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Injectables

Cell In&Out (body)

Fat out, collagen in — planned area by area

Cell In&Out is Symphony's own injectable protocol, and the name describes the two directions it works in. Cell Out places a lipolytic mixture into fat that diet and exercise have not moved. Cell In places a collagen-stimulating material where the skin needs support afterwards. On the face the two are usually planned together; on the body, Cell Out is used alone.

Treatment timeAbout 20 min
AnaesthesiaTopical cream
DowntimeSame-day return
IntervalPlanned at consultation

※ The final plan and cost are confirmed by your physician after an in-person examination at the clinic. Results and recovery vary by individual.

Cell In&Out (body)

Why the mixture matters more than the name

Lipolytic injections are sold everywhere under a dozen different names, and the label tells you very little. What matters is what is in the syringe. Inner thighs, flanks, the lower abdomen, upper arms and the area under the buttocks hold the kind of stubborn fat that is largely cellulite, and an ordinary lipolytic injection struggles with it.

Symphony's mixture is built around deoxycholic acid, which acts on the fat cell membrane, so the intention is to reduce the number of fat cells in the treated area rather than only shrink them. What the mixture leaves out is equally deliberate, and we would rather state it plainly than describe the recipe as a secret.

What is in it, and what is not

Three ingredients commonly found in cheaper lipolytic injections are not used here.

No steroid
Steroids can disturb hormone balance and are associated with depressions in the skin. They are not part of the mixture.
No hyaluronidase
Hyaluronidase carries a risk of allergic reaction and is not included.
No PPC
PPC-based injections carry a risk of skin necrosis. Symphony does not use them.
Deoxycholic acid (DCA)
The costlier component, and the one that acts on the fat cell membrane rather than simply shrinking the cell.
Delivered by cannula
A blunt-tipped cannula rather than repeated needle punctures — which changes both the discomfort and the evenness of delivery.

Needle injection and cannula delivery

This is the difference patients feel most, and it is a matter of technique rather than of drug.

Ordinary lipolytic injectionCell Out injection
What happens to the fat cellThe cell shrinks, and can enlarge again laterThe cell membrane is disrupted, reducing the number of cells in the area
How it is deliveredA sharp needle inserted at many separate pointsA blunt-tipped cannula, inserted at around two points
DiscomfortIncreases with each puncture — often twenty or moreFar fewer entry points, and the rounded tip reduces the sensation
BruisingIncreases with the number of puncturesMarkedly less, as the tip is blunt
Spread of the solutionConcentrated where the needle went; untreated gaps are possibleDistributed evenly through the fat layer along the path of the cannula

Where it is used

Face — jawlineDouble chin and a heavy jaw outline
Face — mid-faceCheeks, deep cheek fat, prominent cheekbones, the sides of the nose
Face — eye areaUnder the eyes and around the temples, where eyelid fat softens the outline
Body — upperUpper arms and the upper back
Body — trunkLower abdomen, love handles, waistline
Body — lowerInner thighs and the area under the buttocks

The 'In' half

Removing fat from a face without thinking about what supports the skin afterwards is how a treated face ends up looking tired rather than lighter.

Cell In uses a collagen-stimulating material rather than a hyaluronic acid filler. A filler adds volume from outside and you see it immediately; this material prompts your own collagen to form, so volume builds gradually from around a month after the session and is reported to hold two years or more.

The PDO used here is processed into spherical microparticles under a patented technique — the same material as absorbable suture thread, formed so that it can be injected. The smooth particle surface and the low injection pressure it allows mean less disturbance to the tissue, and the material is absorbed by the body over time, leaving no residue behind.

How we handle it

The recipe is only half of it. Where the fat actually sits, and how evenly the solution reaches it, is decided by the person holding the cannula.

The doctor designs and injects
The physician who examines the area at consultation marks the plan and performs the injection. Cell Out in particular depends on reading the depth and distribution of fat by hand.
Planned by zone, not by session count
The face and body are mapped before the first entry point, so that the amount follows where the fat actually is.
In and Out planned together on the face
Where reducing fat would leave the skin under-supported, collagen stimulation is planned into the same course rather than sold separately later.
Told what to expect that week
You are told before the session how much swelling and bruising to plan for, so that travel dates can be worked around it.

Questions we are asked most

Is this the same as the lipolytic injections offered elsewhere?

The category is the same; the mixture and the delivery are not. Ours is built around deoxycholic acid, contains no steroid, no hyaluronidase and no PPC, and is delivered through a blunt cannula rather than by repeated needle punctures.

Does it hurt?

The cannula is the reason it is tolerable. Instead of twenty or more punctures, there are around two entry points, and the rounded tip is far less sharp in the tissue. Topical anaesthetic is applied beforehand.

Will I bruise?

Less than with needle-based injections, because the tip is blunt — but bruising and swelling are still possible, and vary between people. Tell us your travel dates and we will plan around them.

Can I have the face and the body treated on the same visit?

That is decided at consultation based on the areas involved and how much is planned. We would rather stage it than do too much in one session.

How many sessions?

It depends on the area, the amount of fat and what you want to change. The plan and the number of sessions are set at consultation after examining the area, not before.

What we look at before anything is switched on

01
Skin analysis first
Skin type, thickness and condition are assessed before settings are chosen, so energy levels and tips match the skin in front of us rather than a default protocol.
02
Planned and performed by a physician
The doctor who consults you draws up the plan and carries it out. Nothing is delegated after the consultation.
03
Layered, not single-device
Treatments are combined by depth and symptom, with intervals planned around your recovery.
04
Care that continues
Conditioning before, calming immediately after, and home-care guidance through recovery — then the next session is adjusted to how your skin responded.

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Free, one-on-one, and nothing is decided until you see the plan in person.

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