Localised fat
At our centres in Madrid, at Serrano 166 and in La Moraleja
Specialists in
Treatments to eliminate localised fat
Localised fat represents a significant aesthetic challenge for many patients. In some cases, despite maintaining a balanced diet and regular exercise, it is difficult to eliminate stubborn adipose deposits. Cellulite, accumulation on the flanks, and other localised deposits are common visible signs of this condition. At the Grupo Pedro Jaén Body Aesthetics Unit, we offer body treatments designed to significantly improve this condition.
Recognised reference clinics in Spain
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What sets us apart
Advanced techniques tailored to each patient
At the Grupo Pedro Jaén Body Aesthetics Unit, we use advanced treatments to remodel the body contour, addressing persistent adipose deposits. These procedures are indicated for individuals who, despite leading a healthy lifestyle, wish to contour their figure in specific areas. Using innovative techniques, we reduce the number of adipocytes in targeted zones, achieving a more harmonious silhouette and long-lasting results, always with a personalised approach that respects the individual needs of each patient.
Non-focused ultrasound + radiofrequency
Accent Prime es una tecnología avanzada que combina en un mismo equipo ultrasonidos y radiofrecuencia para tratar la grasa localizada de forma no invasiva y eficaz. Está especialmente indicada para esas zonas donde la grasa se resiste incluso con dieta y ejercicio, como abdomen, flancos, cartucheras o brazos.
Eliminación de grasa y mejora de la firmeza y aspecto de la piel
Los ultrasonidos actúan rompiendo las células grasas sin dañar los tejidos circundantes, mientras que la radiofrecuencia calienta las capas profundas de la piel, favoreciendo la eliminación de esa grasa a través del sistema linfático. Al mismo tiempo, estimula la producción de colágeno, lo que mejora la firmeza y el aspecto de la piel en la zona tratada.
Reultados naturales y rápida recuperación
El procedimiento es cómodo, rápido y no requiere tiempo de recuperación, por lo que puedes retomar tus actividades de inmediato. Para obtener resultados óptimos, se recomiendan varias sesiones, según la evaluación médica y las necesidades de cada paciente. Es una excelente alternativa para quienes buscan remodelar su silueta sin pasar por el quirófano, con resultados progresivos y naturales.
Cryolipolysis
Cryolipolysis destroys adipocytes through the application of controlled low temperatures, without damaging surrounding tissues. This method, supported by clinical studies, offers a safe and effective non-surgical alternative to contour the silhouette without scars or incisions.
Gradual results
The crystallised fat cells are progressively eliminated via the lymphatic system, with visible changes typically observed from the fourth week. Depending on the treatment area, two to three sessions may be required, spaced every two to three months. If a healthy lifestyle is maintained, these results are consolidated long-term without regeneration of the destroyed adipocytes.
Safe and well-tolerated treatment
At the start of the session, the patient experiences a sensation of cold which subsides after a few minutes. Following the session, normal activities can be resumed immediately, as the treatment does not cause pain or require downtime.
Laser-assisted lipolysis (Laser Lipo)
Laser-assisted lipolysis combines the efficacy of liposuction with the precision of laser technology to remove localised fat without leaving residual skin laxity. Fat is liquefied and aspirated through a fine cannula containing an optical fibre. Additionally, collagen formation is stimulated, promoting skin firmness.
Minimally invasive laser contouring
This technique is applicable to any area suitable for classic liposuction and is particularly effective for addressing laxity in difficult areas (inner thighs, arms, abdomen or neck). It is highly effective for refining previous conventional liposuction results and is compatible with traditional aspiration for areas with stubborn deposits.
Progressive results and rapid recovery
Incisions are approximately one to two millimetres, leaving barely visible scars. Bleeding is minimised as the laser cauterises blood vessels, reducing the postoperative period. Patients typically resume their routine within one or two days, wearing a compression garment to consolidate results. As the skin retracts, the improvement becomes progressively more evident.
Liposuction
Liposuction is effective for addressing fat deposits that do not respond to diet or exercise, while preserving body proportions. It is performed using fine cannulas and minimal incisions, offering permanent results.
Personalised surgery to sculpt the silhouette
We analyse skin elasticity and the volume of adipose tissue to determine whether local or general anaesthesia is appropriate. Using 3–4 millimetre incisions, areas such as the thighs, arms or abdomen are contoured. Improvements are noticeable from the first month, with final results consolidating around six to eight months.
Long-term results
The extraction of adipocytes prevents their regeneration, prolonging the aesthetic improvement. We recommend compression garments to facilitate skin adaptation and minimise oedema. Drainage massage or radiofrequency may also be included in the protocol to optimise healing and unify skin texture.
