Cyrolipolysis – Fat Removal

Cyrolipolysis Body Shaping Fat Removal & Fat Freezing Treatment

What is this? It’s a treatment using Cryolipolysis (also known as fat freezing) to reduce localized fat deposits. This treatment involves cooling the fat cells to freeze and destroy them, which the body then naturally eliminates. The FDA approved it in 2010. Fat freezes at a higher temperature than skin. The Cyrolipolysis device cools your fat to a temperature that destroys it while leaving your skin and other tissues unharmed.

 

 

 

 

 

How does it work? Cryolipolysis isn’t surgery and doesn’t use needles. The device holds the part of your body you want to target, and your doctor uses between two paddles. The paddles cool quickly, and your doctor leaves them in place for about 35 minutes to 75 minutes. During that time, the process destroys about 20%-25% of the fat cells in the area that’s targeted. The final results may not show up for a few months, but you may start to see some changes within a few weeks. Your Immune System clears out the dead fat cells slowly over this time. Studies have shown an average fat reduction of between 15-28% at around 4 months after initial treatment.  However, you may begin to notice changes as early as 3 weeks after treatment. Dramatic improvement is noticed after about 2 months.

 

 

 

 

 

Who is it for? CoolSculpting or Cryolipolysis can be used on any fat bulges that won’t go away.  Even if you’ve exercised and made diet changes. It works on small pockets of fat and smooths out (or contour) a particular part of your body. It works best on those who’s BMI is between 18.5-25, higher BMIs between 25-30+ will need more than four treatment sessions.

A doctor can use Cryolipolysis to kill fat cells in areas like:

• Under the chin and jawline
• Thighs
• Belly
• Back and sides
• Under the butt
• Along the bra line
• Upper arm

Does CoolSculpting help with visceral fat?

There are two types of fat: subcutaneous and visceral. Subcutaneous fat is the kind you might be more familiar with, it’s the extra pounds around your stomach, hips, and ankles, as well as other areas with visible fat. Visceral fat is the fat that cushions your organs, so it’s deeper inside your body. You might not be able to see it, but having too much visceral fat can raise your risk for diabetes and heart disease.

CoolSculpting can freeze the subcutaneous fat near the surface of your skin. But it can’t do anything about visceral fat.

What the difference between CoolSculpting and Ultrasonic Cavitation? Ultrasonic cavitation and Cryolipolysis fat freezing are both very popular choices when it comes to non-surgical body slimming treatment options. CoolSculpting uses cold temperatures to freeze and eliminate fat cells, while Ultrasonic Cavitation uses high-frequency sound waves to break down fat cells. Ultrasonic Cavitation is one of the safest and most effective non-invasive options to consider if you are looking for permanent fat removal. Fat cavitation works by using low frequency ultrasound waves to burst fat cell membranes, destroying the fat cells.  The dead fat cells are then gradually flushed out like typical waste via the lymphatic and interstitial systems. Cryolipolysis fat freezing, on the other hand, destroys fat cells using cold temperatures. The theory that underpins Cryolipolysis is that fat cells are more vulnerable to damage caused by the cold than other cells.   When fat cells become damaged due to thermal shock, the body initiates an inflammatory response, which then results in fat cell death, and the natural processing and elimination of the fat cells. While ultrasonic cavitation and fat freezing use completely different methods to destroy fat cells, they are similar in that they both permanently reduce the number of fat cells in the body.  They both do this via a process known as apoptosis. Both are non-invasive, but CoolSculpting is FDA-approved for targeted fat reduction, while Ultrasonic Cavitation may require more sessions and is not as widely FDA-approved. These should not be combined in one use. They can be used safely separately. Some have found doing one of them then waiting a couple weeks and using the other has quicker results. However, you should not use both in one session.

CoolSculpting (Fat Freezing):

• How it works: CoolSculpting uses cold temperatures to freeze and destroy fat cells. The body naturally eliminates these dead cells over time, leading to a reduction in fat.
• Target areas: Love handles, submental area (under the chin), inner and outer thighs, tummy, and upper arms.
• Results: Typically seen after 2-3 months, with final results after 6 months.
• Recovery time: Little to no downtime.
• Potential side effects: Numbness, bruising, or soreness.
• FDA-approved: Yes.

Ultrasonic Cavitation:

• How it works: Ultrasonic Cavitation uses high-frequency sound waves to break down fat cells, which are then eliminated by the body’s natural processes.
• Target areas: Can be used on various areas, including the abdomen, thighs, and arms.
• Results: Some results may be seen faster than with CoolSculpting, but the procedure may require multiple sessions and may not be as long-lasting.
• Recovery time: Minimal downtime to no downtime.
• Potential side effects: Temporary redness, swelling, or skin sensitivity.
• FDA-approved: Not as widely FDA-approved . Dr. Hartman’s Ultrasonic Cavitation device FDA Approved.

Who should avoid Cyrolipolysis if you have:

• People with loose skin
• Poor skin tone
• Cryoglobulinemia (a condition where abnormal proteins in your blood thicken in cold temperatures)
• Cold urticaria (a skin condition that causes hives when you get cold)
• Paroxysmal cold hemoglobinuria (a type of anemia that destroys your red blood cells when you’re in cold temperatures)
• Raynaud’s disease, phenomenon, pernio, or chilblains (conditions that affect blood flow in cold temperatures)
• An infection or open wounds and scars
• A hernia or mesh implants in the area
• Impaired skin sensations or conditions like dermatitis, hives, eczema, psoriasis etc.
• Any recent surgeries and any injuries not fully healed
• Blood clotting disorders or those on blood thinning medications
• Chronic medical conditions -liver and kidney disease
• Autoimmune disorders may require special consideration
• Active implanted medical devices like a pacemaker
• Chronic pain conditions
• Can’t handle cold well
• Are pregnant or nursing
• Severe anxiety disorders
• Have obesity BMI over 40+

Cryolipolysis should not be done on areas with:

• Varicose veins
• Nerve problems
• Rashes or lesions
• A lot of scarring
• Deep Stretch marks
• Poor blood flow

If you fall into any of these categories, ask your doctor about alternatives like diet, exercise, liposuction, or abdominoplasty (tummy tuck).

