Hya Lite Manual

FAT DISSOLVE
TRAINING MANUAL
Course Modules
Introduction To Hya Lite 3
5
Salon Health & Safety
Anatomy & Physiology 12
Fat Dissolving 20
Deoxycholic Acid 20
Phosphatidylcholine 21
Treatment Areas 22
Side Effects 24
Contraindications 28
After Care 29
Client Consultation 30
Grid Mapping 34
Fat Dissolve Procedure 40
Dosage 43
Cost & Profitability 44
Products & Storage 48
Client Follow Up & Recommendations 50

© Copyright 2019 Hya lIps Ltd
Introduction To Hya Lite
Welcome to HyaLite, the revolutionary treatment of

no needle fat dissolve.
This innovative new treatment is a quick, non invasive, permanent

body contouring solution.
Commonly known as lipolysis or lipodissolve, fat dissolving is a safe and

effective procedure that can break down fatty deposits and stubborn cellulite
without the need for invasive surgery.
It’s easy to understand why fat reduction treatments are so popular. We

live in an age where everyone wants to look their best and with new
advances in cosmetic treatments, these non invasive options are
now becoming accessible to a wider audience.
What are the benefits of fat dissolving?
Safe and effective for targeting and reducing localised fatty tissue.
Effective for body contouring and skin tightening.
This treatment can reduce smaller, exercise-resistant pockets of fat

such as fat around the chin, hips and thighs.
A less invasive safer alternative to liposuction.
Inexpensive and more affordable than other fat reduction

treatments on the market.

Introduction To Hya Lite
Who is the treatment suitable for?
This treatment is suitable for people that have stubborn areas of fat
that are typically resistant to traditional diet and exercise. Fat dissolving is
especially beneficial for people within a normal BMI range, who
maintain a healthy
lifestyle.
This is not a weight loss treatment and should not be considered a

substitute for diet and regular exercise. This treatment is most effective
at targeting
smaller areas of fat such as the chin, inner thighs, arms and abdomen.
Chin/Neck
Inner/Outer Arms
Bra Bulge
Back Fat
Belly Fat
Love Handles
Inner/Outer Thighs
Upper Knee
Salon Health And Safety
Practising good hygiene in your salon environment should be second nature

for all practitioners and regular cleaning and maintenance must be adopted to
help keep the setting clinical and safe for clients.
The stricter the rules, the less risk there is for any complications to occur. In
the beauty/aesthetics industry we work in very close proximity to our clients,
meaning that the risk of infection and cross contamination is very high and we
should be mindful of every detail when inviting clients into the treatment
space.
Blood-borne pathogens
Blood-borne pathogens are microorganisms that are present in

unfixed human body fluid/blood and tissue. They can infect and
cause disease in people who are exposed the pathogen.
These microorganisms can be transmitted through contact with

contaminated blood, tissue and body fluids.
Blood-borne pathogens include, but are not limited to:
Human Immunodeficiency Virus (HIV)

Hepatitis B (HBV)
Hepatitis C (HCV)
Non A, Non B
Hepatitis Syphilis
Malaria
Babesiosis
Brucellosis
Bloodborne pathogens such as HBV and HIV can be transmitted

through contact with infected human blood and other potentially
infectious body fluids such as:
semen
vaginal secretions
cerebrospinal fluid
synovial fluid
pleural fluid
peritoneal fluid
amniotic fluid
saliva
In a workplace where exposure is

likely you should take care to stay protected at all times.
Protective precautions -
Using Personal Protective Equipment (PPE)
Using safe-needle devices as specified
Dispose of sharps and wastes appropriately
Meticulous Hand Hygiene

Protective precautions
Using Personal Protective Equipment (PPE)

Using safe-needle devices as specified
Dispose of sharps and wastes
appropriately Meticulous Hand Hygiene
STANDARD PRECAUTION
It is important to combine all of these measures with the the most basic
and effective approach: treating any and all blood and body fluids as
infectious.
IF YOU HAVE AN EXPOSURE

Immediately wash hands and other contaminated skin surfaces with soap and
water.
If the eyes are splashed, irrigate the eyes with large amounts of clean water
or sterile saline.
If the mouth or nose is involved, flush with plain water and/or

mouthwash if available.
Customers have a right to expect this level of professional hygiene in such

personal settings so there must be a high standard of hygiene and cleanliness
throughout. This includes the room, therapist, the surfaces and the
instruments.
Treatment room
The salon/treatment room should be
Clean (spot cleaned in between clients, thorough daily clean and weekly
deep clean)
Well maintained, accessible and organised
Well lit
Well ventilated with at least one
window Have adequate space and
seating
Toilet and hand washing facilities in close proximity
The Practitioner should have
Clean hands, hair and nails. Hands should be washed frequently and
immediately before and after a treatment even if disposable gloves are
worn. Nails should be clean and of a suitable length for work.
Hair should be clean and off the face, preferably tied back.
Uniform should be clean and breathable and wherever possible covered with a
disposable apron.
Footwear should be sensible and comfortable, so it’s advisable to wear clean,
comfortable, closed toe shoes.
It’s important that the therapist wears adequate PPE - this includes
disposable gloves, face masks, and if appropriate visors and foot
coverings.
All items should be changed regularly. For example, a new apron, face mask
and gloves should be worn before each new client.
Surfaces and instruments
Work stations and all instruments should be maintained and cleaned to a high
standard. Surgical spirit should be used for cleansing skin, instruments and
surfaces to remove grease, bacteria and organic matter. You should use a
concentration of at least 70% alcohol.
Materials are to be avoided in the treatment space, however the use of

headbands and towels is acceptable; all fabric items should be cleaned daily
and changed between clients.
The treatment chair or bed should be wrapped in plastic barrier film. The use
of couch roll is permitted but also must be changed between clients.
Any areas that could come into contact with blood or BBPs should be
barrier wrapped where appropriate.
Sterilisation and Disinfecting
To sterilise and disinfect items you are essentially removing any living
organisms from an object. Micro-organisms (bacteria, viruses and fungi) can be
destroyed by heat and chemical disinfectants.
All tools should and equipment should be cleaned to remove any grease or
dirt before the process.

