Using the CoolMini applicator, it is possible to freeze fat on the inner knees and permanently remove it. This takes a great deal of expertise to accomplish well. Please consult a board-certified dermatologist who has done this before to get the best results.
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.
The knee area is particularly challenging and we routinely see patients who have had problems after sculpting of knees elsewhere. Coolsculpting is not an option for these areas. Consult with a board-certified plastic surgeon who can go over all your options.
With the right applicator, CoolSculpting can be very
effective for fat reduction in this area. The company that makes CoolSculpting
recently released a new applicator they call CoolFit, which allows for
treatment in areas of the body that were previously harder to access. Make sure
to find a provider near you who offers this applicator so that the CoolSculpting
treatment process will be most effective.
Coolsculpting is not approved by the FDA for knees. Some centers are using coolsculpting for knees. Based on feedback from the company, the results are vary greatly. Proceed with caution in regards to coolsculpting the knees.
Treatment for inner knee fat depends on the patient. Inner knee fat may be treated with non-invasive fat reduction procedures such as Exilis. It is best to consult with a board-certified dermatologist to determine the best treatment for you.
In our experience, we have been able to use CoolSculpting in many places where we would have used liposuction before, with similar results. You need to be evaluated by a physician experienced with treating such areas though, because there are other variables, such as loose skin and the risk of contour irregularities.
CoolSculpting can absolutely work on this area, particularly now that we have a new, flat applicator that works on areas like this. Expect the treatment to take 2 hours per side with the flat applicator. Of course, your plastic surgeon will evaluate the area and tell you if there is any reason this wouldn't work for you.
I would not recommend this. Fat distribution would not be adequate to safely use this technology. There are other treats like liposuction that would be appropriate for this area.
Coolsculpting has a new applicator that works very well on the inner and outer thighs. It will not reduce the fat on the inner knee since there is not an applicator small enough yet.