Complementary treatments
The Grupo Pedro Jaén Beauty and Wellbeing Unit offers complementary techniques that maximise the results of these treatments, including the reduction of cellulite and skin laxity.
Wide range of options
Carboxytherapy, shock waves and wood therapy are available alongside radiofrequency and lymphatic drainage to combat fluid retention and skin dimpling (cellulite). These therapies reinforce the progress achieved with ultrasound, cryolipolysis, laser lipolysis or liposuction, enhancing the quality of the final result.
Personalised plans
Every protocol is tailored to the patient’s characteristics, guaranteeing comprehensive solutions. Following regular assessments, the most effective treatment combinations are determined to ensure progressive evolution in skin firmness and texture.
More information
Monitoring and control of results
At Grupo Pedro Jaén, successful localised fat treatment does not end with the last session. We maintain close monitoring to ensure procedural efficacy and preserve long-term results.
Post-treatment evaluation
We carry out regular check-ups to assess tissue response, fat distribution and skin adaptation. This monitoring allows us to detect any need for adjustment and apply complementary treatments if necessary.
Comprehensive advice and multidisciplinary approach
We offer specific guidelines on diet, physical activity and aesthetic care. When required, we collaborate with our Endocrinology and Nutrition Unit to establish healthy habits that help maintain the benefits of the treatment.
What it is, where it appears and available treatments
A guide to understanding localised fat
Localised fat, together with cellulite, skin laxity and excess weight, is one of the main factors that alter body contour aesthetics. Although localised fat is often confused with cellulite, they are in fact different conditions, even though they may coexist in the same patient.
The accumulation of fat in a specific anatomical area is known as localised fat or localised lipodystrophy. It is caused by an increase in both the number and size of adipocytes—fat cells located in the deep hypodermis (the innermost layers of the skin).
In patients who are overweight or obese, localised fat may improve with weight loss. However, it is not a condition exclusively associated with excess weight. In fact, it can affect individuals with a healthy weight, and even very slim people who exercise regularly and follow a balanced diet.
Where it appears and types of localised fat
The areas of the body most prone to the accumulation of localised fat deposits are the abdomen, thighs and buttocks, although it can also occur in the arms and trunk. The main causes of localised fat accumulation are genetic and hormonal factors. While it can affect both sexes, it is significantly more common in women.
Depending on the distribution of fat deposits, we usually distinguish between the following types:
Central or abdominal adiposity
Fat accumulates mainly in the abdomen and flanks, resulting in an apple-shaped body contour. This pattern is more common in postmenopausal women and in men. In addition to its aesthetic impact, this type of lipodystrophy may be associated with negative cardiovascular health implications.
Peripheral adiposity
This type of localised fat is typically seen in women, although it may also occur in a small percentage of men. Fat accumulates predominantly in the hips and buttocks, giving the body a pear-shaped contour.
“In most cases, the best results are achieved by combining different therapeutic options and acting at an early stage.”
Treatments for localised fat
Some of the main treatments used to reduce or eliminate localised fat include the following
Non-surgical treatments
Mesotherapy
This treatment involves the subcutaneous injection of lipolytic and draining agents tailored to each patient’s needs. At Grupo Pedro Jaén, we usually perform deep mesotherapy, which allows the active substances to be delivered more precisely into the deeper layers of the skin, improving their effectiveness. This technique is well tolerated, not painful and does not cause bruising.
Carboxytherapy
Carboxytherapy consists of the injection of medical-grade carbon dioxide beneath the skin to improve tissue oxygenation and nutrition. It is particularly useful for patients who present localised fat in combination with cellulite. More information about carboxytherapy.
Cryolipolysis
A non-invasive body treatment designed to eliminate localised fat deposits in areas such as the abdomen, flanks, back, inner thighs, subgluteal region and outer thighs (saddlebags) by destroying adipocytes through controlled cooling. Cryolipolysis has become one of the most effective non-surgical options for reducing unwanted fat and achieving a more harmonious, contoured silhouette. More information about cryolipolysis.
Shock wave therapy
This technology uses high-energy acoustic pressure waves delivered through a specialised handpiece. The waves penetrate deeply into the tissue, breaking down fat nodules so they can be naturally eliminated through the body’s physiological pathways. It is particularly suitable for treating localised fat in the abdomen, buttocks, thighs and arms.
Radiofrequency
A device-based treatment that targets skin laxity and localised fat by inducing controlled heat in the deeper layers of the skin. It has a lipolytic effect and improves skin texture by stimulating collagen and elastin production.
