How are the fat cells eliminated during coolsculpting?

Question

Will they go through the gall bladder, liver, kidneys or intestinal tract? Is there a danger of blood clots forming?

Jeffrey J. Roth, MD, FACS · Answer

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.

Martin Jugenburg, MD · Answer

Thank you for your question. The fat cells are eliminated through your lymphatic system to your liver. The fat is then taken to your gastrointestinal tract and eliminated from your body through your stools. Regards,

Jason Emer, MD · Answer

Fat is removed without any complications to your body. I suggest you see an expert.  Coolsculpting is very safe and works well if you are a candidate.  Best, Dr. Emer.

Janet Turkle, MD · Answer

CoolSculpting destroys fat cells through freezing, a process called cyrolipolysis. The treated fat cells gradually die and are transported by the lymphatic system to be eliminated by the body's normal metabolic process, much like fat from food.

Stanley Kovak, MD · Answer

CoolSculpting safely destroys fat cells through a process called cryolipolysis ("freezing fat"), which are then naturally removed via the body's lymphatic system. Macrophages in the lymphatic system permanently eliminate these dead fat cells, after which they are excreted from the body through the gastrointestinal tract. There is currently no evidence for potential blood clots during the treatment and the procedure is not only FDA approved, but has also been performed on millions of patients.

Steven Swengel, MD · Answer

Frozen fat cells undergo a process called apoptosis where cell death releases the fat content of the cells.  This is transported via lymphatics to the liver where the fat is eliminated from the body via your stools.  In our office we treat a lot of patients and the comment after one treatment series from all patients is they experience loose stools and 'stinky floaters' for a period of 1-2 weeks.   No one talks about this much, but it will happen in a very predictable manner after each treatment.

Michael E. Kelly, MD · Answer

Cells are dissolved through apoptosis. They are excreted via the kidneys.They do not return and the result is permanent.

Sheryl D. Clark, MD, FAAD · Answer

Dear Jeanette:Adipocytes (fat cells) are slowly chilled to a temperature just above their freezing point, which triggers them to enter a normal phase of every cell's life cycle called apoptosis, or programmed cell death. The cells die very slowly and are naturally eliminated from your body over the following few months by macrophages, the little Pac-men of the body, which take them away without ever dumping fat into the circulation, unlike liposuction and other techniques of fat removal. They are dumped into the gut via lymphatics, and thus are eliminated through the gastrointestinal tract just like waste products from the good you eat. There is no risk of blood clotting and no rise in serum lipids. There is no stress to any of the body's organs.I  do hope this is helpful to you. All the best, Dr. Clark

How are the fat cells eliminated during coolsculpting?

Answers (8)

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