How does CoolSculpting work?

What is CoolSculpting?

CoolSculpting, or cryolipolysis, is a scientifically developed, non-invasive procedure that uses controlled cooling to selectively target and reduce fat cells. The treatment is based on the principle that fat cells are more sensitive to cold than surrounding tissues, allowing for a precise and safe reduction of fat in specific areas of the body.

How Does CoolSculpting Work?

1. Cryolipolysis Mechanism: CoolSculpting relies on the process of cryolipolysis, where fat cells are exposed to low temperatures, leading to their crystallization (freezing). This causes the fat cells to become damaged while preserving the integrity of surrounding skin, muscle, and other tissues.

2. Cellular Breakdown and Removal: Once crystallized, the fat cells undergo apoptosis (programmed cell death). The body’s natural immune and lymphatic systems then gradually process and eliminate these damaged cells over time.

3. Reduction in Fat Volume: The treated area experiences a measurable reduction in fat thickness as these cells are permanently removed. While new fat cells cannot grow in the treated area, the remaining cells can expand if a caloric surplus occurs, emphasizing the importance of a stable diet and lifestyle for long-term results.

What Areas Can CoolSculpting Target? Cryolipolysis is most effective for localized fat deposits and is FDA-cleared for the following areas:

• Abdomen

• Flanks (sides)

• Submental area (beneath the chin)

• Thighs

• Upper arms

• Bra fat and back

• Area below the buttocks (“banana roll”)

Treatment Process

1. Assessment: During the initial consultation, we will evaluate your body composition and the areas of concern. Measurements and photographs may be taken to document baseline conditions.

2. Applicator Placement: A gel pad is placed on the skin to protect it during treatment. The CoolSculpting applicator is then applied to the target area, delivering controlled cooling to fat deposits.

3. Sensations During Treatment: Patients often report sensations of intense cold, suction, or tingling during the first few minutes. These sensations usually diminish as the area becomes numb.

4. Post-Treatment Reaction: After the applicator is removed, the treated area may appear red or swollen. Temporary firmness or numbness is also common and resolves without intervention.

Expected Outcomes

• Timeline for Results: Fat cell reduction begins immediately after the treatment but is most noticeable after 8–12 weeks, as the body metabolizes the treated cells.

• Fat Reduction Capability: Studies show that CoolSculpting can reduce fat in the treated area by 20–25%. Results are durable, provided a stable weight is maintained.

• Limitations: CoolSculpting is not a weight-loss solution. It is intended for contouring and targeting specific areas of excess fat.

Scientific Basis CoolSculpting was developed following research that showed fat cells are particularly susceptible to cold-induced injury. Studies have validated the safety and efficacy of cryolipolysis, with findings published in peer-reviewed journals. The procedure has demonstrated consistent results in reducing subcutaneous fat without significant adverse effects.

Who is Suitable for CoolSculpting? Candidates should:

• Have noticeable, localized fat deposits resistant to diet and exercise.

• Be close to their ideal body weight (typically within 20–30 pounds).

• Have good skin elasticity to avoid laxity after fat reduction.

CoolSculpting is contraindicated for individuals with cold-related conditions such as cryoglobulinemia or cold agglutinin disease. A detailed medical history should be reviewed before treatment.

Potential Side Effects

• Common: Redness, swelling, bruising, and temporary numbness in the treated area.

• Rare: Paradoxical adipose hyperplasia (an increase in fat in the treated area).

These effects are generally mild and self-limiting, resolving within weeks.

Aftercare Recommendations

• Massage the treated area to assist in the breakdown of fat cells.

• Stay hydrated and maintain a balanced diet to support the body’s elimination process.

• Follow any additional guidance from your technician.

CoolSculpting represents a scientifically grounded approach to targeted fat reduction, providing a safe alternative to surgical procedures. Speak with one of our trained technicians  to determine if treatment aligns with your clinical and aesthetic goals.