What EXACTLY happen to the fat and how is it "eliminated" after CoolSculpting?

Simple answer, the fat is eliminated via the lymphatic system.  There is no fat that is absorbed into the blood system as this could cause something known as fat embolism which would be quite dangerous.  Nor is fat "redistributed" to some other part of the body.  You do not have to exercise at all to see the results of fat reduction from Coolsculpting, but of course exercise is a good way to reduce fat in any case, with or without Coolsculpting, but it is not necessary.  Coolsculpting simply freezes the fat in the treatment area to a critical temperature until the fat cells undergo a process called apoptosis (cell death) and they are then removed via the lymphatic system.  Simple as that.  The concerns you are mentioning in your question have absolutely no basis in scientific fact and I would not be concerned about those things at all.  Coolsculpting is a tried and true, highly effective procedure for fat reduction with very little complication.   Hope this helps you.
All the Best,
Dr. Paul Flashner

Good question.  The coolsculpting applicator is applied and controlled cooling initiates the death cycle for the fat cell.  The fat in the cell is released into the bloodstream and the liver naturally eliminates it.  There have been studies after the treatment to show there is no increase in triglycerides or other lipids in the bloodstream or an increase in cholesterol.

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. Coolsculpting kills the fat cells by freezing them, and the body excretes the death cells. My best,Sheila Nazarian, MD, MMMBeverly Hills, Board Certified Plastic Surgeon

CoolSculpting has FDA approval for fat reduction since 2010. CoolSculpting freezes the fat cells. The fat cells die via a process called apoptosis, (programmed cell death). 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.

We at the Clevens Center are the one of the first facilities in Florida to offer SculpSure and we chose SculpSure over CoolSculpting because SculpSure has beaten CoolSculpting in head-to-head clinical studies, provides better results in shorter time and does not hurt the patients. In fact, SculpSure emits a warming feeling during the entire 25-minute in-office procedure to stimulate the patients with a pleasurable feeling. The mechanics of SculpSure are very interesting. Sculpsure is a non-invasive lipolysis device that leverages
controlled and targeted hyperthermic laser. The technique dives past your
dermis for minimal absorption and then penetrates deeply to destroy
subcutaneous fat. I suggest you consult a board certified facial plastic surgeon
to receive the highest quality knowledge, treatment, care and skill available.

Coolsculpting’s freezing process crystalizes 20-25% of the fat cells in the treated area. This crystallization does in fact kill the fat cells. The dead cells are slowly eliminated through the lymphatic system. Since they are not living/viable cells, reabsorption is of no concern and the fat will not “relocate” to other areas of the body.

Hello Nutripea888 and thank you for your question!What
makes the CoolSculpting procedure different from other non-invasive modalities
for fat removal is its advanced cooling technology that selectively targets and
eliminates fat cells gently and gradually while sparing all other tissue.With
the CoolSculpting procedure, a specially designed cooling applicator is applied
to the desired area of fat reduction to extract energy (cooling) from the
underlying fat tissue without damage to other tissues. The applicator cup uses
vacuum pressure to draw the tissue between the cooling panels. During the
procedure, the applicator delivers precisely controlled cooling conditions that
have been proven to target and eliminate fat cells in specific areas of the
body. When fat cells are exposed to precise cooling, they trigger a process of
natural removal that gradually reduces the thickness of the fat layer.The
CoolSculpting system controls the rate of energy extraction or cooling during
the procedure. The result is a reduction in fat bulges that is visible in most
patients in two to four months. The fat cells in the treated area are gradually
eliminated through the body’s normal metabolic processes, similar to how fat
from food is eliminated.

CoolSculpting utilizes Cryolipolysis, a technique using extreme cold temperatures to destroy the layers of fat cells. The surrounding, healthy tissues are unaffected during the treatment, remaining completely safe. Over the weeks following a CoolSculpting procedure, the body will naturally metabolize the lifeless cells. A 25-35% reduction in fatty tissue can be seen once the area has completely healed.CoolSculpting can be used to treat many different areas including the abdomen (Muffin Top), flanks (Love Handles), upper back (Bra Rolls), lower back, arms, and male breasts. Three different size applicators are available, allowing each CoolSculpting treatment to precisely address the individual target area.

Great question Nutripea! Fat cells are permanently killed during the fat freezing of CoolSculpting. Once these fat cells are naturally killed, the cells of your immune system come and and clean up these dead fat cells. They are transported into the blood stream and ultimately eliminated from your body through your urine. There is no risk of these fat cells traveling to other parts of your body. Hope this answers your question! For answers to other common CoolSculpting questions please click on the link below.

The fat cells that are destroyed as a result of CoolSculpting are eliminated by cells in the body known as macrophages.  The fat does not travel in the bloodstream to end up somewhere else on the body.