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Does Fat Freezing Work? Two Experts Weigh In on CoolSculpting
Blame it on bikini season, but recently, at dinner parties across the country, a topic is back on the tips of tongues: CoolSculpting. Not a new technology, the fat-freezing procedure formally called cryolipolysis was first discovered after, rumor has it, doctors noticed that children who ate a lot of ice pops experienced fat degradation in their cheeks. “Fat is more temperature-sensitive than your skin,” explains UCLA professor and plastic surgeon Jason Roostaeian, MD. “It goes through the cell death process before your skin does.”
CoolSculpting was first approved by the FDA in 2010, and gained attention when it was rebranded from minor spot treatment to a noninvasive alternative to liposuction, promising to eviscerate love handles and bra bulge with the wave of a cooling paddle. Most recently, the non-surgical fat reduction tool was cleared to tackle loose skin under the chin, a smaller area that is more difficult to alter through natural means like diet and exercise. Sound too good to be true? According to Roostaeian and Manhattan-based CoolSculpting guru Jeannel Astarita, the technology works. Here, they discuss the ins and outs of fat freezing, from weight loss to health risks.
HOW DOES IT WORK?
CoolSculpting procedures use rounded paddles in one of four sizes to suction your skin and fat “like a vacuum,” says Roostaeian. While you sit in a reclined chair for up to two hours, cooling panels set to work crystallizing your fat cells. “It’s a mild discomfort that people seem to tolerate pretty well,” he says. “[You experience] suction and cooling sensations that eventually go numb.” In fact, the procedural setting is so relaxed that patients can bring laptops to do work, enjoy a movie, or simply nap while the machine goes to work.
WHO IS IT FOR?
Above all, emphasizes Roostaeian, CoolSculpting is “for someone who is looking for mild improvements,” explaining that it’s not designed for one-stop-shop major fat removal like liposuction. When clients come to Astarita for a consultation, she considers “their age, skin quality—will it rebound? Will it look good after volume is removed?—and how thick or pinchable their tissue is,” before approving them for treatment, because the suction panels can only treat the tissue it can access. “If someone has thick, firm tissue,” explains Astarita, “I won’t be able to give them a wow result.”
WHAT ARE THE RESULTS?
“It often takes a few treatments to get to your optimum results,” says Roostaeian, who admits that a single treatment will yield very minimal change, sometimes imperceptible to clients. “One of the downsides of [CoolSculpting] is there’s a range for any one person. I’ve seen people look at before and after pictures and not be able to see the results.” All hope is not lost, however, because both experts agree that the more treatments you have, the more results you will see. What will happen eventually is an up to 25 percent fat reduction in a treatment area. “At best you get mild fat reduction—a slightly improved waistline, less bulging of any particular area that’s concerning. I would emphasize the word mild.”
WILL IT MAKE YOU LOSE WEIGHT?
“None of these devices shed pounds,” says Astarita, reminding potential patients that muscle weighs more than fat. When you’re shedding 25 percent of fat in a handful of tissue, it won’t add up to much on the scale, but, she counters, “When [you lose] what’s spilling over the top of your pants or your bra, it counts.” Her clients come to her in search of better proportions at their current weight, and may leave having dropped “one or two sizes in clothing.”
IS IT PERMANENT?
“I really emphasize to my patients, yes it’s a permanent fat reduction technology, but only if you control your weight. If you gain weight, it will go somewhere,” says Astarita. Lasting improvements to your body can also occur by changing your behavior through nutrition and exercise. “A little bit of this is on you: If you’re going to do 14 cycles and not change your diet and eating habits at all, [your body] is not going to change at all.”
WHEN SHOULD YOU START IT?
With vacations and weddings on the horizon, Roostaeian recommends scheduling your session three months in advance, six at the most. Results are not visible for at least four weeks, with the fat loss reaching its peak at around eight. “By twelve weeks your skin smooths out and looks prettier,” says Astarita. “That’s the cherry on top.” But, reminds Roostaeian, “the results after one treatment are almost always inadequate. Each [treatment] has a downtime, so you want at least six to eight weeks [between appointments].”
IS IT SAFE?
