Blame it on the bikini season, but recently, at dinner parties across the country, a topic has returned to the tip of the tongue: CoolSculpting. Not a new technology, the fat freezing procedure officially called frozen lipolysis was first discovered. According to rumors, doctors noticed the degradation of cheek fat in children who ate a lot of popsicles. “Fat is more sensitive to temperature than skin,” explains Jason Roostaeian, MD, professor and plastic surgeon at UCLA. “It goes through the cell death process before your skin.”
CoolSculpting was first approved by the FDA in 2010 and attracted attention when it changed its name from mild spot treatment to a non-invasive alternative to liposuction, promising to remove the handles of love and the bulge of the bra through the waves of the cooling paddle. Recently, non-surgical fat loss tools have been removed to solve the sagging skin under the chin, which is a small area that is more difficult to change through natural means such as diet and exercise. Sounds too good to be true? According to Roostaeian and CoolSculpting master Jeannel Astarita in Manhattan, this technique works. Here, they discussed the ins and outs of fat freezing, from weight loss to health risks.
How does it work? The CoolSculpting program uses one of four sizes of circular paddles to suck out your skin and fat “like a vacuum,” Roostaeian said. When you sit in a reclining chair for up to two hours, the cooling panel starts to work to crystallize your fat cells. “People seem to be able to tolerate this slight discomfort well,” he said. “[You will experience] the sensation of suction and cooling, but eventually it will be numb.” In fact, the program is very easy to set up and patients can take Working on a laptop, watching a movie, or just nap while working on a machine.
Who is it for? Roostaeian emphasized that the most important thing is that CoolSculpting is “suitable for people looking for minor improvements” and explained that it is not designed for one-stop primary fat removal such as liposuction. When a client comes to Astarita for consultation, she will consider “their age, skin quality-will it rebound? Will it look good after removing the volume?-and how thick or pinch their tissue is,” before approving them to proceed Before treatment, because the suction plate can only treat the tissues it can enter. “If someone’s organization is thick and strong,” Astarita explained, “I won’t be able to bring them surprise results.”
How is the result? “It usually takes several treatments to achieve the best results,” Roostaeian said, acknowledging that the changes produced by a single treatment are so small that sometimes the client cannot detect it. “One of the disadvantages of [CoolSculpting] is that everyone has a scope. I have seen people look at the before and after photos but can’t see the results.” However, all hope has not been lost because both experts agree that the more treatment you receive , The more results you see. What will eventually happen is a fat reduction of up to 25% in the treated area. “At best, you will get a slight fat loss-a slight improvement in waist circumference and less bulging in any particular area. I will emphasize the word mild.”
Will it make you lose weight? “None of these devices will lose weight,” Astarita said, reminding potential patients that muscle is heavier than fat. When you lose 25% of fat in a small amount of tissue, it doesn’t add up to a lot in scale, but she retorted, “When [you lose] something that overflows from your pants or bra, it Very important.” Her clients came to her to find a better weight ratio, and may leave because of “the size of the clothes is reduced by one or two sizes.”
Is it permanent? “I really emphasize to my patients that yes, this is a permanent fat loss technique, but only if you control your weight. If you gain weight, it will go somewhere,” Astarita said. Changing your behavior through nutrition and exercise can also make your body last longer. “There is one thing about you: if you plan to do 14 cycles and do not change your diet and eating habits at all, [your body] will not change at all.”
When should you start? With holidays and weddings approaching, Roostaeian recommends that you schedule your meetings three months in advance, up to six months. The results are not visible for at least 4 weeks, and the fat loss peaks around 8 weeks. “By 12 weeks, your skin will become smoother and look more beautiful,” Astarita said. “That’s the cherry above.” However, Roostaeian reminded, “The results after a treatment are almost always inadequate. Each [treatment] has downtime, so you need at least six to eight weeks [between appointments] .”
Is it safe? Because this is a non-invasive surgery, relatively speaking, the risk is very low. Irregular contours can occur in the same way as liposuction. Although the CoolSculpting machine leaves less room for human error in fat removal, it also has its limitations in fine-tuning fat removal, just like a clever plastic surgeon might use his hands. Therefore, a potential complication is also that your numb nerves feel as if they have been asleep “weeks or even months-this can happen,” Roostaeian admitted. No wounds will occur and the swelling is minimal. Further risks should be discussed with your doctor.

Post time: Jul-20-2021

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