Combined wood therapy
Wood therapy involves stimulating the treatment areas using specially designed wooden instruments of different shapes and sizes, adapted to different areas of the body and face. Its main advantage is that it enables deeper massage than manual techniques alone. Depending on the patient’s needs, it may be combined with radiofrequency or endermology (mechanical lipolytic massage).
Diode laser
Diode laser treatment is an advanced lipolysis system for eliminating fat deposits that do not respond to other non-invasive body treatments or persist despite exercise and a healthy diet. Its mechanism of action is based on increasing the temperature of the treated area to destroy adipocytes, allowing the excess fat to be eliminated through the lymphatic system.
Liposuction
A conventional surgical procedure that removes localised fat by aspiration using cannulas of different diameters, depending on the treatment area. This procedure is performed within our Plastic Surgery Unit.
More information
Below you will find the authorship and references for the information provided on this page:
Authorship and references
The content of this page has been prepared by the Communication Department and the Medical Team of Grupo Pedro Jaén, in line with our editorial commitment to ensuring the accuracy and up-to-date nature of the information provided.
References on treatments for localised fat:
1. Ingargiola MJ, Motakef S, Chung MT, Vasconez HC, Sasaki GH. Cryolipolysis for fat reduction and body contouring: safety and efficacy of current treatment paradigms. Plast Reconstr Surg. 2015 Jun;135(6):1581-1590. doi: 10.1097/PRS.0000000000001236. PMID: 26017594; PMCID: PMC4444424.
2. Sasaki GH. Reply: Cryolipolysis for Fat Reduction and Body Contouring: Safety and Efficacy of Current Treatment Paradigms. Plast Reconstr Surg. 2016 Mar;137(3):640e-641e. doi: 10.1097/01.prs.0000479983.49996.c0. PMID: 26910712.
3. Derrick CD, Shridharani SM, Broyles JM. The Safety and Efficacy of Cryolipolysis: A Systematic Review of Available Literature. Aesthet Surg J. 2015 Sep;35(7):830-6. doi: 10.1093/asj/sjv039. Epub 2015 Jun 2. PMID: 26038367.
4. Park JH, Wee SY, Chang J, Hong S, Lee JH, Cho KW, Choi CY. Carboxytherapy-Induced Fat loss is Associated with VEGF-Mediated Vascularization. Aesthetic Plast Surg. 2018 Dec;42(6):1681-1688. doi: 10.1007/s00266-018-1222-y. Epub 2018 Sep 7. PMID: 30194505.
5. Lee GS. Quality survey on efficacy of carboxytherapy for localized lipolysis. J Cosmet Dermatol. 2016 Dec;15(4):484-492. doi: 10.1111/jocd.12242. Epub 2016 Jun 21. PMID: 27325211.
6. Jayasinghe S, Guillot T, Bissoon L, Greenway F. Mesotherapy for local fat reduction. Obes Rev. 2013 Oct;14(10):780-91. doi: 10.1111/obr.12049. Epub 2013 Jun 25. PMID: 23800269.
7. Chen DL, Cohen JL, Green JB. Injectable agents affecting subcutaneous fats. Semin Cutan Med Surg. 2015 Sep;34(3):134-7. doi: 10.12788/j.sder.2015.0166. PMID: 26566569.
8. Stein MJ, Theodorou S, Chia CT. Two-stage Radiofrequency-assisted Lipoabdominoplasty. Plast Reconstr Surg Glob Open. 2022 Apr 25;10(4):e4212. doi: 10.1097/GOX.0000000000004212. PMID: 35494885; PMCID: PMC9038494.
9. Theodorou S, Chia C. Radiofrequency-assisted Liposuction for Arm Contouring: Technique under Local Anesthesia. Plast Reconstr Surg Glob Open. 2013 Sep 10;1(5):e37. doi: 10.1097/GOX.0b013e3182a58c80. PMID: 25289231; PMCID: PMC4174202.
10. Chia CT, Theodorou SJ, Hoyos AE, Pitman GH. Radiofrequency-Assisted Liposuction Compared with Aggressive Superficial, Subdermal Liposuction of the Arms: A Bilateral Quantitative Comparison. Plast Reconstr Surg Glob Open. 2015 Aug 10;3(7):e459. doi: 10.1097/GOX.0000000000000429. PMID: 26301148; PMCID: PMC4527633.
11. Theodorou SJ, Paresi RJ, Chia CT. Radiofrequency-assisted liposuction device for body contouring: 97 patients under local anesthesia. Aesthetic Plast Surg. 2012 Aug;36(4):767-79. doi: 10.1007/s00266-011-9846-1. Epub 2012 Mar 31. PMID: 22466060.
