Coolsculpting Versus Liposuction

By: Greg Chernoff, BSc, M.D. F.R.C.S.(C)
CoolSculpting freezes cells, through a process called cryolipolysis (cryo=cold & lipolysis=destruction of fat) a process that causes approximately 20% of the fat cells treated to gradually die within 6 weeks to 8 weeks after the treatment. CoolSculpting is based on the science of cryolipolysis, a term that combines “cryo” (cold) with “lipolysis” (the destruction of fat). The damaged fat cells are slowly metabolized by the body.
Coolsculpting is best for patients who have small areas of localized fat. For example a small belly pooch. For patients who have more than a small area of fat, Coolsculpting may not be the best option. Other treatments that use Ultrasound, Radio Frequency, and Biostimulation target percentages higher than Coolsculpting and provide non-lumpy and even fat reduction. We often treat Coolsculpting patients with Radio Frequency or BioStimulation to smooth out lumpy tissue that remains after Coolsculpting.
For patients interested in a comprehensive “sculpted” look, we recommend ultrasound assisted Liposculpting. This is the best method to permanently remove fat. Some patients fear surgical body contouring, however, the treatment has made dramatic advances over the years.
Dr. Chernoff is an expert in surgical body sculpting. He uses tumescent ultrasound assisted liposculpting that uses laser and ultrasound technology to melt fat and tighten skin. The procedures use high frequency ultrasonic waves to break down the fat and allow the fat cells to be removed. Laser technology directly contracts collagen and tightens the skin. This is an effective permanent treatment for the body, neck, or face that removes fat, creating a smooth and even result.

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