Glass bead steriliser: Small glass beads are retained in a beaker and
heated to a temperature of 190C. Instruments and tools are placed in
these beads for 10-15 minutes. The downside of this equipment is that
most glass bead sterilisers can’t hold large items, so you may need to
turn the tool around to sterilise the opposite side.
Autoclave: This is the most effective method for the sterilisation of

tools within a salon setting. WARNING: this is a very hot steriliser. Check
your tools can withstand the heat prior to use. If in doubt, contact your
tutor about the best method for cleaning your specific tools.
Disinfection: Barbicide and surgical spirit are powerful disinfectants.

These products cause the destruction of micro-organisms, but not usually
bacterial spores, reducing the number of microorganisms to a level
which is not harmful to health.
When working within the beauty industry, it is important to maintain a

high level of hygiene. This is even more important when performing
invasive procedures. Having a good cleaning routine not only protects
yourself, but also prevents cross contamination between clients.
It is best practice to clean your room between clients with at

least one thorough deep clean once a week.
Cleaning physically removes contamination which includes microorganisms.

Be aware that regular cleaning will not kill all microorganisms, so it
is important to disinfect and cover areas to keep them well
maintained.
You can clean all work surfaces using a detergent and warm water. A
disinfectant should be used daily for all surfaces and your tools should be
appropriately sterilised regularly and in between clients.
Salon Waste
It’s important to properly dispose of salon waste and understand the

most appropriate waste disposal system for your setting and
requirements.
General Domestic Waste
Standard waste is a way of referring to items that are not suitable

for recycling. Domestic waste in a beauty salon traditionally consists of
floor sweepings from hair, nails and general dirt, food waste and
cleaning cloths. They would all need to be placed in a black bag.
Sharps Waste
There are three different types of sharps waste, all of which are defined
by how they have been used and differentiated by a lid colouring
system:
The orange lid:
This bin is for sharps that have NO medicinal or chemical contamination,

which would include blades, acupuncture needles, and tattoo needles.
The yellow lid:
This bin is for sharps that have been contaminated with medical or
chemical residues, no matter how small an amount, such as local
anaesthetic needles, micro-pigmentation pens, etc.
The purple lid:
This bin is for hazardous sharps that have been contaminated with
cytotoxic or cytostatic medicinal products. It would be used after beauty
treatments such as botox, hormones, and steroids.
Anatomy & Physiology
The Skin
The Epidermis
The epidermis is the thin outer layer of the skin. It consists of 3 types of
cells:
Squamous cells: The outermost layer is continuously shed and is called the
stratum corneum.
Basal cells: Basal cells are found just under the squamous cells, at the
base of the epidermis.
Melanocytes: Melanocytes are also found at the base of the epidermis
and make melanin. This gives the skin its colour.
The Dermis
The dermis is the middle layer of the skin. The dermis contains the following:
Blood vessels
Lymph vessels
Hair follicles
Sweat glands
Collagen
bundles
Fibroblasts
Nerves
Sebaceous
glands
The dermis is held together by a protein called collagen. This layer

gives skin flexibility and strength. The dermis also contains pain and
touch receptors,
Subcuanteous
The subcutaneous fat layer is the deepest layer of skin. It consists

of a network of collagen and fat cells. It helps conserve the body's
heat and protects the body from injury by acting as a shock
absorber.

Subcutaneous Fat
Subcutaneous fat is the most widely distributed layer of subcutaneous

tissue and is made up of adipocytes. The adipocytes group together to form
lobules, which are separated by connective tissue.
The number of adipocytes in the subcutaneous tissue varies with the area of
the body, whereas the size of the individual cells depends on the nutrition
of the person. Fat is present in all areas of the body, except the eyelids,
clitoris, scrotum, penis and much of the pinna.
About 90 percent of body fat is of the subcutaneous type for most people.
This type of fat lies within a layer just beneath the epidermis (outer
layer of cells that make up the skin). If you prod your stomach, the fat
which feels tender is subcutaneous fat.
Subcutaneous fat is soft, and there are many options for treating this type of
fat. Lifestyle modification, nutrition, Liposuction or targeted fat removal
treatments are all effective options for the removal of excess subcutaneous
fat.
However, for dangerous visceral fat, the only option to getting rid of
it is good lifestyle modification, good eating habits and regular physical
activity.
The subcutaneous tissue, while mostly unwanted, is essential because of its role in
padding the body. This enables it to protect the bones, muscles, and organs
under the skin from physical damage. It does this by storing excess fat
around the body in the subcutaneous layer, to cushion the body and
protect it from injury.
Additionally, the subcutaneous tissue helps to regulate the temperature of

the body. It is able to do this as it provides insulation to the body to
prevent overheating or cooling from the environmental heat, which is a
process known as thermoregulation.
Anatomy of Fat
Scientists have discovered that fat is much more than a storage device and is
now considered more of a recognised organ of the human body. This
subcutaneous tissue is essential for metabolic functions and endocrine.
The vast fluctuations in adipose tissues are seen in those with obesity
and anorexia, with both these diseases showing an increase or decrease in
adipose tissue mass. Suffering with either of these diseases can severely
effect the immune and reproductive system, with obesity accompanying a
high death rate due to issues with the cardiovascular system and
diabetes.
Adipocyte Cells
There are two types of these cells: brown and white. They both harbour a different
function dealing with vascular and nerve supplies.
There are two separated fatty tissues that are divided by a superficial fascia:
Areolar Layer
This external layer is thick and includes globulars of fat, which are generally
larger in women and children.
Lamellar Layer
This layer is smaller in size but has an array of large blood vessels.
Adipose tissues differs between men and women with men displaying fat
more in their upper mid-section (Android/male-type obesity) and women that
carry fat on the lower half of their body (gluteofemoral region/gynoid/male
type obesity).
Carrying an excess of fat can be linked with higher grades of cellulite.
Cellulite
Affecting mostly women rather than men, cellulite targets human adipose
tissue that’s leaves areas surrounding the thighs and buttocks visibly
tarnished by skin dimpling and a nodular appearance. Not to be confused with
obesity, cellulite can be seen in women with any body mass index (BMI).
Many factors can result in having cellulite, such as:
Gender – women are more likely to be affected by cellulite than men.

