Thank you for your question. TearCare is a treatment designed to help manage dry eyes by delivering targeted thermal energy to the outer surface of the eyelids. The temperatures used in this treatment range from 41°C to 45°C and are applied for about 12 minutes. Concerns About Fat Loss: The temperatures used in TearCare are relatively low compared to those used in treatments specifically designed for fat reduction, such as certain radiofrequency or laser devices. These higher-energy devices typically operate at temperatures significantly above 45°C and are used for longer durations to achieve fat reduction. Impact on Skin and Fat: At the temperatures used in TearCare, it is unlikely to cause significant fat loss or damage to the skin. The treatment is designed to be safe for the delicate skin around the eyes and is specifically targeted to help with the symptoms of dry eyes. Safety and Efficacy: The TearCare system has been studied and found to be effective for its intended purpose without causing significant side effects. However, as with any medical treatment, individual responses can vary. If you have concerns, it is always best to discuss them with your optometrist or a dermatologist experienced in thermal energy treatments. Final Thoughts: While it is understandable to be cautious about treatments involving thermal energy, the temperatures and duration used in TearCare are generally considered safe for the eyelid area. If you remain concerned, you might want to explore alternative treatments for dry eyes or seek a second opinion from a specialist. I hope this helps to address your concerns. If you have any further questions, please feel free to ask. Best regards,