Coolsculpting- Where Does The Fat Go?

Question

With coolsculpting, how/where is the fat eliminated from the body? Everywhere I read it says "flushed through the lymphatic system to the liver," Is it ending up in the stool?

Sheila S. Nazarian, MD · Answer

Coolsculpting is an excellent form of non-invasive  fat reduction for the right patient. Some applicators take 1 or 2 hours but the new advantage applicators take only 35 minutes and have significantly less risk for delayed onset pain (especially in the abdomen). Results are seen at 2 months and typically 1-3 treatments will be necessary on each area to achieve ideal results. The number of treatments depends on the amount of fat there and the patient's goals.  There is not downtime and the results can be impressive in the right patient.  We also use the Zimmer Z-wave for improved patient comfort and added results. The best candidates are those who are in pretty good shape with areas of stubborn fat that won't go away no matter what. I recommend going to certified physician to examine area in person to evaluate if you are a good candidate for this procedure. Coolsculpting kills the fat cells by freezing them. The lymphatic system then picks up the dead cells and later the body will  excrete them via stool.  My best,Sheila Nazarian, MD, MMMBeverly Hills, Board Certified Plastic Surgeon

Jeffrey J. Roth, MD, FACS · Answer

CoolSculpting freezes the fat cells.  The fat cells die via a process called apoptosis.  The number of fat cells are therefore reduced.  The body will take these cells up, process them and excrete them, just as any other cell. Yes, the remnants are filtered through the liver, and then excreted eventually via stool.

Young R. Cho, MD, PhD · Answer

Coolsculpting causes enough cold-related stress to some of the fat cells such that they say "It's my time to go" and go through a natural cell death (Apoptosis is the medical term).  The cells that die off, then get metabolized and flushed out of the body.

Lorrie Klein, MD · Answer

Coolsculpting damages the fat cells, causing them to be safely removed by the body.  The lipids that are released are gradually removed through the stool.

Robert Whitfield, MD · Answer

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.

D. Scott Karempelis, MD · Answer

CoolSculpting® is an FDA-cleared non-invasive technology used to eliminate stubborn pockets of fat around the abdomen and flanks. Using a cooling process known as cryolipolysis, fat cells are targeted without damaging healthy skin and tissue surrounding the treatment area. Cryolipolysis targets unwanted fat by freezing fat cells, causing the body to remove the dead cells. It does take a few months to see the full results as your body naturally disposes the fat cells through excretory processes.

Grace Liu, MD · Answer

Hi,

	Great Question!  Yes you are right, the fat is metabolized like any other fat in the system and eliminated through the stool.  This doesn't mean you will have suddenly have a lot of fat in your stool.  This process is gradual and shouldn't cause any stomach or intestinal upset.  Zeltiq also has proven that it does not cause elevated triglycerides or cholesterol in the bloodstream since they tested this in the initial studies.

	 

	Warmly,

	Dr. Liu

Steven Hacker, MD · Answer

Coolsculplting results in fat cell death and then the body's metabolic processes take over and remove the dead fat cells

Eric Chang, MD · Answer

coolsculpting is based on the premise that cold injury can be harnessed to produce repeatable results. imagine the tissue damage that occurs during frostbite. cold in its extremes can lead to the loss of digits, and the tip of the nose, and even worse. fat responds to cold injury more rapidly that the surrounding tissues. the fat is metabolized by the body over 6-8 weeks after treatment and excreted through the liver and kidneys, like all metabolic wastes.

Michael Law, MD · Answer

uses a cooling technology that targets subcutaneous fat cells by freezing them to the point of crystallization. Once crystallized, the cells are then eliminated from the body through the lymphatic system in a natural process.

	With Coolsculpting Complete, vibrational therapy is added to the Coolsculpting process to enhance lymphatic drainage

Coolsculpting- Where Does The Fat Go?

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