Ethnicity – cellulite is less likely to affect European women as it is to affect Asian
women.
Diet – a high carbohydrate diet can lead to an increase in total body fat
and enhance the appearance of cellulite.
Sedentary lifestyle – lack of locomotion, standing and sitting for long periods
of time can inhibit blood flow leading to a lack of micro-circulation in the
areas prone to cellulite.
Pregnancy – water retention, low mobility, skin stretching and hormones promote
cellulite lipogenesis
Cellulite can be separated into three main grades based on its severity of fatty
protrusions:
GRADE 1 - skin smoother is smoother in appearance and has no obvious signs

of abrasions, dimpling and nodules when lying down or standing up. Cellulite
can be seen by pinching the skin showing a mattress type configuration.
GRADE 2 - a nodular appearance is present when standing but will diminish

when the client is lying down.
GRADE 3 - visible signs of dimpling when both standing up and lying down.
A treatment plan should be made to determine what actions to take when treating
cellulite, a detailed client consultation should take place to determine:
History of bleeding disorders.

Vascular or lymphatic insufficiency.
Prior treatments for cellulite such as skin tightening, lipolysis or
liposuction. Medication and medical history should be taken and noted on
the consultation form.
Physical examination should be done to note cellulite grading as well as
any scars and different skin textures.
After a treatment of fat dissolve destroys the cells, the cells cannot
regenerate or be used for fat storage again. But with consistent unhealthy
attitudes to diet and
exercise, the cells can still multiply. Standard layers of fat for a person with a
normal weight is three layers but when a person gains weight fat cells will swell
and when they can’t expand anymore, the body goes into a state of mitosis (cell
division) and the layers of fat can double to six. Cells, however, can reduce in
size with a correct diet but the number of layers will still remain. As the person
continues to overeat, the cycle of swell > multiply > swell > multiply
continues.
Aptosis & Necrosis: How a fat cell dies.
Apoptosis - Apoptosis is nicknamed ‘Cell Suicide’ and is a much gentler

degeneration than its destructive counterpart (Necrosis). It's a clinical
method that controls programmed cell death. A protein known as Caspases
are very important in fat loss treatments as this protein, that is initiated by
cell death, spurs into action and aids the development of enzymes called
DNases. DNases are needed for survival as they disrupt cellular modules,
meaning their is a disruption of DNA in the nucleus of the cell. These
caspases spur on the production of enzymes known as DNases, which
break down the cellular components needed for survival (which in the case
of the fat cell is through the destruction of the DNA in the nucleus of the
cell). This is where we enlist the help of Macrophages that dispose of
broken cells by transporting them to the lymphatic system where they
will then be removed from the body.
Necrosis - much harsher than Apoptosis, necrosis is a non-programmed

cell death that occurs from disturbed cells and tissues from an external
influence such as infections, injury, cancers, heart attacks and strokes. Necrosis
then begins a domino affect of problems as the cells that were disturbed
prior begin to release toxic enzymes. These enzymes trigger inflammation
and destruction to adjacent cells.
We have three different types of blood vessels in the human body: Arteries,
Veins and Capillaries. From your head to your toes you will encounter
each of these complex systems that repeat in branches throughout the
body. You will find vessels larger in size closer to the heart, with the
aorta (artery) and venue
cavae (veins) measuring 1 inch wide.
ARTERIES
Connected to the heart are the arteries. These are a prominent feature in
transporting blood away from heart. This red oxygenated vessel branches out into
minute vessels that lead into capillaries.
VEINS
Thinner than their vessel counterpart, the arteries, veins play a crucial role
within our body and are a key afferent vessel in transporting blood to the
heart. Their one way system defies gravity and they are able to stop the
back flow of blood, as minute muscular action aids in blood being pumped.
Pulmonary veins are the only veins in the body that don’t contain
deoxygenated blood. Veins can be observed all around the body with some
areas looking thinner than others; they can be easily noticed by their bluish
colour.
CAPILLARIES
Linking to arteries and veins, capillaries are smaller in size and are the only
vessel to exchange gasses such as O2 and CO2. They only permit the
transport of a one blood cell at a time, including molecules within
surrounding cell walls and
blood.
Capillary beds are dozens of tiny capillaries that splay from the ends of
arterioles. They work as part of an independent network that forms into a
venule when gas and nutrients have been exchanged. We also see a mixture
of two types of blood in the capillary bed: arterial (arteries) and venous
blood (veins).
Types of External Bleeding
Arterial blood
Due to the high amount of CO2 , this blood type is bright red in colour.
Blood pressure is higher in the arteries and due to this, blood exudes quick
from the body, almost projectile with each heart beat. Because of this it
is found that arterial bleeding is the hardest to control and must be dealt
with by a medical practitioner. Accidents can occur if an artery is
punctured and immediate action must be taken to stop the bleeding by
applying pressure to the site.
Venous blood
This blood type lacks in O2 leaving the blood dark red in colour. In contrast
to arterial's quick blood spurts, venous blood has a steady flow that is easy
to stop if bleeding out occurs.
Fat Dissolving
Fat dissolve or Lipolysis as it’s commonly known is a breakthrough treatment