CoolSculpting Side Effects:

Cryolipolysis done at your doctor’s office. You should be able to go back to your regular activities right away, so you don’t need to schedule recovery time afterward.

During the process, you may feel a pulling or tugging on your skin, tingling, aching, and an intense cold. These feelings might go away in a few minutes as the area becomes numb.

After the procedure, you might notice side effects like:

• Redness
• Swelling
• Paleness
• Bruising
• Firmness
• Tingling, stinging
• Aching or tenderness
• Cramps
• Itchiness
• Sensitive skin
• Feeling of fullness in the back of your throat (if the procedure was done under your chin)
• Numbness

Rare side effects, you might get:

• Paradoxical hyperplasia
• Body wide inflammation
• Fat embolism (fat cells entering the bloodstream)
• Lipoma (a fatty lump)
• Severe or delayed pain
• Freeze burn
• Dizziness or fainting
• Deep thickening of the skin
• Hyperpigmentation
• Hernia (if had and did not know about)

Sometimes your skin can look less smooth afterward. This is because the treatment destroys a small pocket of fat, but the surrounding areas still bulge. You can fix this with additional CoolSculpting sessions or liposuction.

Paradoxical fat hyperplasia, or paradoxical adipose hyperplasia (PAH), is when the number of fat cells in the treatment area go up instead of down. It can cause a large, firm, and typically painless mass under the skin in the treatment area. You might also notice a change in body weight.

PAH usually happens about 2 to 5 months after treatment. It can occur wherever you were treated. It’s not clear why it happens, it’s rare, but some doctors think that it has to do with equipment malfunctions. This could lead to the fat cells being cooled enough to spur growth, but not enough to destroy them.

 

 

 

 

 

 

 

 

This is a rare side effect, occurring in less than 1% of cases. More likely to happen if:

• You’re male
• You’re of Hispanic descent
• A large handpiece was used during treatment
• The procedure was done on your abdominal (or belly) region
• Genetic factors may also play a role.

PAH won’t go away on its own. You may need:

• Liposuction, a surgery that takes out fat from specific parts of your body
• Abdominoplasty or tummy tuck, a procedure that removes extra skin and fat from your stomach
• An injection of deoxycholic acid, which also can help remove fat

CoolSculpting bruising

Up to 10% of people get bruises from CoolSculpting, possibly because of the suction from the vacuum. These bruises go away within a period of around 2 weeks or so.

CoolSculpting Effectiveness

Studies show that Cryolipolysis is safe and effective. The risks are few and rare. There’s no damage to your liver. Side effects are mild, too, and go away after a short time. On average, it lessens the amount of fat in targeted areas by 10%-25%.

Licensing: Indiana, like many other states, does not have a specific body contouring license and body contouring license is not required. However, Dr. Hartman has gone through training.

What to expect:

Before performing Cryolipolysis Dr. Hartman will do a consultation with you 30mins $60 or 60mins $120 to going over your medical history, diet and lifestyle, mental and emotional status, and you will discuss and then target areas for the procedure.

Your 2nd visit, Dr. Hartman will measure the area of fat you want to work on. She will then have you lay on a table or sit upright in a chair to be able to mark the specific area(s) to ensure accurate placement of the cooling device.

Your 3rd visit will be following up no later than 4weeks to talk with Dr. Hartman and for her to check the areas worked on. If you need in sooner 2weeks would be the earliest. This is a 30mins consult $60.

Your 4th visit will be using massage and/or ultrasonic cavitation to help to ensure things are moving, tightening, toning, and firming.

Your 5th visit will be the next area(s) you want to target at that time.

Current Prices on average at MedSpa’s and Other offices are typically from $750 to over $4,000 depending on specific treatment areas and the number of applicators needed and the providers fees.  Example of Current Costs In the US:

• Smaller Areas (e.g., chin, underarms): Around $750 to $1,500 per session.
• Medium Areas (e.g., love handles): $1,000 to $1,500 per side.
• Larger Areas (e.g., stomach, thighs): $2,000 to $4,000 per session.

Dr. Hartman’s introduction prices as: LOWER than “typical.“

• Small Areas (chin, underarms etc): $100 (chin) and $150 underarms per session
• Medium Areas (love handles) $250 per side
• Larger Areas (stomach, thighs, buttocks) $350 per session

These prices won’t last long. If you want to look GREAT for the summer! Call today! 765-860-2144 or email Dr.Renee@comcast.net

Follow up with a Lymphatic massage from Dr. Hartman within a week’s time of your treatment. This ensures things are moving. 60mins $100  75mins $130

Follow up with Ultrasonic Cavitation from Dr. Hartman within 2 weeks of your treatment to tighten, tone and firm up the skin.

Laws in Indiana for Cryotherapy or Cyrolipolysis – Indiana does NOT currently require any specific license to perform this service. It is highly recommended by the state of Indiana to get training and certification, for the business to have a waiver, safely protocols in place and to get an informed consent before doing the treatment.

Indiana and the FDA nor any other agency require an operator of a cryotherapy / cryolipolysis device to have a medical license either. Nor does Indiana require any specific body contouring license ither.