12. Hurwitz D, Smith D. Treatment of overweight patients by radiofrequency-assisted liposuction (RFAL) for aesthetic reshaping and skin tightening. Aesthetic Plast Surg. 2012 Feb;36(1):62-71. doi: 10.1007/s00266-011-9783-z. Epub 2011 Jul 13. PMID: 21751063.
13. Wat H, Wu DC, Goldman MP. Noninvasive Body Contouring: A Male Perspective. Dermatol Clin. 2018 Jan;36(1):49-55. doi: 10.1016/j.det.2017.09.007. PMID: 29108545.
14. Modena DAO, da Silva CN, Grecco C, Guidi RM, Moreira RG, Coelho AA, Sant’Ana E, de Souza JR. Extracorporeal shockwave: mechanisms of action and physiological aspects for cellulite, body shaping, and localized fat-Systematic review. J Cosmet Laser Ther. 2017 Oct;19(6):314-319. doi: 10.1080/14764172.2017.1334928. Epub 2017 Jun 7. PMID: 28590827.
15. Ferraro GA, De Francesco F, Cataldo C, Rossano F, Nicoletti G, D’Andrea F. Synergistic effects of cryolipolysis and shock waves for noninvasive body contouring. Aesthetic Plast Surg. 2012 Jun;36(3):666-79. doi: 10.1007/s00266-011-9832-7. Epub 2011 Nov 1. PMID: 22042359.
16. Fontes AR, Martins ASM, Costa BSPD, Noites A, Marques L. Comparison of the effects of shock waves versus radiofrequency on abdominal lipolysis: A randomized clinical trial. J Cosmet Dermatol. 2022 Sep;21(9):3821-3831. doi: 10.1111/jocd.14690. Epub 2022 Mar 7. PMID: 35255184.
17. Abboud S, Hachem JP. Heat Shock Lipolysis: Radiofrequency Combined with Cryolipolysis for the Reduction of Localized Subcutaneous Fat. Dermatol Res Pract. 2020 Feb 7;2020:4093907. doi: 10.1155/2020/4093907. PMID: 32089673; PMCID: PMC7029295.
18. Alexiades M, Munavalli GS. Single Treatment Protocol With Microneedle Fractional Radiofrequency for Treatment of Body Skin Laxity and Fat Deposits. Lasers Surg Med. 2021 Oct;53(8):1026-1031. doi: 10.1002/lsm.23397. Epub 2021 Mar 25. PMID: 33764552; PMCID: PMC8518615.
19. Shridharani SM, Broyles JM, Matarasso A. Liposuction devices: technology update. Med Devices (Auckl). 2014 Jul 21;7:241-51. doi: 10.2147/MDER.S47322. PMID: 25093000; PMCID: PMC4114741.
20. Kislevitz M, Wamsley C, Kang A, Kilmer S, Hoopman J, Barillas J, Kenkel JM. Clinical Evaluation of the Safety and Efficacy of a 1060-nm Diode Laser for Non-Invasive Fat Reduction of the Abdomen. Aesthet Surg J. 2021 Sep 14;41(10):1155-1165. doi: 10.1093/asj/sjaa418. PMID: 33647960; PMCID: PMC8438592.
21. Bass LS, Doherty ST. Safety and Efficacy of a Non-Invasive 1060 nm Diode Laser for Fat Reduction of the Abdomen. J Drugs Dermatol. 2018 Jan 1;17(1):106-112. PMID: 29320595.
22. Moon IJ, Choi JW, Jung CJ, Kim S, Park E, Won CH. Efficacy and safety of a novel combined 1060-nm and 635-nm laser device for non-invasive reduction of abdominal and submental fat. Lasers Med Sci. 2022 Feb;37(1):505-512. doi: 10.1007/s10103-021-03288-z. Epub 2021 Apr 2. PMID: 33797649.
Where we see patients?
Clinics in Madrid
Grupo Pedro Jaén is a medical group founded more than three decades ago with the aim of providing medical, surgical and aesthetic solutions related to skin health and appearance. Led by Dr Pedro Jaén, the group brings together top-level specialists in each area, maintains a strong commitment to training and medical research, and operates several clinics in Madrid, offering care of the highest quality and excellence.
Calle Serrano 166
Mon - Fri: 09:00 - 21:00 / Sat: 09:00 - 14:00
Calle Serrano 166, El Viso neighbourhood, Chamartín district, 28002 Madrid
La Moraleja
Located in Plaza de La Moraleja, this exclusive centre allows Grupo Pedro Jaén to bring its medical and aesthetic services closer to patients across the entire northern area of Madrid.
Mon - Thu: 09:30 - 20:00 / Fri: 09:30 - 18:00
Calle de la Estafeta 8, ground floor, La Moraleja, 28109 Alcobendas, Madrid, Spain
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