that helps create a slimmer, more contoured body shape by targeting stubborn
fat cells.
This treatment provides lasting results and if the correct aftercare advice is
followed results can last from 2-4 years. Fat dissolve is best used on stubborn
areas that are not easily targeted with exercise such as under the chin, belly fat
and the under arm area.
Fat dissolving treatments should only be used to treat smaller pockets of fat
and should not be thought of as a solution for significant weight loss or large
surface area body contouring.
The treatment can be carried out with both a needle and the hyaluron pen. Be
aware that some solutions are better suited to the injectable application (ask
your tutor for recommendations if you are unsure).
Lipolysis describes the breakdown of lipids into their fatty acid and glycerol building
blocks. The process results in the reduction of the fat cells volume.
The results from the procedure are improved if a healthy diet and regular exercise is
maintained alongside the treatment.
Deoxychilic acid
Deoxychilic acid is a ‘secondary bile acid’ which breaks down cells so that their
contents can pass through the body’s digestive system. It does this easily by
compromising the integrity of the cell membranes, allowing the interior of those
cells to be broken down. This process is known as lysis.
This creates a lysate (a fluid containing the contents of the broken-down cells)
which can be processed through the body and excreted as waste via the
lymphatic and renal systems.
This scientific process has proven to be effective at reducing fatty

tissue on the hips, abdomen, love handles, underarms and jowls in both women
and men.
The results from the fat dissolve procedure are improved if a healthy diet and regular
exercise is maintained alongside the treatment.
Fat Dissolving
Phosphatidylcholine
Phosphatidylcholine is the original fat dissolve product. PPC is naturally

found in the human body where it is involved in different body functions, such
as being a component of the cellular membrane or metabolising cholesterol.
It has been proven to cause the lysis of fat cell membranes.
Phosphatidylcholine is extracted from soybeans where it is most commonly
found.
The phosphatidylcholine molecule is composed of choline, phosphoric acid

and fatty acids and occurs naturally in the body, especially within nerve
tissue, the liver and semen. Phosphatidylcholine is obtained through
consuming soybeans, egg yolks, meat and some vegetables. The Injection of
Phosphatidylcholine is thought to augment Phosphatidylcholine in
lipoproteins, thereby enhancing their ability to mobilise fat, cholesterol
andtriglycerides and induce lipolysis.
All clinical studies of the product observed clear improvement in all tested
patients, with a significant decline in fat deposits and no recurrence or weight
gain over a 2- year follow up.
They discovered that Phosphatidylcholine was effective in diminishing the treated

fatty areas with minimal side effects and concluded that treatment with PPC
was safe, effective and inexpensive.
Treatment Areas
What areas of the body can be treated with fat dissolve?
Jowls and Chin

Under arms (love
handles) Bra Fat
Back fat
Love handles/Flanks
Stomach
Thighs
Almost any area on the body where fat is present can be treated with fat
dissolve, with the exception of the lower legs and certain areas of the
face.
If a client feels they have troublesome pockets of fat that you are able to
pinch between your finger and thumb, the treatment could be beneficial.
Before the treatment begins the area of concern should be carefully marked
out with a surgical marker, pencil or stencil - we call this mapping.
Generally to help guide our injections we draw a standard square grid over
the chosen area.
Areas such as the stomach and thighs will require a slightly wider grid map
than some smaller areas. As a general rule, small areas such as the double
chin/jowls, bra fat and underarms (bingo wings) will only need a 1 cm x 1 cm
grid treatment map.
Larger areas like the stomach, love handles and thighs will need a 2 cm x 2 cm
treatment grid.
Aside from marking the area, different treatment areas may also require more
sessions than others spaced apart by different durations.
Its important to follow the recommended guidelines on the treatment courses

per area and the intervals between each session.
Treatment Areas
Treatment Area Number Of Sessions Session Intervals
Chin/Neck 2-4 4 Weeks

sessions
Inner/Outer 2-4 4 Weeks

Arms Sessions
Bra Bulge 2 - 4 sessions 4 Weeks
4 Weeks
Back Fat 2-4
Sessions
Upper Knee 2 - 6 Sessions 4 Weeks
Love
2-6 6 weeks
Handles
Sessions
Inner/Outer Thighs 2 - 6 Sessions 4 - 6 weeks
Belly Fat 2 - 6 Sessions 4 - 6 Weeks

Side Effects
Fat dissolve treatments are not without their side effects. These may include:
Erythema
Numbness
Tenderness
Oedema/Swelling
Burning/stinging
Bruising
Some clients may experience bruising, this and any other general
effects will usually resolve within a few days.
Potential common side effects

Tenderness
Burning or
Itching
Pain/Swelling
Bruising
Potential side effects (less common)

Flushing
Nausea
Dizziness
Drop In blood pressure
Allergy
Rash
Potential Local Effects

Hematoma
Necrosis
Abscess
Hyper-pigmentation
Infections
It’s important to remember that most side effects are temporary and will usually
disappear in a matter of days.
Side Effects
Allergies:
No clear cases of allergies have ever been recorded with fat dissolve
treatments. The possible reactions described are mainly rashes which
usually disappear on their own within 48-72 hours.
The ingredients in the fat dissolve solution are naturally occurring in the body
already so this means allergic reactions to the product are extremely
unlikely.
If there’s a suspected allergic reaction you should immediately stop the

treatment. Take note of the product used and batch number and check in
with your client during the week following treatment.
Signs of possible allergic reaction are -
Rash
Hives
Swelling of the face, eyes, or
tongue Weakness
Nausea
The most serious reaction that could occur is Anaphylactic shock. This
requires immediate medical attention. Despite the issue being rare,
Anaphylaxis is a severe medical emergency that should be handled quickly and
effectively with the use of a adrenaline auto-injector or Epi-pen. Although it’s
not essential to carry an epi-pen, it is considered good practice to have one
in case of an emergency.
Signs of anaphylaxis
Swelling of throat and mouth

