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The options have changed over the years but the most dramatic change you can make is with an abdominoplasty and if you want a subtle result it's anything from CoolSculpting to liposuction. I do a fair amount of CoolSculpting in our practice but essentially liposuction versus abdominoplasty would be the surgical end of things. CoolSculpting is interesting because it kind of has a gotcha kind of feel initially and then, as soon as it's been on for seven or eight minutes, the skin goes numb and then you don't have any, other than a cool sensation at the treated site, that's all you have. You don't have any pain related to it. Afterwards there is some pain, so we prescribe pain medicines as necessary. But that's not really very common. So actually the fats cells, after you have CoolSculpting done, they essentially dissolve slowly over time. They're actually damaged and not bumped off at the time of the treatment so those damaged cells disappear over time. It takes about two to three months for you to see a significant affect but people are seeing results as soon as a month or six weeks. Fat cells, it doesn't matter whether fat cells are suctioned out or are frozen with CoolSculpting, they are gone. They do not come back in that area.

What Is CoolSculpting and What Does It Feel Like?

CoolSculpting is one of the hottest trends in non-invasive body contouring, but this revolutionary permanent fat removal technique does come with a little discomfort, explains Dr. James Chappell.