Better Results for Love Handles, Coolsculpting or Liposuction?

Hello, 

Thank you for your question. CoolSculpting is a non-invasive way to permanently reduce fat cells. It will remove 25-30% of the fat cells in the treated areas, and then it will take 3-4 months to see the full results. You will have some swelling and mild discomfort after the treatments, and possibly some numbness. Lipo may allow you to see a greater reduction of fat, depending on the area and what needs to be done. It will have a small amount of downtime, and the possibility of scaring. However you will see the results a little quicker than with CoolSculpting. It would be best to consult with a local physician to determine which treatment would be best suited for you. Good luck!

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.           

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.

My best,

Sheila Nazarian, MD, MMM

Beverly Hills, Board Certified Plastic Surgeon