Difficulty in swallowing or speaking
Alterations in heart rate
Severe asthma
Feeling lightheaded and faint
Confusion and anxiety
Collapsing or losing consciousness
Side Effects
In the event of a client showing signs and symptoms of anaphylaxis, these

steps should be followed:
1. If you don't possess an epi-pen or do NOT know the correct way to

use an epi-pen (adrenaline auto-injector), then go directly to step 2. If you
do, the epi- pen must be used immediately.
2. Dial 999 for an ambulance. Make sure to mention that the person
has anaphylaxis as the emergency responder will go through the correct
use of an epi-pen. If the person’s symptoms pass and they begin to
feel better, a paramedic should be still be called
4. If the person is conscious, proceed to lie the individual down flat.

Exempt if: the person has breathing difficulties, they’re pregnant or
they’re unconscious.
5. An epi-pen can only be used once, if a second shot is needed then a

second auto-injector should be used 5 - 15 mins after symptoms show,
this should be done if symptoms do not improve.
Infections:
Infections are always possible once the skin barrier has been broken. They
can easily be avoided by observing a few simple rules:
You should use only high quality sterile products
You should use sterile, disposable equipment
You should carefully disinfect the areas to be treated
You should always advise clients on the best aftercare specific to the
treatment they have received
Post treatment, the client should be aware of the basic care that should be
taken to avoid infection such as not touching the area with dirty hands and
keeping the area clean and free from bacteria when healing.
Side Effects
Hematoma:
A solid swelling of clotted blood within the tissues, essentially a bad bruise.
Hematoma is the most common side effect despite all the precautions taken.
It can however easily be masked by suitable make-up and disappears within

a few days after treatment. Particular care in avoiding vessels and capillaries
during the procedure will prevent in reducing the instance of hematoma.
In the event of a burst blood vessel during a treatment the area may bleed
initially . You should apply firm pressure to the area and massage lightly. Firm
pressure can be maintained for up to 20 seconds.
Clients should be advised to ice regularly for 1-2 days and apply a topical arnica
gel/cream. This will help reduce the swelling and bruising.

Contraindications
Any open skin wounds including broken skin, scabs, wounds, bleeding skin and
blisters should be avoided.
Rashes, psoriasis, eczema, pustular or nodular rosacea and fungal infections

should all be avoided.
Contagious skin conditions should be avoided.
Raised moles, warts or moles that have changed shape or colour and
unidentified skin growths should be avoided.
Bruised skin can be painful to treat and should be avoided.
Keloid scars are a strict contraindication.
Anti-coagulant medications as these prevent the blood from clotting.
Any medications that cause photosensitivity as this can lead to Post

Inflammatory Pigmentation (PIP)
Areas where topical medication is being applied as the product can be

forced trans-dermally and may cause unwanted side effects.
Cosmetic treatments such as micro-dermabrasion, IPL, chemical peels or

cosmetic surgery until all signs of inflammation has gone.
Pregnancy is a contraindication. It is advisable to leave fat dissolve

treatments until 6 months from the birth or 6 months post breast
feeding to allow the clients hormones to regulate.
Haemophiliacs are a strict contraindication.
Diabetes.
Recent use of Ibuprofen, Nurofen or similar.
Liver or kidney disease.

Aftercare
Clients may experience itching, stinging, redness or warmth in the area post
treatment. This can last between a few hours and a couple of days and can
be managed with ice and OTC pain medications (NOT ibuprofen or any other
blood thinning products).
Swelling, bruising and tenderness are normal side effects that can last for up
to 2 weeks following treatment. Much like dermal filler aftercare advice, topical
arnica gel/cream can be applied and given to clients to reduce inflammation
and soothe the area.
Aside from just using medications clients can also take extra steps to
improve symptoms and speed up the healing process. Adequate sleep, rest
and hydration all play a important role.
One major recommendation is that fat dissolve clients drink plenty of water to
help the body remove the excess waste through drainage. The main advice is
that both men and women should drink at least 2 litres per day for 12
weeks.
Clients should be advised to avoid strenuous exercise and decrease physical

activity in the weeks following the procedure.
They should also be warned about the risk of sun exposure and the use of
sunbeds any UV exposure should be avoided for at least 2 weeks post
treatment to reduce the chance of hyper-pigmentation.
A healthy lifestyle should be maintained throughout the course of treatments

for the best results. Clients should be made aware that this aftercare
provision is crucial and adverse dietary changes will not aid the treatment
process.
Client Consultation
A thorough client consultation is essential for safe and professional

practice. This is one of the most important treatment protocols for
gathering information and informing the client of all the key points of
the treatment.
Fat dissolving is most effective when offered as a course of treatments

so it’s important to remember that you will be in regular contact with
your clients during their entire treatment plan. Due to this, you will need
to assess and log all the achieved results and amend the treatment
plan/course recommendations when needed.
Consultation checklist:
You should:
Establish if there any contraindications to consider? When meeting with the

client you should go through all the associated treatment forms and
discuss any potential contraindications
Get to know their lifestyle spend some time talking with your client
about their treatment history and usual diet and routine.
Outline the requirements for the treatment and discuss the key
factors for suitability.
Talk about the clients desired treatment areas: are the client’s expectations
realistic? Conduct a physical exam of the proposed area(s) to look for any
contraindications and assess suitability for treatment.
Discuss treatment costs and course options and brief the client on
any changes the client may need to make to their usual routine.
Client Consultation
It is important to collate the following information in order to build

