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Risks of CoolSculpting

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CoolSculpting is a non-invasive fat reduction treatment that employs controlled cooling to remove stubborn fat cells beneath the skin.

Medically reviewed byDr. Vedprakash Verma

Published At September 11, 2024
Reviewed AtSeptember 11, 2024

What Is CoolSculpting?

CoolSculpting is a minimally invasive cosmetic procedure to reduce fat in specific body areas. It uses cryolipolysis, a technique that freezes fat cells beneath the skin. These frozen fat cells are gradually broken down and removed by the body naturally. The procedure targets stubborn fat areas that do not respond to diet and exercise, like the abdomen, thighs, flanks, and under the chin. CoolSculpting is generally safe for most people and usually requires no downtime so that individuals can resume their normal activities right after treatment.

What Are the Types of Body Fat?

The body has two types of fat: The subcutaneous fat and visceral fat.

  • Subcutaneous Fat: Subcutaneous fat is a common type of body fat. It forms a layer beneath the skin around your arms, legs, and waist. While it is a necessary part of the body, too much subcutaneous fat can raise the risk of health problems like type 2 diabetes and heart disease. Cryolipolysis procedures are designed to target this type of fat.

  • Visceral Fat: Fat surrounds important organs such as the stomach, intestines, and liver and can accumulate in the arteries. Although it is vital for the healthy functioning of these organs, excessive visceral fat can lead to insulin resistance, increased blood pressure, and other serious health issues.

Is Coolsculpting Safe?

While research is still limited, CoolSculpting is generally considered a safer, non-invasive alternative to traditional fat reduction methods such as liposuction. Most people feel nothing during the procedure except for a tugging sensation where the skin is placed between the device’s two cooling panels. Since CoolSculpting does not involve cutting, tissue manipulation, or anesthesia, most people do not require any recovery time and can return to normal activities.

The only noticeable side effects are usually minor and occur only in the treatment area. These minor side effects typically reduce or disappear within a few days to weeks after the procedure.

It is normal to experience numbness or a loss of sensation in the treated area for up to a month. Common immediate side effects of CoolSculpting include:

  • Redness.

  • Firmness.

  • Pinching sensation.

  • Minor swelling.

  • Tenderness.

  • Bruising.

  • Stinging.

  • Tingling.

  • Numbness.

  • Skin sensitivity.

  • Mild to moderate pain.

  • Muscle cramping.

These side effects may persist for a few weeks after the procedure. Other common side effects in the first few weeks after CoolSculpting include:

  • Itchiness, particularly a few days following the procedure.

  • Diarrhea is when the body removes dead fat cells.

  • A sensation of fullness in the throat after treatments involving the neck or chin area.

What Are the Side Effects of Coolsculpting?

The risk of side effects and complications sometimes depends on the medical professional performing the procedure. Ask an experienced and trusted specialist, such as a dermatologist or plastic surgeon, is important. Individuals can find the right professional by researching local options and asking questions before deciding on the procedure. CoolSculpting is relatively new, so the full extent of its risks, side effects, and complications is still unknown.

A 2017 study reviewing research from two major medical databases found only 319 studies related to CoolSculpting, cryolipolysis (fat reduction by freezing), fat freezing, and lipocryolysis (fat loss via cold treatment). Because it is relatively new, only some medical professionals are familiar with or have extensive experience with the procedure.

CoolSculpting is approved and proven effective for a limited number of body areas. These include:

  • Abdomen.

  • Thighs.

  • Under the chin or upper neck.

  • Flanks.

  • Under the armpit.

  • Back.

  • Buttocks and under the buttocks.

CoolSculpting is considered safe and effective in removing minor fat deposits in these areas.

Who Should Avoid CoolSculpting?

