Archive for April 17th, 2015
“Does CoolSculpting REALLY work”, this is a question people ask me all the time. I think the idea of removing fat permanently, without surgery seems hard to believe. Some people notice great results, while others may not see desireable results. So…why does CoolSculpting work for some and not others.
How CoolSculpting works
CoolSculpting is a non-surgical device that works by cooling selected areas of fat to a tempeture the causes the fat cells to go into apoptosis. Apoptosis is a programed cell death, it’s like your fat cells commit sucide. With each treatment cycle we expect 20% of the fat cells to die. You may see improvement 8 weeks after your first treatment, but the fat cells will continue to die up to 4 months post treatment.
You may see a noticeable reduction of fat in the treated area after one visit, but you may appreciate even more fat reduction with additional treatments. Most people should expect to do two treatment cycles on each area treated. Occasionally, more than two treatment cycles are needed to achieve your personal desired results.
Coolsculpting uses something we call applicators that pull the fat bulge in and hold it in place during treatment. It usually take multiple applicators to treat a specific area. For example a stomach may require 3 applicators to treat the desired area, and the sides may require 4 applicators. The exact number of applicators needed to treat an area will vary by individual.
What CoolSculpting will not improve
– CoolSculpting and other procedures like liposuction only treat adipose fat, which is the fat above your muscle. Cosmetic procedures do not treat visceral fat, which is the dangerous fat that surrounds your internal organs. The visceral fat needs to be reduced via diet.
– CoolSculpting will not reduce loose or excess skin, it is not an alternative to a tummy-tuck or body lifting procedures.
– CoolSculpting is not used to treat cellulite. Treatments like VelaShape that us RF to reduce the size of fat cells and improve skin quality are better for cellulite treatment.
Why it does not work for some people
Occasinally, someone will tell me that they have a friend who had CoolSculpting and it didn’t work. The truth is, it most probably DID work, but it may not have worked enough or was not the best treatmentfor actual concern. If someone is confusing skin for fat, they will be disappointed with results. If they have a large amount of visceral fat, reducing the adipose fat will not make enough of an impact. While there are those who were not good candidates, the most likely reason someone may feel like it didn’t work is because they didn’t have enough treatment. They probably needed more applicators to treat the area of concern and may have needed an additional treatment to make an impact that is appreciated.
When I had fat transfer, the doctor used liposuction to remove fat from my abdomen to inject into my face. Now, I know for a fact that the fat was removed from my body, but I did not have any improvement in body conturing. To conture my shape he would have needed to suction out more fat. This does not mean that the liposuction didn’t work at removing fat, it means that MORE fat removal would have been needed to improve my shape. This is usually the case with CoolSculpting, it worked, but more treatment is needed for the desired results.
It is important to keep realistic results, make sure that you understand the amount of area that is being treated. Do not assume that you are the exception, and will only need one treatment. If you have had a treatment and were not satisfied with the results, follow up with your provider to see if further treatments are needs or if perhaps another procedure would be better.
YES, CoolSculpting does work and well.
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