (patches of hair loss) in the treatment area.
Contraindications: PCDC is contraindicated when there is an infection at the injection site or if you are pregnant or breastfeeding.
By my signature, I acknowledge that I have been informed about the above medications and give consent to its use in my treatment. I know that the practice of medicine is not an exact science; therefore, no guarantee can be made as to the results of my treatments. I understand that this treatment is strictly for cosmetic purposes and will not be covered by insurance. I understand that I am responsible for all costs payable at the time of service. By my signature, I certify that I have thoroughly read and understand the contents of this form and the disclosures listed above were made to me.