What are the pros and cons of liposuction and coolsculpting when used for love handles?
Better Results for Love Handles, Coolsculpting or Liposuction?
Doctor Answers 13
Cool sculpting for the love handles!
Body reshaping can be performed with a cannula that removes fat via liposuction or with noninvasive technology like Cool Sculpting. With Cool Sculpting there is no cannula inserted into your body. All treatments are performed on the surface from the outside in using technology that freezes the fat. Don’t hesitate to give us a call in Austin regarding a Body Reshaping Consult at the Upper Room. On our Facebook Page there is an Interview I recently did with KVUE, a local news station in Austin, that was picked by affiliates around the United States, including Miami. During the Interview we discussed the technology of Cool Sculpting as well as it application process.
Coolsculpting & Liposuction Pros and Cons
The limitations of Coolsculpting are that it will maximally reduce the love handle area by 20 to 25 percent. It may be that you require a second round of Cool Sculpting to achieve your desired result.
Liposuction by comparison will remove at least 50 to 75 percent of your excess fat in one sitting. Because it introduces a cannula into your fat tissues it must be done in a sterile environment. Most patients require some form of sedating anesthesia in order to tolerate the procedure and allow the surgeon to achieve the optimal result. Sedation should never be given without a preoperative medical clearance and intraoperative monitoring. The recovery period from liposuction will include some well tolerated swelling and discomfort. It takes about six weeks to see the final result. The final result from liposuction is much more certain and dramatic than what can be achieved with Coolsculpting.
In short: Coolsculpting is very user friendly, less expensive for one treatment, but will only achieve a 20 -25 percent reduction of fat.
Liposuction requires a great investment in pre-op preparation and a greater expense, but will give you a more certain result.
CoolSculpting or Liposuction
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. We have had good experience with the skin snapping back. Each individual is different. We usually see about a 25% reduction with CoolSculpting. Liposuction gives more dramatic results, but is more invasive. See an experienced CoolSculpting practice, they will determine if you are a candidate. Moreover, would also consider seeing a Board Certified Plastic Surgeon, who can give advice on both CoolSculpting and Liposuction.
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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.
Sheila Nazarian, MD, MMM
Beverly Hills, Board Certified Plastic Surgeon
CoolSculpting vs. Liposuction: It Is Up to You
Both Effective, But No Downtime With CoolSculpting
Procedures to Improve Love Handles
Liposuction is more effective for one treatment than CoolSculpting for love handles
There is no doubt that liposuction removes more fat cells in one treatment than the amount of fat cells that are destroyed in one treatment, and even a few, with Zeltiq's CoolSculpting. Liposuction involves local anesthetic, and some other medicaton often, to help you relax and there are surgical risks, although it is a very safe procedure when done according to the standard appraoach. Zeltiq has virtually no down time. You can go out to dinner that night, and often, with your doctor's permission, resume strenuous activity within a day or two but there can be brusiing and swelling temporarily, and much less than liposuction usually. There are no small insertion sites that need to heal with Zeltiq. CoolSculpting can be repeated every couple of months but the time it takes to have a considerable improvement is longer than that from liposuction.
Liposuction or Cool sculpting (Zeltiq)?
Thank you for the question.
Liposuction surgery involves incisions and an invasive procedure to directly remove adipose tissue. Some form of anesthesia is necessary. The procedure is effective with approximately 60 to 80% of adipose tissue removed from the treated area. Like any surgical procedure some recovery time (time off work etc.) it is necessary. It generally takes several months after the procedure to see the end results.
However, cool sculpting is a noninvasive ( with no downtime) technique of removal of isolated adipose tissue that results in 20-25% reduction of the fat in the area treated. Repeated treatments may be necessary/ helpful.
For example, if a patient presents as a good candidate for liposuction surgery ( diet and exercise resistant adipose tissue with overlying good-quality skin elasticity), then liposuction surgery is probably the best way to go if the patient is interested in a single procedure.
If the patient presents with isolated adipose tissue “pocket” and is interested in a noninvasive procedure(s) with no downtime ( but with less effect) then cool sculpting may be an option.
As always, direct physical examination is necessary to determine if the patient is a candidate for any modality of treatment.
Coolsculpting and Liposuction: Both Great for Different Purposes
When it comes to choosing a method for fat reduction, the amount of unwanted fat a patient desires to remove is a major consideration. Coolsculpting® is great for very small amounts of undesired, diet- and exercise- resistant fat. Liposuction works better on more substantial amounts of fat. However, there are many additional factors to consider like results and recovery. While Coolsculpting® is non-invasive and doesn’t require down time, two treatments are necessary for optimal results, which will be evident after 4 to 6 months. Coolsculpting® applies extreme cold to the target area, which causes the body to respond by eliminating the fat within fat cells over time. Liposuction requires more significant recovery time as it is a surgical procedure, but can produce noticeable results that will be evident immediately after the swelling from surgery goes down. Both of these fat reduction techniques, however, can be used to treat love handles.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.