Coolsculpting by Zeltiq

The Dawn of Non-Invasive Body Contouring

Bass Plastic Surgery PLLC was one of the first in the country to offer Coolsculpting , a revolutionary technology that represents the first significant device that can be used for non-invasive body contouring.  The device manufactured by Zeltiq was approved by the FDA for use in fat contour reduction in September 2010.  Coolsculpting was the first, but new options have developed and obtained FDA approval.  Kybella is an injectable treatment which was approved in 2015 for reduction of submental fullness and fat.  SculpSure is a laser from Cynosure which has an FDA approval for non-invasive reduction of fat in the abdomen and flanks.  Dr. Bass has been at the forefront of non-invasive body contouring research, having been an investigator in the FDA clinical research studies for both of these products. 

CoolSculpting in the Media:

The New York Times profiled fat reduction technologies CoolSculpting® & Zerona in February 2010. New York City plastic surgeon Dr. Lawrence Bass appears in the accompanying photo supervising a CoolSculpting® treatment.

“ZELTIQ uses controlled cooling to target and eliminate fat cells, a process called selective cryolipolysis. Skin isn’t damaged, but subcutaneous fat, which is more sensitive to targeted cold, begins a two-month death march soon after exposure to ZELTIQ.”

Dr. Lawrence Bass, a plastic surgeon, left, stands by as he waits to remove the Zeltiq applicator from a woman’s back at the end of her non-invasive fat reduction treatment. photo credit: Tina Fineberg for The New York Times

Who is CoolSculpting for?
For those individuals who have small to moderate bulges on the tummy, love handles, back or chest (abdomen, flanks), Coolsculpting offers a non-invasive option for contour reduction when diet and exercise just isn’t working.  Advantages include no anesthesia, no pain and no recovery time.

How does CoolSculpting work?
CoolSculpting is a technology that takes advantage of the greater sensitivity of fat cells to cold injury than muscle or skin cells (medically this is called cryolipolysis).  Fat cells that have been cold shocked fail to renew themselves (apoptosis) and are eliminated slowly over several months.

What should I expect during a treatment?
A roll of skin and fat is drawn into an applicator by firm suction.  The fat is then chilled under careful temperature control for 60 minutes, becoming so cold that it is firm and doughy but not cold enough for water to freeze.  Typically 2 applications are made in a single treatment.  During the treatment you may watch TV, read, nap or use your cell phone.

What should I expect after a treatment?
There is no recovery time.  After a treatment, you can go immediately to your home, the office or the gym.  The skin will be flushed and is occasionally mildly bruised.  Patients experience mild or occasionally moderate soreness or discomfort for several days.  Numbness is present in the treated skin for several weeks.

What kind of results should I expect?
Over the next 2-3 months, fat cells die and are eliminated.  Contour will reduce slowly over 3 months or more.  A moderate reduction in contour is expected which will be noticeable in how clothing fits and in photographs.  Studies have shown that on average about 20% of the thickness of the fat layer is removed in a single application.  This treatment is ideal for those who only need a small amount of contour reduction to achieve their aesthetic goals or who are unwilling to undergo a surgical procedure like liposuction but want to make some progress on contour reduction.  Those desiring a more substantial contour reduction should select liposuction.