For isolated, small, stubborn areas of fat, cryolipolysis (freezing fat, with CoolSculpting) can be a good option. You do have to be aware of rare cases of ‘PAH’, or paradoxical adipose hyperplasia, where one ends up experiencing fat regrowth after CoolSculpting treatment. In addition, effective treatment requires multiple treatment sessions, which can get costly when you add it all up. However, there is minimal downtime and recovery as treatment does not require any incision or anesthesia.
Liposuction, or suction lipectomy, remains very popular, and this entails literal removal of fat using a hollow metal straw called a cannula, which is attached to a suction pump machine. Fat is loosened with injection of wetting solution (also called tumescence), which is done both to numb the tissues as well as help greatly reduce blood loss.
Liposuction is much more predictable than cryolipolysis. Awake liposuction in the office setting is possible, but for larger volumes of fat removal, or when combined with other procedures, liposuction typically entails an operating room setting.
Talk to a Board-Certified Plastic Surgeon to determine which option is best for you to meet your body contouring goals.
Nirav B. Patel, MD, JD, FACS, FCLM
Board-Certified Plastic Surgeon
Plastic, Reconstructive, Aesthetic, & Oculoplastic Surgery
Patel Plastic Surgery, LLC
11459 Johns Creek Parkway
Johns Creek, GA 30097