1.Who is a candidate?
Fat Freezing Procedure The ideal individual for this procedure is
within 20-30 pounds of their ideal body weight, and are maintaining
or in the process of losing weight. This is because Fat Freezing
does not suck the fat out or cause weight loss. It simply destroys
fat cells and your body needs to metabolize the fat or it will just
get stored somewhere else. This is explained more thoroughly below.
The area to be treated is a “fat bulge” or something you could
grasp with hand and squeeze. This is because the machine uses
suction to pull on the fat and put it between two cooling plates.
Examples would be the lower abdomen bulge or the “love handles”. If
you pinch more than a couple of inches, it may be too thick to fit
in the machine, and would be best to lose weight first.
2.How does it work?
Fat Freezing cryo uses cold energy to permanently destroy fat
cells. The Fat Freezing machine
works by pulling your fat bulge into a device that has two cooling
plates. The fat is held by a strong vacuum. The cooling plates are
activated to the specific temperature where fat cells are
vulnerable and die, and your skin, nerves, blood vessels, etc are
fine. This process takes an hour per area. Multiple areas can be
done at one time in some cases.
3.Where does the fat go?
After the procedure, you will be the same size, as it takes a few
weeks to shrink. Your fat is actually held inside of cells, which
are more or less little tiny packages that enlarge and shrink as
you gain and lose weight. During the Fat Freezing procedure, about
20% of these fat cells are killed, and they release the fat which
is slowly absorbed over several weeks. The fat that is released
from the fat cells is no different than any fat that you eat. Fat
is storage form of energy. This fat can be burned off as calories
to keep you warm, propel you while walking, make your lungs work to
breathe, etc. That is what will happen if you are at a stable
weight or losing weight. If you are gaining weight, then the fat
will just mix in with the fat you are eating and get deposited
It is important to know that this is not a weight loss procedure.
cryo refers to “sculpting”
or shrinking down stubborn areas. If you are not able to get the
weight off, this is not going to help.
Your weight will not change as a result of the coolsculpt
procedure, you have to eat right and exercise to accomplish that.
4.How safe is it/What are the risks?
The procedure has been performed hundreds of thousands of times,
with an extremely high level of safety compared to other fat
Common Side Effects: Temporary numbness, mild soreness, and mild
bruising. Most people say they feel essentially nothing after the
procedure, but these symptoms happen, are mild and don’t require
medication or time off work or activities.
Rare side effects: cryo is supposed to be virtually painless, but
occasionally, some people
experience pain that may require pain pills. It seems it is about
one out of 100 people that experience this, so not that often, but
still can occur. If we compare this to liposuction, about 100 out
of 100 people would experience pain, so this rare side effect is
accepted. The numbness can last longer than a week or so in some
patients, and there has been a case of frostbite reported as of the
time of this writing, and the frost bite did resolve without a
problem. Bruising is usually absent or minor, but the device does
you suction, and a “hicky” type effect can occur with more
noticeable bruising, but this is not common.
5.Why choose Fat Freezing over liposuction?
This is a personal choice, not really a true medical decision.
There are millions of people who have fat bulges that they’d like
to get rid of, but only a small percentage (maybe 5-10%) of those
people would consider surgery. This is the first ever FDA approved
device that works for the other 90% of people.
If you are interested in liposuction, and understand the risks,
downtime and benefits (liposuction is safe and effective in the
proper hands, but is really a totally different commitment) that is
your best option.
But if you do not want to go through with lipo, don’t want the
downtime, the compression garments, potential time off work,
swelling and at least temporary disfigurement, than the Fat
Freezing procedure is right for you.
6.Is it really permanent?
Yes, you typically do not grow new fat cells as an adult, and the
fat cells are destroyed. Let’s say you shrink 20% by destroying 20%
of the fat cells. It is still possible to gain weight and grow that
area again. But then by getting back to your previous weight, you
would still have the benefit. Again, this is not a miracle, the
coolsculpt procedure destroys bulges of fat, and is not a solution
to weight gain.
7.Can it be repeated?
Yes. We are typically seeing 20-25% of shrinkage after a single
treatment. The results are finished after about 2-3 months, so that
is when repeat treatment is usually considered for additional
8.Is there any downtime?
No. This is a no downtime procedure in the vast majority of people.
In the side effects discussion, we talked about the fact that
infrequently there can be pain requiring pain pills, or bruising,
but that is uncommon. Typically, no one will be able to tell you
had a procedure done but only notice gradual reduction of fat in
the area treated.
9.Who can perform the procedure?
The Fat Freezing procedure is a medical device, and should only be
done in a doctor’s office.
Why choose Fat Freezing over (Non surgical) lasers and other
cryo is unique in that it permanently destroys fat cells. The other
devices do work, but don’t do the same thing. Laser and
radiofrequency cause the fat cells to become leaky, or tighten the
connective tissue holding the fat cells in place. There is no
permanent reduction of fat or fat cells with other devices.
There is a procedure where injections of medication are used to
destroy fat cells. This is referred to as “mesotherapy” or
“lipodissolve”. These do work, but much less effectively than a
single cryo procedure. When there are areas of fat that are not
appropriate for the machine (the machine has a shape that doesn’t
work on all areas), then the injections are appropriate.
10.What will happen to my skin?
The skin has the ability to expand and contract. But this is not
endless. Mild skin laxity or
droopiness will typically contract just fine. The droopiness is
from being stretched by the fat,
previous pregnancy, or previous weight issues. The skin and
connective tissues maintain much of the elasticity and will
contract. However, more severe skin laxity (such as bad stretch
marks, tissue paper consistency, skin that is deflated and hangs
like an apron) may not contract much or at all. Your health care
professional has the experience to predict what will likely happen
with your skin. In most cases the skin just shrinks right along
with the fat.