YOUR LIPOGEMS® VISIT: The LIPOGEMS® treatment is done using a small amount of fat taken from the belly area of the patient using a local anesthetic in one office visit. There is no sedation required and no down time. After processing Lipogems, the medical doctor uses ultrasound imaging to guide the adipose during injection with pin-point accuracy exactly where the damage is located. Immediately after the treatment most patients feel significant pain relief. In some patients that relief lasts 5-12 hours and the pain may come back. The next day and over the first 5-7 days there may have ups-and-downs and gradual improvement with peaks of improvement at 5 weeks, 3 months and 6 months according to our clinical studies of all cases treated. The majority of patients treated have shown significant improvement with less pain, improved function and improved quality of life even after other treatments have failed and with joints diagnosed as bone-on-bone osteoarthritis.