up a complete picture concerning the client’s requirements and
way of life.
You will need to collect all the clients personal details. This should include
their name, date of birth, address, contact number and email.
If possible you should also record the clients GPs name and
telephone number this is just in case the client is taken ill whilst at the
salon. While this isn’t compulsory, it is good practice.
Allergy check and patch test
You should always check if the client has any medical, food or
cosmetic allergies. Clients with history of allergic reaction are more
prone to hypersensitivity and cases of anaphylaxis. For these clients a
patch test is preferable.
Please note conducting a patch test on every client is safe practice and is
advisable for this treatment.
Patch testing
A patch test is essentially just a reaction check to see how your client
will respond to the treatment. The client is only given a very small dose
of the solution and are then advised to wait a certain amount of time to
see if any adverse effects occur. In this case the client should wait
24 hours.
This is a completely optional test - some therapists may choose to patch

test all potential clients while others may only perform a patch test for
higher risk clients only (those with hypersensitivity or allergies).
Client Consultation
How to perform a patch test
Cleanse the treatment area with an alcohol wipe.
Mark 3 squares or dots on the area spaced 1-2 cm apart.
You should administer only a small amount of product in the desired

treatment area. The dosage of 0.02 is advised (roughly 3 shots spaced 1
cm - 2 cm apart)
Once complete you should cleanse and ice the area, check for any unusual
immediate reactions and provide the client with aftercare forms and contact
information.
The client should then be instructed to go home and allow 24 hours to

see if any adverse reactions develop. You can arrange for the client to
return for an assessment and treatment a few days later if the results
indicate no concerning reactions.
Most results of patch testing are completely normal and show very
average reaction reposes and standard side effects which are to be
expected with the treatment. Please refer to the side effects section of
the manual if in doubt about what reactions present as normal or
severe.
Client Consultation
Here are some examples of severe responses to look out for - if any of
these symptoms present within the 24 hour test window, it is not
advisable to offer the treatment and the client should be informed of
the result and how it is considered higher risk for the procedure.
Skin reactions, including hives and rash and flushed or pale skin.
Welts, bleeding or blistered skin.
Low blood pressure.
Constriction of your airways and a swollen tongue or throat, which

can cause wheezing and trouble breathing.
A weak and rapid pulse.
Nausea, vomiting or diarrhoea.
Dizziness or fainting.

Grid Mapping
0.03ml
0.03ml

Grid Mapping
0.03ml
0.03ml

Grid Mapping
0.03ml
0.03ml

Grid Mapping
0.03ml
0.03ml

Grid Mapping
Keep 2 cm
distance from
jawline
0.02 m
l
The skin in this area is much thinner than the other treatment
locations so to minimise bruisng and discomfort we use a lower
dosage of 0.02ml per shot.
When working on the chin/neck area you should always palpate the
area before making your grid - The main areas to identify are the
jawline and the hyoid bone.
You should map your treatment area so it is 2cm below the jawline and
2cm above the hyoid bone. Keeping within this safe zone will prevent
damage to surrounding nerves and blood vessels.
Grid Mapping
1
6
7 2
8 3
4
9
5
1. No treatment Zone
2. Sumbmental crease
3. No treatment zone
4. Marking showing 2cm below the jawline
5. Thyroid notch
6. Jawline
7. Marginal mandibular nerve
8. Treatment zone
9. Hyoid bone

Fat Dissolve Procedure
You should always complete a full consultation with your client and explain
the procedure, the product, expected outcomes and the course of treatments
required.
Your client should be fully briefed on the cost, possible side

effects and relevant aftercare information.
Before the procedure you should document the treatment area. To measure
the progress it’s always wise to take a starting before picture. It’s advisable
to take photos from the front and the side and measurements should be taken
of every treatment area.
The background should be plain and the area well lit. Ensure the clients
treatment area is always photographed from the same location with the
same lighting wherever possible.
A topical numbing cream can be applied prior to the treatment, however this
is optional.
The area should be cleansed with an alcohol wipe, removing all

anaesthetic residue. This will sanitise the area and prepare for
treatment.
Draw your grid(s) on the client for the chosen treatment area. They should be
1- 2 cm square grids (1 cm x 1 cm for smaller areas like the chin and upper
arms and 2 cm x 2 cm for larger areas such as the abdomen and thighs.
There is no right or wrong way to draw your grids because every client is
different so therefore each treatment area may require a larger grid surface.
© Copyright
1-2 cm2020 Hya lIps rule
is a general Ltd to follow for the spacing but the rest is up to you
and your client.
Some practitioners may choose to use a ruler or stencil others may draw by
eye - it doesn’t have to be perfectly neat. The grid is your guideline so you
Check the area for any contraindications, signs of infection, inflammation or

raised moles. Once the area is mapped and prepped you can proceed
with the treatment.
Filling your ampoule
Take your adaptor and place the sterile ampoule head into the
slot. Screw in tightly.
Using a new sterile fat dissolve vial pierce the seal with the sharp
needle side of the adaptor.
Tilt the vial to an angle or flip upside down carefully and begin to draw the
solution into the ampoule. (Hold firmly to ensure the seal is tight)
You should load the ampoule into your fully extended hyaluron pen,
pressurise the pen and turn down twice (two small lines).
MAKE A TEST SHOT ON SOME TISSUE OR COUCH ROLL.
When your pen is primed and loaded, you will start by pressurising the
pen and selecting your chosen dosage (for small areas this will be
0.02-0.03 and for large areas it will be 0.03 - 0.04).
Following your grid, you should pull the skin taught and shoot into the
centre of each square. You can blot the area lightly in case of any
bleeding but do not massage.
Each injection shot should have firm but comfortable
pressure. Continue until you have placed a shot into
each square.
Immediately after treatment, you should wipe over with an alcohol
wipe. Arnica gel can be applied to minimise swelling.