Because this is a noninvasive procedure, the risks, comparatively speaking, are very low. Contour irregularities can occur the same way they might in liposuction. While the CoolSculpting machine leaves less room for human error in terms of fat removal, it also has its limitations in terms of fine-tuning removal the way an artful plastic surgeon might by hand. So, too, a potential complication lies with your numbed nerves feeling as though they’ve fallen asleep for “weeks if not months—that can happen,” acknowledges Roostaeian. Wounds will not occur, and swelling is minimal. Further risks should be discussed with your doctor.
What Is CoolSculpting?
CoolSculpting is a body contouring procedure that removes fat by freezing. During the procedure, the doctor uses thermal conduction to break down fat cells without causing damage to the underlying skin.
Unlike traditional fat removal methods, CoolSculpting is non-invasive which means it doesn’t involve surgery, cuts, or the use of anesthesia. It was first introduced in 2012 and recognized by the Food and Drug Administration (FDA) as a generally safe treatment.
How Does CoolSculpting Work?
CoolSculpting or Cryolipolysis usually takes about an hour. During the procedure, the practitioner safely delivers precisely controlled temperature (ranging from -11 to +5 °C) on the target area. Treated fat cells are ‘frozen’ or crystallized, and eventually, die.
The freezing of fat cells is followed by an inflammatory response, which begins on the third day, peaking around the 14th day. The body naturally eliminates the dead fat cells, a process which might take up to three months.
CoolSculpting is performed using a device that pulls a piece of flesh between two paddles, cooling it below freezing point. Once the desired temperature is met, it is retained for half an hour or so.
While the entire procedure takes just about an hour, the result is unnoticed until after 2-3 months. You are also likely to experience mild discomfort from the suction and cooling sensations brought by the device. Eventually, the area will feel numb.
Does CoolSculpting Really Work?
CoolSculpting is said to reduce about 20 to 25% of fat cells in a given treatment area. Yes, it works but it usually takes several treatments to achieve your desired results. A study which appeared in the Aesthetic Surgery Journal found an average fat reduction of 19.55% on people who went through the procedure. Furthermore, a 2014 study, published in the Lasers in Surgery and Medicine, found an increased fat reduction two months after Cryolipolysis treatment.
While CoolSculpting can remove fats from certain areas in the body, it isn’t the magic bullet to weight loss. You cannot expect complete fat removal and it may take a few sessions before you achieve your desired result. Additionally, it cannot be used to tighten loose skin.
How Much Does CoolSculpting Cost?
With such substantial claims of success, CoolSculpting may sound like a very expensive treatment. Fortunately, as compared with other popular fat removal treatments like Vaser Lipo and SmartLipo, CoolSculpting costs are easier on the wallet.
CoolSculpting prices vary, depending on the number of treatments needed, the target body areas, and your body contouring goals. Yes, the procedure can be personalized to meet your fat removal needs. Your doctor will provide a customized treatment plan that’s tailored to your goals, body, and of course – budget.
Average Cost of CoolSculpting
Based on the 2017 Plastic Surgery Statistics, the average physician fee for CoolSculpting is $1,481. The typical cost for the entire treatment, however, is between $2,000 and $4,000, according to the official website of CoolSculpting.
In most cases, you will need one treatment session for a specific area in your body that you want fat cells to be removed. However, you may opt to have a few more sessions to achieve additional results after several months.
CoolSculpting Cost Per Area:
Cost of CoolSculpting for Arms
Many people turn to CoolSculpting to trim fats in their arms. The average cost for smaller areas like the arms is $650-800 per area.
That means for both your arms, expect to pay at least $1,300 for the procedure. The treatment session can last for about 35 minutes. Expect numbness in the affected area once the freezing temperature is applied. For smaller areas like the arms, one session of Cryolipolysis is enough to achieve your desired results.
Cost of CoolSculpting for Stomach
CoolSculpting prices for stomach is quite high due to the fact that the abdominal area usually has the most amount of fat cells. Additionally, it can also be difficult to remove fats around the midsection because of certain factors like age, pregnancy, or massive weight gain. On average, one CoolSculpting session for the stomach costs $1,500.
Cost of CoolSculpting for Thighs
For a slimmer, more toned thighs, expect to pay $750 for CoolSculpting for each inner thigh. In total, one treatment session should cost you $1,500. That’s not far from the Sono Bello cost for TriSculpt which is $1,395.
Cost of CoolSculpting for Belly
Similar to CoolSculpting treatments for stomach, the cost is around $1,500 per session. Most providers recommend two treatment sessions for better results but some people choose to undergo a few more treatments for ultimate results.
