Georgia Coast Surgical - Brunswick

We would recommend doing Exilis Ultra on your lower face and neck for the best results. For those patients who have a pocket of fat under the chin (you would need to be examined by someone familiar with this condition), Coolsculpting can help minimize the pocket of fat and improve the appearance of this area.

Coolsculpting only affects and treats the subcutaneous fat which is held within the applicator during treatment. It would not be expected to affect deeper tissues. If you have had external beam radiation, it would be wise to consult with your urologist and radiation oncologist. Radiation can cause changes to blood vessels and decrease blood supply to various tissues. If you had radiation treatment of the lymph nodes near the aorta, then you need further evaluation from your treating physicians. If you have never had radiation for your cancer, or if the radiation was limited to your testicular area, then coolsculpting would not be expected to be a problem.

We perform Coolsculpting in patients who have had a hernia repair, but we usually avoid the site of the actual repair--especially if the incisions are big (from open operations). With very small incisions from laparoscopic surgery we could sculpt over them as long as there is no recurrent hernia in those incisions and as long as the scar and surrounding tissue can be held in an applicator. We always avoid Coolsculpting directly over the umbilicus.

Small ice crystals can form during your Coolsculpting treatment since fat isn't as well supplied with blood as are other tissues. These are gone within a short time after your actual treatment. However, fat cells have an optimum temperature range in which they can survive. If they are subjected to temperatures that are above or below this temperature range for a period, then the more temperature sensitive cells will not survive. Our skin and subcutaneous tissues contain nerves--which we don't want to freeze--but the nerves are bundled in with arteries and veins (a neurovascular bundle) so that they have better temperature regulation than fatty tissue itself. Freezing fat to the point where it would remain frozen for a long time would be expected to cause nerve injury. The time and temperature variations in a Coolsculpting treatment have been studied in animal and human models and adjusted to yield good results without causing injury to essential structures.

I doubt that there is much data on this subject. However, if you're not Coolsculpting over the area where you had your vaccine, I don't think there would be any reason to avoid Coolsculpting. Maximum cell death occurs during the first 30 to 90 days after Coolsculpting. At that rate, I don't think that you will have a problem with clearing the breakdown products of your fat cells in connection with your vaccine. The amount of vaccine is very small and will have been passed along through your lymphatic system by the time fat cells die. Furthermore the dying/dead fat cells will pass through several lymphatic drainage areas in most cases.