Sometimes, despite our best efforts to diet and exercise, stubborn fat deposits remain behind. For common problem areas like the love handles, belly and inner and outer thighs, there’s a revolutionary new procedure available in New York that reduces fat cells, without surgery called CoolSculpting. As a leading provider of CoolSculpting, NYC based board certified dermatologist, Dr. Michele Green, has helped numerous patients throughout the New York area and beyond. Dr. Green has been voted repeatedly as one of the best CoolSculpting providers in NYC. She has treated thousands of patients and has the expertise to provide you with outstanding results. Dr. Green was one of the first dermatologists to provide CoolSculpting in the Upper East Side of Manhattan, and has been treating patients with this unique technology for over 10 years.
The Science behind the CoolSculpting Procedure
CoolSculpting is an FDA approved treatment designed for fat reduction in stubborn problem areas for healthy patients. Some of the most common areas of treatment for unwanted fat are the submental area (double chin), love handles, upper arms, inner thigh, back and abdominal areas. CoolSculpting uses patented cooling technology to deliver targeted and controlled cooling to specific areas on your body, affecting only fat cells and ensuring no harm occurs to any surrounding tissue or cells. Known as cryolipolysis, this process stimulates the body to excrete fat cells through its natural metabolic processes, giving you a leaner, tighter body (also known as body contouring).
Coolsculpting has revolutionized cosmetic dermatology through this amazing noninvasive fat freezing technology. The CoolSculpting solution offers numerous advantages over conventional plastic surgery such as liposuction, as it requires no needles or incisions. Because the treatments are gentle and entirely noninvasive, no anesthesia is needed, which means zero downtime for recovery. It also means that the treatment carries no risk of the side effects which are often associated with surgical procedures.
How does the consultation for Coolsculpting work?
Once you call and schedule your consultation with Dr. Green, she will discuss the unique cooling technology behind Coolsculpting with you. During your consultation, pre-treatment photographs of the areas you want treated will be taken. An honest assessment is made and a treatment plan will be discussed with you at length. A copy of your personal treatment plan will be given to you with both the time needed for each treatment area and the corresponding cost. You can then schedule your CoolSculpting procedure to have the fat removal done at a time when it is comfortable for you and you can return home, to work, or the gym, directly after your treatment.
Coolsculpting applicators and areas of treatment
Each Coolsculpting applicator is uniquely designed for fat removal in a different area of the body. Some applicators are larger and are designed with suction while others are smooth with no suction at all. Some patients prefer dual-sculpting, which is having two sides treated at the same time with different applicators, like in the legs.
What does the CoolMini treat?
The CoolMini is a small applicator and is used to treat small fat bulges, where a larger size applicator cannot fit. The Coolmini was initially designed to freeze the fat under the chin, to get rid of a “double chin”. One to three applicators of the CoolMini may be needed to treat this submental area, depending on how much fat is present. After treatment, if there is a small amount of fat that remains, Kybella injections can be used to reduce the remaining fat and contour the jawline. The CoolMini is also used to treat small areas of fat by the knee, and in front and behind the underarm area, and bra fat. The treatment time for the Coolmini applicator is just 45 minutes, with repeat treatment for the neck as early as 4 weeks after the procedure if needed.
Before & After Photos: Treatment in neck area with CoolMini After one treatment (4 months)
The CoolAdvantage applicator takes just 35 minutes and is faster than the original one hour applicator. It consists of 3 different applicators, the CoolCore, CoolCurve, and Coolfit. The CoolAdvantage applicator treats a larger surface area, with lower temperature, with a faster treatment time. The CoolAdvantage treats multiple ares of the body including the abdomen, flanks, love handles, waist, hips, banana roll, upper arms, and inner thighs.
CoolAdvantage Plus (TM)
The CoolAdvantage Plus takes 45 minutes to treat primarily a large abdominal area.
The CoolSmooth (TM) is a unique applicator designed to treat the outer thighs. Each session for the outer thigh takes 60 minutes. The CoolSmooth applicator is unique in that it requires no suction.
The CoolFit treats the inner thighs and upper arms for 35 minutes
The CoolPetite takes 35 minutes and is used for small areas where the CoolAdvantage applicator does not fit. It can be used on small areas of back fat, small flanks, a small stomach, inner knees, and small banana roll.
What is the Recovery Time for Coolsculpting?