Cost of CoolSculpting for Chin
The chin may not be a large area but the cost is about $1,400. To achieve the best result, you may need another session. That is still low compared with Kybella. Kybella costs around $5,400 for three treatments (with each session 4-6 weeks apart).
Cost of CoolSculpting for Neck
The neck area is usually covered for CoolSculpting procedures for the chin, which is priced at $1,400, on average. The treatment normally lasts about 35 minutes and two sessions are likely needed to achieve better results.
CoolSculpting Price List
Here’s a list of CoolSculpting price estimates:
|CoolSculpting Cost Approximate|
|Average CoolSculpting Cost|
|Treatment Areas:||Prices: (estimates)|
|Small Area||$850 to $1,000|
|Medium Area||1,600 to $2,000|
|Large Area||$2,000 to $4,000|
|CoolSculpting Cost Per Area|
|Treatment Areas:||Prices: (estimates)|
|Arms||$650 – $800|
Since everyone’s body type is different, most providers will require you to visit their clinics for a consultation, during which, they will provide you the cost estimate. They will have to assess your body so they can give you the most accurate CoolSculpting estimate.
Like most cosmetic treatments, CoolSculpting can be personalized to meet your body contouring goals and budget. Work with your provider to create the best treatment plan for you. Some providers like Sono Bello even offer flexible payment plans to help patients achieve their goals.
Customized CoolSculpting treatments cost anywhere from $2,000 to $4,000. It all depends on how much fat you have and how many areas you want to treat.
Is CoolSculpting Worth It?
It may not be as expensive as the traditional body contouring options, but CoolSculpting isn’t cheap either.
After knowing the average cost of CoolSculpting, you’re now wondering – is it worth it?
Let us look at the benefits of CoolSculpting.
Advantages & Services
- Non-invasive – You will have no cuts or incisions during the entire procedure which means it is generally safe and gives you no downtime.
- Convenient – In most cases, the procedure will just take about 30 minutes or more. You can easily fit it in your busy schedule. And since it’s completely non-surgical, you can return to your normal activities on the same day after the treatment.
- Widebody coverage – CoolSculpting targets fat cells from various parts of the body – arms, thighs, stomach, neck, and chin.
- Long-lasting results – Once the fat cells are destroyed, they won’t grow back. When coupled with a healthy lifestyle, you should expect to see long-lasting results from CoolSculpting. Take note, however, that you won’t notice the effect of the treatment right after. Your body will naturally eliminate the broken fat cells, a process which may take several weeks.
- Thighs – CoolSculpting is a sought-after cosmetic treatment for thigh gap reduction. Most people who undergo this treatment lose 20 to 80% of fats in their thighs.
- Arms – Most people start to notice a reduction of the bulge in their arms after four weeks. A fat reduction of 25% can be achieved.
- Stomach – Fats in the stomach might be the hardest to remove and would typically require several treatments. Nevertheless, CoolSculpting promises amazing results.
- Belly – CoolSculpting can effectively get rid of belly fats. However, it cannot tighten skin. For people who lost excessive weight or women who previously became pregnant, traditional body contouring options are preferred to remove excess skin.
- Chin – CoolSculpting is very effective in eliminating the so-called ‘double chin’. For best results, 1-2 sessions might be required.
- Neck – Unwanted fats around the neck can be addressed together with chin CoolSculpting.
CoolSculpting Before & After
CoolSculpting offers long-term results, although they may not be visible until after several weeks.
CoolSculpting Before & After: Stomach
CoolSculpting Before & After: Thighs
CoolSculpting Before & After: Chin
CoolSculpting Before & After: Neck
CoolSculpting Before & After: Arms
CoolSculpting Before & After: Belly
(Photo Courtesy of CoolSculpting)
Is CoolSculpting Safe?
With over four million procedures performed worldwide each year, CoolSculpting is generally safe and effective. It has also received certifications from the U.S. Food and Drug Administration for being a safe medical treatment. According to a review published in the journal Plastic and Reconstructive Surgery, Cryolipolysis is a relatively safe treatment that provides significant fat reduction without major health risk factors.
CoolSculpting Risks – Does CoolSculpting Hurt?
