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Cryolipolysis (CoolSculpting) is Not Freezing!

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It is fairly common to see CoolSculpting described in the press or by  medical practices as “Fat Freezing.”  Okay, call me obsessive-compulsive, but I would just like to clarify that the fat is not actully frozen during this procedure!

The temperature of the fat is brought to just above freezing.  At this temperature, adipocytes (fat cells) are damaged just enough that they shift into the normal terminal phase of the life-cycle of the cell, called “apoptosis’” or programmed cell death.  So, at this point, they are marked for death, so to speak, but death is an endpoint that the cells are irrevocably tracked toward.  They hang around for weeks or months before death occurs, which is why the changes in the volume of fat lost are so slow to appreciate.

One of the reasons that this has been perceived as freezing by so many may be that the fat is firm when the applicator is removed at the end of treatment.  But think of it this way:  butter becomes hard even without being frozen, right?

We love the science behind this treatment.  Because the cells are just gently nudged onto that train toward oblivion, there is little to no inflammation or pain post-operatively, and no spike in serum lipids.  This is why the procedure is so safe and relatively free of side effects.