One of the best things about the CoolSculpting procedure is that there is no down time and almost no recovery time! You can return to the gym, school, or normal daily activities the same day as the treatment. Depending on which applicator is used, there may be some bruising if the applicators requires suction. Usually, there is no bruising. Some patients have some soreness or numbness from the procedure, which tends to resolve in a few weeks. Since, there is typically no recovery time, CoolSculpting is the ideal procedure to get done during your “lunch time” or any day of the week.
Does Coolsculpting hurt?
For the first five minutes, during the procedure, there is some discomfort until the skin is “frozen”. After the treated area is “frozen”, there is no discomfort during the entire treatment. Most patients watch a movie, work on their laptop, or take a nap during the procedure. Immediately after the treatment, when the applicator is removed, there is some tenderness as the treatment area is “thawed”. This soreness goes away from 1 day to 2 weeks. A rare side effect of pain has been associated with some patients after CoolSculpting which can be treated with oral medications such as Neurontin, and also resolves within a few weeks.
What is the cost of Coolsculpting?
The cost of CoolSculpting depends on both the amount of treatment needed and how many sessions required to reach your desired goals. The price of CoolSculpting treatments depends on the number of applicators needed for your individual goals. Depending on the size of the applicator needed, the session could be 35 minutes to an hour, with the larger applicators generally costing more than the smaller ones. For optimal results, we may recommend a repeat session in a given area 4 to 12 weeks after your initial treatment. Most patients who are looking for more dramatic results have several areas treated on the same day which may be from 3 to 4 hours of treatment in one given session.
Why choose between a medspa or a dermatology office in New York?
When choosing an office to have your CoolSculpting procedure done, there are some important considerations to consider. First, you should research and google the physician or practice who is offering CoolSculpting. You should see how long they have been practicing and what their experience is with CoolSculpting treatments. You should know if the physician will be doing the consultation or not.
At our office, all of the CoolSculpting consultations are done by Dr. Green and all of the Coolsculpting procedures are supervised by Dr. Michele Green in her NYC office. Many medspas, CoolSculpting centers, and clinics in New York do not have a physician at the practice and you will not be having your consultation with a board certified dermatologist or plastic surgeon. They offer “free Coolsculpting consultations” but they are rarely with an experienced physician. In addition, you should research the facility to see if they are Coolsculpting certified and trained. The training of the physician and staff is very important in knowing their experience in Coolsculpting and impacting your ultimate cosmetic results.
35-44 year old Female. CoolSculpting upper abdomen, lower abdomen, 3 months
What to Expect from your CoolSculpting Treatment
During your treatment session in our New York City based location, Dr. Green will place a gel pad and a specialized applicator to deliver cooling to the fat cells in the targeted area. This process – also known as cryolipolysis, chills the fat cells and stimulates the natural metabolism of these cells. The fat is then excreted by your own body.
Treatment time depends on the size of the area being treated. Dr. Green can give you an estimate of your appointment time at your initial consultation. Longer sessions can be broken up over several days or can be scheduled all together in one sitting. With the newest CoolSculpting applicators, treatment cycles are 35 minutes, cutting treatment time by almost half.
Most patients experience only minimal discomfort during this procedure. During your treatment, you can read a book, listen to music or simply take a nap. While everything necessary will be provided, you are welcome to bring any additional comforts of home such as movies, music, pillows or reading material.
This technology enables precise, controlled delivery of the cooling that affects only fat cells on your body, ensuring that no surrounding tissue or cells are affected or damaged. Other common methods for treating fat cells, like lasers, ultrasound and radiofrequency, can impact other cells, posing greater risk to you. Additionally, because CoolSculpting is a non-invasive procedure, there is no risk of infection, complications from anesthesia, or other side effects associated with surgery.
The CoolSculpting procedure contours the body by safely and effectively freezing unwanted fat. Unlike the liposuction process, fat is not re-distributed to other parts of the body, and the skin will not be loss after the procedure. The unwanted fat is gradually dissolved, unlike liposuction, so there is not the same risk of skin laxity from Coolsculpting. Since this non-surgical fat reduction procedure is non-invasive, there is no recovery time required following your treatment. Patients may resume normal activities immediately and even exercise right after their procedure. Mild redness in the treated area can last several minutes up to two weeks, and some people may see bruising. Within the first two weeks you may experience, tingling, tenderness, cramping, itching or some soreness. You may feel a temporary dulling sensation in the treated area for up to eight weeks, although most patients experience only mild side effects if any.
Coolsculpting results are visible within 3 to 4 months after treatment. After CoolSculpting treats fat cells in your body, they will not reappear if healthy exercise and lifestyle are maintained. The procedure may be repeated in the same area within one to four months.
