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CoolSculpting has FDA approval for fat reduction since 2010. CoolSculpting freezes the fat cells. Fat cells are more susceptible to damage by freezing than the other cells, (nerve, vessel, bone, etc.), around them. The fat cells die via a process called apoptosis, (programmed cell death). The number of fat cells are therefore reduced. This happens over a period of time, so the body is not overwhelmed with dead fat cells. The body will take these cells up, process them and excrete them, just as any other cell. The remnants are filtered through the liver, and then excreted eventually via stool. Knees can be a challenge with any modality. CoolSculpting had been used in this area with good results. See an experienced CoolSculpting practice, they will determine if you are a candidate.
CoolSculpting can be done on many areas. The areas have to be pliable in order to be pulled by the suction of the applicator. The knees would be a difficult area to treat since there is not an applicator that can fit correctly over this area. It is always best to have a consultation with a provider to see if you are a candidate for this treatment. If they do decide that this area can be treated, it is considered off-label.
Although some doctors have used CoolSculpting to provide fat reduction on the thighs as an off-label procedure, the inner knee is replete with bony prominences and being a small area, would not hold the applicator well to the skin and suction wouldn't be maintained. Even the flat applicator is too big for the medial knee.
The FDA has not approved coolsculpting for the knees. Consult with a board certified physician who can provide surgical options and coolsculpting to determine the best treatment plan for you.
Currently, the handpieces available for CoolSculpting are too large for the knees of most people. It is important for the handpiece to fit very securely on the area to be treated in order to achieve desired results. However, Zeltiq, the company that makes CoolSculpting is developing smaller handpieces that will offer more options. Look for a physician you trust and respect performing CoolSculpting in your area. They will keep you informed about new developments with CoolSculpting including new, smaller handpieces.
