What should I know about fat cells?

Fat cells are not just storage bins for excess calories. They are very active cells that produce a variety of substances that influence your body weight, how many calories you eat, and how those calories are used as a source of energy. Health problems, such as diabetes, high blood pressure, liver disease, cardiovascular disease, and certain types of cancer, can arise when these cells begin to secrete too much or too little of these substances.

You are born with a set number of fat cells. If you eat more calories than your body needs, your fat cells stretch to store these extra calories as triglycerides. You can gain new fat cells if the existing cells have enlarged to their maximum size. Once created, fat cells remain in your body forever; they may shrink in size when you lose weight, but they never go away — unless they are removed by Coolsculpting ® or liposuction.

Will the fat cells come back after CoolSculpting®?

The affected fat cells cannot come back. However, if you overeat and/or under exercise you can gain weight, and all body areas will share in the weight gain. However, after Coolsculpting, the treated areas have a decreased capacity for additional fat because fat cells in those areas have been eliminated. As a result, weight gain after Coolsculpting is more likely to be visible in areas where more fat cells exist.   We use crude measurements including photographs and circumference measurements to evaluate outcomes for each CoolSculpting patient.

What’s the most important thing I should do after treatment?

Maintain a healthy lifestyle, including a healthy diet and exercise program.

What happens if I eat more calories than I expend?

Extra calories will be stored mostly as fat regardless of whether the extra calories come from fats, carbohydrates, or proteins.

What does weight loss do?

Weight loss shrinks fat cells and normalizes their secretions, which can reverse or prevent many of the health conditions associated with obesity.

Is lap band surgery a contraindication to CoolSculpting treatment?

No, lap band surgery can be performed on patients who have previously had CoolSculpting treatment.

Does CoolSculpting work on visceral fat?

No, CoolSculpting only works on subcutaneous fat. Subcutaneous fat is fat that is attached to the skin and typically visible to the naked eye.  CoolSculpting can only grab subcutaneous fat.  Visceral fat is deeper and surrounds the organs in the lower body such as the thighs, buttocks and belly.  CoolSculpting is not effective for visceral fat removal.

What if I lose weight before CoolSculpting?

Weight loss shrinks fat cells and normalizes their secretions, which can reverse or prevent many of the health conditions associated with obesity. Weight loss helps reduce the size of fat cells while weight gain increases the size of fat cells and may cause new fat cells to develop.  One good approach would be to achieve your ideal weight through diet and exercise before having CoolSculpting performed.

What counts as one treatment area?

If we treat one area on each arm, that would count as two treatment areas.