Does CoolSculpting Run the Risk of Fat Returning but to Other Areas of the Body?

There was a study recently that demonstrated that fat returns after liposuction though not to the areas treated. Instead, it is distributed elsewhere in the body. Does one run the same risk of fat returning to other areas of the body after CoolSculpting? I understand that one needs to be careful of diet and continue exercising but if careful diet and exercise are maintained, could the fat return post-CoolSculpting in the way it has been reported post-Lipo?

Doctor Answers 16

Cool Sculpting treatments lead to permanent fat loss but is not for weight loss!

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The fat cells don't return but you can gain weight and have it disturbed over the body as normal afterwards.  It is important to maintain a health lifestyle with appropriate diet and exercise.

Body reshaping can be performed with a cannula that removes fat via liposuction or with noninvasive technology like Cool Sculpting. With Cool Sculpting there is no cannula inserted into your body. All treatments are performed on the surface from the outside in using technology that freezes the fat. Don’t hesitate to give us a call in Austin regarding a Body Reshaping Consult at the Upper Room. On our Facebook Page there is an Interview I recently did with KVUE, a local news station in Austin, that was picked by affiliates around the United States, including Miami. During the Interview we discussed the technology of Cool Sculpting as well as it application process.

The discomfort from treatment does resolve. Taking over the counter tylenol or naproxen resolves this in the majority of cases. If you have swelling that is persistent then a waist binder is helpful.

Coolsculpting results in permanent reduction of fat cells in the treated area

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Remember that cool sculpting permanently reduces the number of fat cells in the treated area. If you then gain weight, the remaining fat cells in the treated area, as well as fat cells in the rest of your body, will enlarge. Because you have fewer fat cells in the treated area, that area will not enlarge as much as if the area had never been treated. Therefore, the weight gain is less noticeable in the areas that have been treated. The same concept applies to "uneven" weight gain after liposuction. The extent of the unevenness will depend on the ratio of fat cells that were removed versus left behind. I hope that answers your question.

Coolsculpting long-term fat loss!

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This is a great question, Coolsculpting eliminates the fat cells within the treated area permanently through your bodies natural metabolic system. It is important to follow the whole treatment to transformation treatment plan you discuss with your clinician. For example, if you were to treat your abdomen only but needed to treat flanks as well, once you lose up to 25% of the fat in your abdomen your flanks may look more pronounced. This is because your abdomen is now smaller but your flanks are the same- not bigger!

Paul Flashner, MD
Boston Physician
4.9 out of 5 stars 26 reviews

Freezing Fat Away

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CoolSculpting’s fat freezing technology does not relocate the fat. After the fat has been crystalized, or frozen, the body then naturally deposits the dead fat as waste. It goes through the natural waste process and leaves the body entirely.

Daljeet Samra, MD
Pleasanton Physician
5.0 out of 5 stars 5 reviews

Will I Get New Fat Cells In Other Areas Of My Body After CoolSculpting?

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This is a frequently asked question.  And, the answer is no! The truth is that there are no studies which show that anyone gets heavier in untreated areas after experiencing CoolSculpting.  The CoolSculpting treatment permanently removes the destroyed fat cells from the body.  They will never return, not to the the treated areas or elsewhere in the body.  However, if the patient gains weight, post treatment, the new weight will be distributed in a new way.   The patient will gain more evenly.  If the majority of previous weight gain always presented in the abdomen, which has now been treated, you will find that new weight does not deposit so much in that area.  This can make it appear that other areas of the body have gotten bigger than they would have before. This only happens if the client gains a significant amount of weight.  But still, the added weight in other areas experienced with weight gain is only the existing cells getting larger, not new cells forming in those areas to replace what was removed by CoolSculpting. 

Edward Stokes, MD
West Hollywood Physician
4.9 out of 5 stars 7 reviews

CoolSculpting Removes Fat Cells Permanently

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CoolSculpting technology safely delivers controlled cooling to gently and effectively target the fat cells underneath the skin. The treated fat cells are crystallized (frozen), then die. Over time, your body naturally processes the fat and eliminates these dead cells. In the weeks and months to follow, your body naturally processes and eliminates the treated fat cells. Once the fat cells are gone, they’re gone for good. However, that does not mean that you cannot get fat. If you do not maintain a healthy diet and exercise routine, the remaining fat cells can expand and cause problem areas. Technology can work wonders, but you must be willing to maintain your good results.

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

CoolSculpting Eliminates Fat Cells Permanently

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The cryolipolysis(TM) technology utilized by CoolSculpting freezes and kills fat cells, which the body then eliminates them over time. They cannot return. However, only 20 to 30% of fat cells can be killed in a single treatment. Multiple procedures may be necessary to obtain dramatic results. Because those fat cells no longer exist, they cannot return to the treated areas. However, that does not mean that you cannot get fat. If you do not maintain a healthy diet and exercise routine, the remaining fat cells can expand and cause problem areas. Technology can work wonders, but you must be willing to maintain your good results. Please consult a board-certified dermatologist to find out how to get the most from your CoolScupting procedure.

William Groff, DO
San Diego Dermatologist
4.9 out of 5 stars 51 reviews

Coolsculpting and permanent fat reduction

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One of the most amazing aspects of Coolsculpting is that it leads to permanent fat reduction in the treated area.  Unlike liposuction where the fat can return in other areas, coolsculpting permanently treats the fat and will not return in a different areas.  Zeltiq is not a weight loss device, however, and if you gain weight you will gain weight in all areas, including any areas treated.  For the best cosmetic results please consult a board certified dermatologist with expertise in coolsculpting.

Weight Gain post coolsculpting

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It is important to understand the distinction between fat reduction and weight gain. Coolsculpting will eliminate approximately 20% of the fat cells in the treated area. However, if you gain weight, the remaining fat cells in the area can enlarge which may hide the results of the coolsculpting treatment.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

CoolSculpting Results

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Thank you for your question. When you have your CoolSculpting treatment, the affected fat cells will be eliminated. As long as you maintain your weight with your normal diet and exercise, your long-term results should remain stable.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.