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CoolSculpting ®
CoolSculpting® is a cryolysis, or fat device, and by Zeltiq Ltd.
The science, which led to the of their cryolipolysis and the CoolSculpting device, was first in 2008. Dieter MD, PhD and R. Rox Anderson and their team demonstrated that under controlled conditions, fat cells situated the skin and muscle layers, (i.e. fat), is more to the of cold than other surrounding tissues. They also showed that prolonged cooling of these fat cells can cause them to reduce in number, without damaging anything else in the area.
This was referred to as `selective cryolysis`. Where `cryo` refers to cold and `lysis` refers to the of a cell wall which leads to its disintegration.
Zeltiq began marketing this treatment as cryolipolysis or cryolipo. It is now part of the portfolio of treatments from Allergan Aesthetics, the makers of and Juvederm®.

The CoolSculpting device uses a of heads for tissue-cooling, down to −7°C, and is by an engineered monitoring system.
By attaching the applicator to the area, the tissue is drawn into the shape under vacuum and held in place two panels. Then, energy, in the form of heat, is extracted from the area and the underlying fatty tissue is cooled.
in the heads monitor the skin temperature during the procedure to ensure a controlled and . Cooling can be adjusted treatment thanks to this continuous feedback from the sensors
The CoolSculpting device comes with a variety of applicators for targeting areas of and some clinics may have more at their than others.
• CoolMini™ Applicator is ideal for small areas of fat, including double chin
• CoolCurve+™ Applicator is ideal for curves, such as the flank area (love or muffin tops).
• CoolCore™ Applicator is most used for the .
• Petite™ is to treat upper arms.
• CoolAdvantage™ is a newer with contours and is ideal for the abdomen, flanks and inner thighs and claims to treat in nearly half the treatment time of previous models.
• CoolFit™ Applicator a flat design ideal for longer, vertical areas of fat, such as the inner thighs.
• PRO™ Applicator a unique flat design ideal for fat, such as outer thighs.
• CoolMax™ is ideal for large volume reduction.
Cryolipolysis using the device, is a non-invasive fat removal procedure. It is the cooling of the fat cells, which induces lipolysis, the breaking down of the fat cells by crystallising them, any of the surrounding tissue or the skin. Following the procedure, the fat breaks down over a period of two to four months, resulting in fat loss that appears entirely .
During treatment, a patented gel pad is applied to skin and the head is positioned and . This draws in the tissue in the area being targeted using vacuum, and the controlled can then be .
European CE Mark approved in 2009.
U.S. FDA (Food & Drug Administration) approval in September 2010 for the non-surgical of fat for the flank area (or love handles), May 2012 for the non-surgical reduction of fat for the area (belly fat), April 2014 to treat the thigh area, September 2015 for submental fat (double chins), April 2016 for the of fat bulges of bra fat, back fat and the (also known as banana roll) and January 2017 for treatment of the upper arms.
Trained medical professionals, including and nurses, as well as trained .
Cryolipolysis is used to reduce fat in specific areas of the body where there is `pinchable` deposits of fatty tissue, such as on the abdomen, back, thighs, hips, legs, arms and chin.
Ideal candidates have small, areas of fat and are generally fit and healthy. Common areas to treat include love handles, bra bulges, saddle bags, bingo wings, or muffins tops that are not easily through diet and . As well as post pregnancy tummies where small accumulations of fatty tissue have .
It is not as a weight loss solution, and it is not for large areas of fat, where liposuction may be more appropriate. It is for all skin types and can be used to treat both men and women.
Results from will begin to show approximately 3 weeks after treatment, with more dramatic results after 2 months. The metabolism of the damaged fat cells will continue for up to 4 or 6 months after treatment, so expect to see your final results after around half a year.
The fat cells do not regrow or return, therefore the treatment is considered permanent. Maintaining a diet and lifestyle is important to avoid weight gain in the fat cells.
is generally well tolerated. You will feel an intense cold sensation as the treatment begins but this usually subsides within 5 to 10 minutes as the area being is numbed. As the draws in the tissue within the area being you will also feel a sensation akin to tugging or mild . Other possible sensations include tingling, stinging, aching or cramping as the gets underway.
Most people are happy to be doing other things during treatment, such as read, use mobile devices or even have a rest and nap as the is well tolerated.
Many return to their normal activities straight away afterwards with little downtime . Expect to experience temporary side post-treatment including redness, bruising, swelling, tingling, to the skin, tenderness, itching and to the area. You may find your skin is sensitive to the touch. If you have treatment to reduce a double chin, then you may experience a sensation of in the back of the throat. All these sensations and side effects should resolve within a few days, or up to a week after your treatment session.
Although rare, cases of delayed pain and (PAH), where of more fatty tissue appears in the area, have been reported post procedures. PAH is a more common in men than women, and can be successfully with .
Other rare, but potential side effects include, first or second degree burns (frostbite), due to incorrect placement of the applicator, hyperpigmentation of the skin in the treated area (dark patches), or during and hernia.
As long as you are generally and don`t have any skin or in the area treated, there are few medical reasons why you should not this treatment.
and Dermal Filler Dissolving (Hyaluronidase) [Https://Ethosskinandlaser.Co.Uk/] breast feeding women are not suitable .
You should also not have the procedure if you have a known to cold, impaired tissue sensitivities, or suffer from (a type of vasculitis), cold agglutinin disease (a rare autoimmune blood disease), or cold (also known as Donath-Landsteiner syndrome). Please check with your GP if you are unsure about any health concerns you may have.
Due to the risks associated with adipose hyperplasia, and the differences in fat between men and women, some men may not be for CoolSculpting treatment. clinical advice published by American Dermatologist, Dr. Terrence Keaney et al in 2016 notes that “careful patient selection avoiding men with visceral abdominal adipose and firm, non-distensible, fibrous fat may be important to minimise the risk of paradoxical adipose hyperplasia”.
The time taken for a treatment session will depend upon the size and number of areas being targeted. areas can be at one visit, depending on the indication, and the applicators available to the clinic. Newer models of the also offer shorter treatment times. A normal treatment for one area should take between 30 and 60 minutes.
The number of sessions will depend on the area being treated, but most require between 1 and 3 sessions.
The cost of CoolSculpting on the size and number of areas being . Most people have more than one area of their body treated and a plan can be drawn up for this. Expect to pay between £1,500 and £3,500 for most plans.

(Before, left, After, right) 5 weeks after treatment
Photos of Dr. Tracy Mountford at The Cosmetic Skin Clinic, Buckinghamshire.
(All before and after are real patients, your results may differ).
Cryolipolysis® excess tissue
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Industry
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