CoolSculpting is a safe and effective method to reduce fat cells in specific target areas. However, it is not a form of weight loss or recommended for treating obesity. This procedure helps eliminate stubborn fat cells that usually shrink through diet and exercise. People with poor immune systems are not ideal candidates for CoolSculpting. Those with certain conditions affecting the body’s response to cold can experience serious medical complications. Conditions that make CoolSculpting unsuitable include:

  • Pregnancy, attempting to become pregnant, and breastfeeding.

  • Cryoglobulinemia is a disorder where proteins that usually increase in response to cold are abnormally high.

  • Cold agglutinin disease is an autoimmune condition in which temperature changes kill red blood cells.

  • Paroxysmal cold hemoglobinuria is when red blood cells die in response to temperature changes.

  • Cold sores.

  • Raynaud's phenomenon.

  • Reduce circulation or skin sensation in the treatment area.

  • Nerve conditions, like diabetic neuropathy.

  • Skin conditions associated with the immune system, such as psoriasis and eczema.

  • Inflammatory skin conditions, such as hives and dermatitis.

  • Recent injury to the treated skin area, including scar tissue.

  • Long-term use of the blood-thinning medications.

  • Bleeding conditions in which thin the blood.

  • History of a hernia or the presence of a hernia in or around the treatment area.

  • Active, implanted medical devices, such as pacemakers,

  • Allergy to the propylene glycol or isopropyl alcohol.

  • Severe pain conditions.

  • Chronic anxiety disorders.

What Are the Rare Long-Term Effects of CoolSculpting?

In sporadic cases, fat cells respond to CoolSculpting by enlarging instead of dying, a condition called paradoxical adipose hyperplasia (PAH). A 2014 study reported that the incidence of PAH with CoolSculpting is estimated to be around 0.0051 percent. Researchers are unsure why PAH occurs, but it is more common in men. While PAH does not cause symptoms other than changes in physical appearance, only surgery can reverse it. Other rare complications that may occur after CoolSculpting include:

  • Pain begins several days after treatment and usually resolves with the return of sensation or after about a month.

  • Scarring or changes in skin color.

  • Reduced movement or sensitivity of the tongue after neck or chin procedures.

  • Lower lip muscle weakness following the procedures involving the neck or chin.

  • Reduced saliva production and dry mouth following the chin or neck procedures.

  • Frostbite or first- and second-degree frostbite burns.

  • Sweating, light-headedness, dizziness, fainting, nausea, and flushing.

  • Hyperpigmentation, or darkening of the skin, often resolves on its own.

  • Subcutaneous induration is a generalized hardness or specific hard nodules that grow in the treated area and can be painful.

  • Abrupt and undesirable changes in the fat layering.

What Are the Positive Results of CoolSculpting?

One benefit of CoolSculpting is that, unlike diet and exercise, it destroys and removes fat cells from the body. The same fat cells cannot appear or enlarge with weight gain. Several other benefits of CoolSculpting include:

  • It is a low-risk procedure for most of the people.

  • The skin barrier is not broken or compromised, reducing the risk of complications such as infection and scarring.

  • Few negative reactions or outcomes have been reported.

  • There is no need to take time off from work or daily activities afterward.

  • The results look natural as they develop eventually in the weeks following the procedure.

  • It can assist individuals who have reduced weight or are at a healthy weight but still have excess fat in specific areas.

  • There is a reduced risk of weight regain, and the results are long-lasting because fat cells are permanently destroyed and flushed out from the body.

  • The risk of skin dimpling or bumps is minimal because fat cells are evenly destroyed throughout the treated area.

The procedure helps to boost self-confidence, especially when combined with weight loss achieved through a healthy diet and exercise.

Conclusion

CoolSculpting is a minimally invasive procedure that reduces stubborn fat through controlled cooling. It targets specific areas like the abdomen and thighs, offering a generally safe alternative to more invasive methods. While most individuals experience minimal side effects and can resume normal activities immediately, potential risks and rare long-term effects, such as paradoxical adipose hyperplasia, should be considered. Prospective patients must consult experienced professionals and evaluate their suitability for the procedure to ensure the best outcomes.

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