Clients will typically need 2-6 treatments 4 weeks apart. Don’t forget
to take starting pictures and measurements at the follow up
appointments.
Procedure checklist:
You should always map out your area using the 1-2 cm grid technique
Inject 0.02 ml per square for the chin, neck and face and 0.03 - 0.04
for all other areas
Pull the skin taught and apply firm comfortable pressure with each
shot
Clients will typically need 2 – 6 treatments, at least 4 weeks apart
Never use more than 10 ml in any one treatment sitting
Maximum of 2 areas per treatment (any more would over load

the lymphatic drainage system).
Dosage
The dosage recommended for fat dissolve injections is between 0.02 ml and
0.04ml, depending on the area of the body you are treating.
We use 0.02 ml per shot on the chin, face and neck and 0.03-0.04 ml per
shot on all other areas of the body.
Advisory
Some pockets of fat may be thicker/firmer that the surrounding areas

therefore they may be more resistant to a dosage of 0.03 ml.
In these cases, you can increase the dosage to 0.04 ml for improved
administration. (A dosage increase can often be useful for larger
pockets of fat, high grade cellulite or dryer skin types.)
Turning the dosage up to 0.04 ml also be helpful if you are experiencing

product loss.
Please note - This increase applies to areas of the body ONLY, The
dosage should never exceed 0.02ml for the chin and delicate facial
areas.

Cost & Profitability
How to price your treatment
The price you should charge for this treatment can vary
depending on a range of factors, such as your location, personal
finances or competition.
Please see the examples of a the different pricing principles you

can choose from.
Most practitioners charge per session for each treatment, but also
advertise discounted prices for clients who book a course.
The recommended amount of sessions would still be discussed

with the client during the consultation but the client would be
asked to pay on a per session basis.
This option is preferable because the client is in control and can

discontinue at any point. The up-sell addition is also profitable
and popular with many clients opting to take the cheaper course
of treatments.
Example

It is also common to see offers for more than one treatment area -
Example
Another option is to charge for the course of treatments

required. This is usually at the higher pricing end and can be
anything from £250-£600 for a course of treatments on a small
area or £500-£1500 for a larger area.
Example

This cost is usually agreed upon at the initial consultation where the
practitioner recommends the amount of treatments the client would
need.
This is more of a bespoke type of pricing that would work

well for an established clinic or for practitioners based in a
more affluent area.
The course pricing can work well as long as the client

understands that the payment should be non refundable if they
decide to discontinue treatment for no good reason.
Keep in mind that because the product cost is so inexpensive,

therapists can afford to offer low cost deals for this treatment
so always keep an eye on your competitors prices.
On the whole no needle fat dissolve treatments are very

profitable and in high demand - Take some time to research the
going rates locally then you can look at what offers and pricing
options will work best for you.

Products & Storage
There are many fat dissolving solutions on the market today

but the main leaders can be split into two categories.
Deoxycholic acid based products such as kybella and

aqualyx or ppc products Lipo lab and Lipo Lax.
PPC is the abbreviation for phosphatidylcholine. The

substance is an extract (lecithin) derived from soybeans. PPC
is an important component of bile and facilitates the digestion
of fat from food. This substance has been used in medicine for
decades against fat deposits in blood vessels with great
success and few reported severe side effects.
PPC products still include the active ingredient DC but in a smaller

dose.
Considering the safety, ease of use and comfort of the

solution our preferred product is PPC, or more
specifically Lipo lab.
The application of Lipo Lab does not include pain or

discomfort. This gives the Lipo Lab product an advantage over
other products which are usually combined with local
anaesthetics.
Furthermore, Lipo Lab is both approved and formulated for

use with the hyaluron pen.
Products & Storage
With a raw material purity of 99.8% and deoxycholate purity

levels set at 98%, Lipo Lab is one of the safest and most
effective fat dissolving products in existence today. It offers
fast subcutaneous fat removal. It fights obesity in two main
ways – by speeding up metabolism and melting the fat tissues
in a natural and health-friendly manner. This fantastic PPC
(Phosphatidyl Choline) lipo solution can also increase the
elasticity of the skin and remove cellulite.
German-made high-purity raw materials

Japanese-made deoxycholate with purity of
99% and more Gamma-irradiated
Complies with international quality & health standards
Helps to solve the obesity of clients (combined with diet and
exercise)
Contains
Phosphatidylcholine
Sodium Deoxycholate
Five peptide components
including hexapeptide
Storage
Sealed: in a cool, dark, dry

place Open: up to 2 weeks
sealed in fridge
Client Follow Up & Recommendations
Overeating and unhealthy eating habits can negatively impact the

results so to avoid this we must emphasise the importance of lifestyle
to the client. An example of this would be to say “There is no magic
remedy for fat loss - we can target the problem area and allow it to
work, but your body must do the rest. All the systems need to be
working with each other to get the best results”.
It’s a good idea to have some form of email marketing, especially if

you are choosing to offer course treatments and your clients are
booked in to follow up.
These emails and texts can be gentle reminders about their water
intake or facts about the aftercare helping them to stay on track. You
can also include exclusive offers for additional treatment packages in
your messages. Discount codes and loyalty offers work best with
existing customers.

Recommendations and tips
Offering your new treatment is the easy part but dealing with the
unknown and gaining knowledge on the go can be frustrating. A few
months into working with a new procedure we almost always look back
and think “Wow, I wish I'd have known that when I first started out”.
Practice does make perfect but it’s always good to have an idea of what
you can expect to feel prepared for most situations.
Below, I have complied together some useful advice and handy tips that
will help you get the most out of your new treatment:
Weight is a sensitive topic for most and it goes without saying that
we should be respectful and delicate when talking to clients about
areas of their body their personal statistics and measurements.
You should avoid making judgements or assumptions, avoid giving

medical advice and although it seems counter intuitive, avoid
recommending areas that the client hasn’t already mentioned to you.
Pointing out areas that could be treated can lead to low self-esteem or be
taken offensively - it’s far better to have your client explain their own
problem areas to you.
Sending across the before and immediately after photo post

treatment is great motivator as seeing a starting point is always
good inspiration to stick to the aftercare.
Some clients see significant results instantly or after 1 or 2 sessions.