Before & After Photos: CoolSculpting Treatment – Arms
Frequently Asked Questions about CoolSculpting
When do you see the results of CoolSculpting?
The results of your fat freezing will appear gradually as the body metabolizes and excretes the treated fat cells. Some patients notice the results in a few weeks after their treatment, and others continue seeing improvement for up to four months. At that time, Dr. Green recommends a follow up appointment to see if a second session is needed.
How long does CoolSculpting last?
The effects of Coolsculpting are permanent as long as you don’t gain weight. Coolsculpting is not a weight loss device. Coolsculpting is a fat reduction treatment for a given area. Each treatment of Coolsculpting causes a 25% decrease in fat in a given area. Repeat treatments of Coolsculpting in the same area are not needed as long as you maintain a healthy diet and exercise.
Am I a candidate for CoolSculpting?
The best candidates for CoolSculpting® are already at or near their healthy body weight, but find that they have a few problems spots (like the love handles) that just aren’t responding to diet or exercise. Candidates should also be in good overall physical and mental health, and have realistic expectations about their results.
How does CoolSculpting® work?
CoolSculpting® is a patented, FDA-approved technology that allows for concise, intense cooling of fat cells in the treatment area. Through this process, called cryolipolysis, the targeted fat cells are destroyed, and the body treats them through natural metabolic processes over time. The final result is a sleeker physique without the need for incisions, scars or even downtime.
Can I combine CoolSculpting® with other cosmetic procedures?
Some patients may benefit from combining CoolSculpting® with additional procedures for the best results. For example, Dr. Green may recommend a secondary treatment like Thermage® for patients who also notice loose skin in the treatment area and to reduce cellulite. Dr. Green works closely with every patient to ensure a customized treatment plan that will help meet your cosmetic goals.
What should I expect during treatment?
The treatment session itself is relatively short, generally lasting 35 minute to an hour, with larger treatment areas requiring more time. Dr. Green will use the handheld device to position the target area between the two special cooling panels. Once the cells have been sufficiently frozen, the session is completed, and you can return to your normal daily activities.
Will I need multiple sessions?
Some patients may see improvement after just one appointment, while some choose additional sessions for further fat reduction. Depending on how much fat is in the area that needs treatment, Dr. Green will be able to tell you during the consultation, how many sessions will be needed for the best cosmetic results.
What areas respond best to CoolSculpting treatments?
Stubborn fat on the inner thighs, upper arms, love handles (the oblique areas of the stomach), the tummy, the bra area and back fat, and submental area (double chin) are targets for CoolSculpting. Any area with enough loose fatty tissue will respond well to this procedure.
Are there any pre-existing conditions that affect CoolSculpting treatment?
Some patients experience neuropathy (numbness and tingling sensations) in the abdomen after CoolSculpting, but this lasts only during the recovery phase right after a treatment. There are several causes of neuropathies and rarely are these caused by cold temperature. However, as with any pre-existing medical condition, if you have questions or concerns about how a procedure may affect you, talk to your supervising medical specialist.
Does CoolSculpting work on arms, love handles, thighs, back and bra fat?
Yes! Whether or not you weigh less, you’ll be thinner and your clothes will fit better, you’ll feel better, and you’ll look better.
Before & After Photos: CoolSculpting Treatment – 47 year old male, Flanks
Is CoolSculpting right for diabetics?
Because this is a non-invasive procedure that involves no medications or anesthesia, CoolSculpting is safe for diabetics. There are no incisions made in the skin, there is no surgical wound and no risk of infection or poor healing. You may experience slightly increased numbness in the treated areas, but most diabetic patients experience no additional discomfort or side effects.
Can CoolSculpting be used after pregnancy?
Patients who are pregnant are not generally candidates for CoolSculpting, but the procedure is safe and effective after pregnancy for that post-baby belly bump and will not affect future pregnancies in any way. Three months after your pregnancy you can consult Dr. Michele Green about Coolsculpting to help with the “mommy makeover.”
Are there any side effects to the CoolSculpting procedure?
During the CoolSculpting procedure you may experience deep pulling,tugging, pinching, numbness or discomfort. Following the procedure, typical side effects include temporary numbness, redness, swelling, bruising, firmness, tingling, stinging and pain. There is an extremely rare side effect of paradoxical adipose hyperplasia after cryolipolysis which has been observed as well.
For more information about CoolSculpting in NYC and to book a consultation to learn about some of the top NYC body contouring treatments done by Dr. Green. To schedule an appointment, contact us online, or call us at 212-535-3088
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