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.