Many years ago, physicians noticed that following injury, patients would notice body contour changes. This can occur after contusions, where once the bruising and swelling resolve, the area looks flatter. The cause was damage to the fat. Fat is more susceptible to injury than skin or muscle. It has a poor blood supply and doesn’t heal as well as other tissues. Doctors also noticed that children could develop new dimples if they eat too many popsicles. Some very bright scientists realized that fat solidifies, or freezes, at temperatures above the freezing point of water. So, well before frostbite develops, the fat turns into a solid. In the case of fat within the fat cell, the cell walls can break and the cell dies.
How does it work?
The goal of CoolSculpting is to bring a known area of fat to that temperature where the fat is damaged and hold it there long enough to create a predictable volume and contour loss. The area to be treated is drawn into a chamber under mild suction. A heat exchanger is then activated to lower the temperature in that tissue to that perfect temperature where we damage only the fat, leaving the overlying skin alone. After a predetermined period of time, the device is removed. The area is then gently massaged. Depending on the treatment plan, the device can be reapplied for greater effect. Your body clears out the broken cells and healing occurs. Gradually, the final contour emerges. It takes between 8 and 12 weeks before the results are complete.
Who is a good candidate?
CoolSculpting is ideal for stubborn bulges that don’t go away with diet and exercise in healthy patients at near normal weight. Once the fat is treated, it doesn’t return. That assumes all else is the same. All the fat is not damaged, so if you gain weight, the contour can change just like any other area of the body. CoolSculpting results in contour changes, not body sculpting. It may improve a six-pack, but it won’t create one. It is not designed for obese patients. The changes will occur, but you likely won’t notice them.
With very few exceptions, CoolSculpting requires little effort from the patient. Barring some select conditions, anyone can have it performed. After a few hours of lying around listening to music, reading a book, or watching Netflix, you’re done. There is nothing invasive. There are no needles. There are no pre-operative doctor visits. There are no drugs. There is no drainage. There is no significant recovery. You may be sore for a few days, but it is seldom more uncomfortable than a bruise. The typical CoolSculpting candidate doesn’t want to take time off from work. They have only a few areas that trouble them, not enough for surgery, but enough for a few hours of treatment time. You can start with a few areas and add more if you like the result. We call that treatment to transformation. Negative outcomes are rare. Only an in-person examination can determine if you are a good candidate for CoolSculpting. If CoolSculpting had existed before the development of liposuction, there would be far fewer liposuctions performed today. Liposuction would be reserved for true body sculpting. CoolSculpting is a technique that moves body contouring almost to the level of a discretionary purchase. With Dr. Geldner’s superior skill, 25 years of experience, and his experienced and compassionate staff, we exceed our patient’s expectations.
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