You might experience discomfort only during the procedure. Since freezing temperature is applied to your skin, expect some painful sensation which declines gradually. You will also experience numbness in the treatment area.
Some people experience a bit of pain during the procedure. Initially, you will feel intense cold on the area being treated which soon dissipates, and feel numb (lasting 5-10 minutes). It may also feel like your skin is being pulled due to the suction applied. After the treatment, you may feel a tingling sensation as the treated area is massaged.
Recovery from this treatment is quick. You won’t also be restricted by your doctor to go back to work and other normal activities. However, immediately after the procedure, you might notice minor redness and swelling. It may also feel sore as if you’ve been bruised. After 3-5 days, these symptoms should subside.
Side Effects & Benefits
Some common side effects of CoolSculpting are:
- Pain, numbness and tingling sensation on the treatment area during the procedure. Some people might experience some pain within 3 to 11 days after the treatment, as reported in a study.
- Redness, swelling and skin sensitivity. All these are temporary and should go away within a couple of days.
- Paradoxical adipose hyperplasia. While this is very rare, it is a serious condition wherein fat cells in the treated area grow larger rather than smaller.
What do people say about CoolSculpting? Many of those who took the procedure are happy and satisfied with the results. Some didn’t experience pain (during and after treatments). Others did, along with numbness. Very few CoolSculpting reviews report pain and other side effects a year after the treatment.
Is CoolSculpting Permanent?
Once the fat cells are destroyed, they won’t come back. They will be eliminated by the body and will be gone for good. In that respect, CoolSculpting offers permanent results. But in order to maintain the results achieved through CoolSculpting, you must stick to a healthy lifestyle.
How Long Does CoolSculpting Last?
CoolSculpting results should last indefinitely because the treatment is performed to kill fat cells. However, weight gain after the treatment can cause new fat cells to grow, thus, causing bulges or fat deposits to appear again.
CoolSculpting Near Me
CoolSculpting is a popular body contouring treatment that is performed all around the world. Since the device used to perform the procedure is designed and patented by ZELTIQ, you should expect the same results from certified CoolSculpting providers in your area. You can find a provider through the official CoolSculpting website and other accredited online directories.
CoolSculpting At Home
Because not everyone can afford CoolSculpting, some people try to copy the procedure and perform it at home using ice and other frozen products.
Does DIY CoolSculpting Work & Is it Safe?
While DIY CoolSculpting sounds like a good idea, it is not recommended and could do more harm than good.
Cryolipolysis is a medical procedure which involves the use of a vacuum-like device that suctions out some frozen fat cells. This causes the fat cells to shrink and eventually die. Without this technology, applying ice or any frozen product on the skin only freezes it, and does not destroy the fat cells underneath.
CoolSculpting Machine At Home
You will find CoolSculpting machines available for home use. These products promise quality fat removal without the high price tag. However, note that CoolSculpting is a patented technology that is provided only by ZELTIQ. This FDA-approved is only available at authorized clinics.
There are, however, fat removal products for personal use that many people swear by. One is the Isavera fat-freezing wrap. Similar to CoolSculpting, it uses fat-freezing technology along with cold thermogenesis to target stubborn fats. It is also so simple to use. It comes with gel packs that you insert into the pockets of the wrap before wearing it around your waist.
Currently, CoolSculpting is the only fat removal technique that works by freezing fat cells. However, there are other non-invasive methods offered today, such as:
- VelaShape – uses radiofrequency and infrared light, along with massage, to shrink and tighten fat cells.
- Exilis – another radiofrequency treatment that penetrates deeper than VelaShape and does not require the use of suction. Heat is applied to the fat cells, causing them to explode, leak, and go into the bloodstream. The fat cells are then excreted by the body through urination.
- SculpSure – uses advanced laser technology to melt fats away.
CoolSculpting is a groundbreaking technology which involves freezing fat cells throughout the body. It is a popular alternative to traditional surgical procedures like liposuction and tummy tuck and is proven to eliminate 20-25% of fat cells in a single treatment.
Compared to other fat removal methods, CoolSculpting costs are relatively lower. The prices depend on the number and extent of the target areas. Because everybody is different, CoolSculpting treatments are personalized.
There’s no doubt that CoolSculpting works. It is backed by research and many people swear by the promised results. Nonetheless, getting the treatment from a certified professional will ensure that you are able to achieve your body contouring goals.