It’s important to remind each client this is a varying factor and what
has worked for someone else may not be the same for them.

Treatment for fat pockets underneath the neck and chin, for example,
may only require 1 to 3 sessions, while treatment for fat pockets on the
hips and thighs may require up to 6.
Don't treat more than 2 areas in one session. More than two treatment areas
could overload the lymphatic system.
During the period of swelling, the treated area can look much fuller than
it did before treatment. This improves as the fat cells are disrupted and
the inflammation calms down but be prepared for lots of people asking
if the swelling is normal. The answer is yes, very normal.
This treatment can require downtime due to the swelling and

potential bruising so your clients should plan their appointments so they
don’t coincide with any holidays or social events. For most people, one
week between the appointment and event is sufficient, although swelling
can remain for up to two weeks.
Your client will feel a slight sting after each penetration and be left
with a small mark on the skin - this looks similar to a fresh bee
sting.
The time taken for a treatment session will depend upon the size of the
area being treated. Approx time is between 30 and 90 minutes.
Select patients with relatively localised areas of soft fat. Firm and fibrous
fat tends not to respond as well.
Avoid patients with undue expectations, such as obese or overweight

patients who feel this may lead to weight loss and equally really thin
patients who imagine they have extra fat. Use your discretion and act
respectfully if you don’t feel the treatment would be beneficial for a
client.
My advice is that this treatment should be non refundable.
During the procedure, it’s a good idea to ask your client to inhale when
you have the pen in position hold for three seconds and breathe out. You
should then make your shot as they exhale. This helps to relax the client
and gives extra comfort.
A course of treatments is almost always required - if there is no visible

effect six weeks after the first treatment, it is beneficial to have a frank
discussion with the client and better to avoid further treatment if the
patient is sceptical.
Most of us already do this, but offering the client a drink on arrival is

great and a good way to keep them relaxed and stabilise their blood
sugar. It’s a good idea to have a mini fridge with a selection of drinks as
this can make a huge difference to a nervous client.
Arnica gel or cream post treatment can help to sooth and reduce
swelling it’s always good to send clients away with their own so that
they can apply when needed.
When marketing your treatment online, be careful with the wording you
use to describe the treatment. This is not a weight loss treatment avoid
making any false or misleading claims.
If your client wants to check their progress before their next session
then measuring the treatment area is the best option, progress
pictures and weight loss are good indicators of fat reduction but they
are not as reliable as accurate measurements.

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FAT DISSOLVE

Introduction To Hya Lite 3

Fat Dissolve Procedure 40

Cost & Profitability 44

Products & Storage 48

Client Follow Up & Recommendations 50

Welcome to HyaLite, the revolutionary treatment of

This innovative new treatment is a quick, non invasive, permanent

Commonly known as lipolysis or lipodissolve, fat dissolving is a safe and

It’s easy to understand why fat reduction treatments are so popular. We

What are the benefits of fat dissolving?

Effective for body contouring and skin tightening.

This treatment can reduce smaller, exercise-resistant pockets of fat

A less invasive safer alternative to liposuction.

Inexpensive and more affordable than other fat reduction

© Copyright 2020 Hya lIps Ltd

Who is the treatment suitable for?

This is not a weight loss treatment and should not be considered a

Practising good hygiene in your salon environment should be second nature

Blood-borne pathogens are microorganisms that are present in

These microorganisms can be transmitted through contact with

Blood-borne pathogens include, but are not limited to:

Human Immunodeficiency Virus (HIV)

Bloodborne pathogens such as HBV and HIV can be transmitted

In a workplace where exposure is

Using Personal Protective Equipment (PPE)

Using safe-needle devices as specified

Dispose of sharps and wastes appropriately

Meticulous Hand Hygiene

© Copyright 2020 Hya lIps Ltd

Using Personal Protective Equipment (PPE)

IF YOU HAVE AN EXPOSURE

If the mouth or nose is involved, flush with plain water and/or

Customers have a right to expect this level of professional hygiene in such

The salon/treatment room should be

The Practitioner should have

Surfaces and instruments

Materials are to be avoided in the treatment space, however the use of

Sterilisation and Disinfecting

© Copyright 2020 Hya lIps Ltd

Autoclave: This is the most effective method for the sterilisation of

Disinfection: Barbicide and surgical spirit are powerful disinfectants.

When working within the beauty industry, it is important to maintain a

It is best practice to clean your room between clients with at

Cleaning physically removes contamination which includes microorganisms.

It’s important to properly dispose of salon waste and understand the

General Domestic Waste

Standard waste is a way of referring to items that are not suitable

The orange lid:

This bin is for sharps that have NO medicinal or chemical contamination,

The yellow lid:

The purple lid:

The dermis is held together by a protein called collagen. This layer

The subcutaneous fat layer is the deepest layer of skin. It consists

© Copyright 2020 Hya lIps Ltd

Subcutaneous fat is the most widely distributed layer of subcutaneous

Additionally, the subcutaneous tissue helps to regulate the temperature of

Many factors can result in having cellulite, such as:

Gender – women are more likely to be affected by cellulite than men.

GRADE 1 - skin smoother is smoother in appearance and has no obvious signs

GRADE 2 - a nodular appearance is present when standing but will diminish

History of bleeding disorders.

Aptosis & Necrosis: How a fat cell dies.

Apoptosis - Apoptosis is nicknamed ‘Cell Suicide’ and is a much gentler