Thank you for your question about the best way to permanently remove fat cells and whether alternative methods like CoolSculpting (often referred to as "cool lipo") have the same effect as traditional liposuction. Both traditional liposuction and CoolSculpting are designed to permanently remove fat cells from the body. Here's how each method works: Traditional Liposuction: This surgical procedure physically removes fat cells from the body using a suction technique. Once these fat cells are removed, they do not regenerate. However, if a person gains a significant amount of weight after the procedure, the remaining fat cells in the body can still expand. This can lead to fat appearing in new areas that might not have been problematic before, giving the impression that fat has "resurfaced" elsewhere. CoolSculpting: This is a non-surgical procedure that uses controlled cooling to target and kill fat cells, a process known as cryolipolysis. Over the weeks following treatment, these dead cells are naturally processed and eliminated by the body's lymphatic system. Like traditional liposuction, the fat cells removed via CoolSculpting do not grow back. However, as with liposuction, remaining fat cells can expand if there is weight gain. It's important to note that neither procedure limits the body's ability to store fat. They simply reduce the number of fat cells in the treated areas. If you gain weight after these procedures, your body still stores fat, potentially leading to fat deposits in areas that weren't treated or didn't previously seem prominent. The key to maintaining results from either procedure is a stable weight through a balanced diet and regular exercise. These methods should not be viewed as alternatives for weight loss but rather as tools for reshaping and reducing stubborn fat areas that do not respond to lifestyle changes. If you're considering a procedure for fat removal, it's crucial to consult with a board-certified plastic surgeon or a dermatologist who specializes in body contouring. They can provide a comprehensive evaluation and discuss the best options based on your body type, goals, and overall health. Sincerely, Dr. Katzen