We did decide to take this patient’s Before and After pictures right before 6 weeks – because she was so insistent about her results!  She is thrilled and we are going to be sure to take them around 10 weeks again.

CoolSculpting™ by ZELTIQ™ is a breakthrough, non-invasive technology that freezes away stubborn fat. CoolSculpting gently targets and cools unwanted fat cells in the selected area to induce a noticeable, natural-looking reduction in fat bulges. Each CoolSculpting procedure results in an average 20% (or more!) reduction of fat in the treated area.

Unlike most other methods of fat reduction, CoolSculpting involves no needles, surgery, or downtime. Patients often spend the one to two hours of procedure time reading, watching a movie on our iPad, working on their laptops, or simply relaxing.

Results can be seen in as soon as three weeks following treatment, with the best results occurring over the next two to four months.

This Davis Plastic Surgery patient is 8 weeks out from CoolSculpting to her central abdomen and love-handles.

Before & After CoolSculpting at Davis Plastic Surgery

What happens during the procedure?
First we will work with you to determine the best areas to treat. For instance, if your goal is to reduce your love handles, our staff will position the system on your side. The device then draws the bulge up between two cooling panels. The sensation is a firm tug and pull – enough of a pull to ensure the selected tissue will be cooled most efficiently.

What does it feel like?
As the panels go to work in the first few minutes, you will feel a sensation of intense cold. This soon dissipates. You will be seated comfortably or lying down during the procedure in a comfortable and private room.

Can I return to normal activities after the procedure?
Yes. The CoolSculpting procedure is completely non-invasive, so you can return to normal activities immediately. You may experience redness, minor bruising, tingling, or numbness in the treated area, but this is temporary.

When will I see results?
You may start to see changes as quickly as three weeks after your treatment, and will experience the most dramatic results after two months. But your body will still be flushing fat cells at that time, and will continue doing so for up to four months.

Are the results permanent?
During the CoolSculpting procedure, the treated fat cells are eliminated. As long as you maintain your weight with normal diet and exercise, long-term results should remain stable.

The January 2012 issue of Allure magazine mentions CoolSculpting as a way A-listers get rid of ‘belly bulge’ for the red carpet!

Last year, Simon Cowell gave it to his co-workers on The X Factor.  Stars including Kim Kardashian, Cindy Crawford, Jennifer Aniston, Courtney Cox and Kylie Minogue have all openly admitted to using it.  Celebrities from London to Los Angeles, are asking Santa for a Botox beauty boost this Christmas.

Records show that a record number of celebrities have booked in for Botox over the festive period. The procedure takes around 10 minutes, making it perfect to fit in the schedule of any A-list celebrity.

Botox was once a celebrity secret, but the days of secrecy are over with many clinics nationwide specializing in cosmetic treatments. Christmas is coming and now is the perfect time to solve your anti-wrinkle problems.

According to dermatologist Tina Alster of Washington D. C., “Botox remains the gold standard for treating crow’s lines and wrinkles”. Why let your favorite celebrities get one step ahead, book your free consultation with Jenna in time for your Christmas party – and save!  Our December Botox special of $10/unit can be combined with the $50 rebate from the company – making it a fantastic value.  But be quick, both offers expire Dec. 31st.

Look for updates on our next CoolSculpting event taking place Dec 15th – this time at Clothes Hound!  The entire staff at Davis Plastic Surgery always shop at this Raleigh boutique and thought it would be fun to bring CoolSculpting to them!

The three main options for abdominal contouring are from least invasive to most invasive: CoolSculpting, Liposuction, and Tummy Tuck (aka Abdominoplasty.)

CoolSculpting’s biggest benefit is by far the non-invasiveness, minimal downtime aspect. The procedure is done in the office with no pain medicine required. Though there is an initial intense pull from the suction of the device, the cooling quickly takes effect and the remainder of the procedure is quite comfortable. The procedure takes an hour per area. The middle of the abdomen, the love handles, muffin tops, flanks, and bra rolls have the best result if there is enough to grab. There are two sizes of the device which can be used per area. The larger size costs around $1400, the smaller costs around $700. The correct size necessary depends on the examination.

The best results are going to be patients within 10-25 lbs of ideal body weight with good skin tone with localized fatty deposits.  20-20% of the fat in the treated area will be permanently removed.  CoolSculpting is literally spot treating fat, something sit-ups simply cannot do. It is an excellent option because the no down time, means you can have it done, then go workout, go back to work, whatever you like. As to be expected, the treatment is not a green light for excessive eating and sedentary living.  Patients with large fatty deposits, spread out fatty deposits, large rotund bellies with internal abdominal fat, and those with extra skin do not benefit well from CoolSculpting.

The other non-invasive options do not even come close at this point, relying heavily on marketing hype and gimmicks to entice the consumer. This includes low level laser energy which does not even penetrate the skin, radio-frequency technologies, externally applied creams, etc.  Many of these therapies rely heavily on diet restrictions and exercise which are essential to weight loss, but do not spot treat problem areas.

The next option for body contouring is Liposuction. Liposuction is done by making small incisions and using a suction cannula removing the fat.  This is not however considered a weight loss procedure and though it is done through small incisions IS definitely invasive. Current techniques are done to make the procedure more comfortable, more effective, and have less complications. Different technologies can be used to help  make the removal of fat easier for the  the surgeon. This includes lasers, ultrasonic, radio-frequency, power assisted, power washed, etc. Each of these companies would like the patient to think that the technology is better, safer, lease invasive, etc. This has not ever been scientifically proven and simply is not true. (In fact studies have shown few plastic surgeons use the laser lipo devices and those that do, most only do it for the marketing angle.) The use of tumescent fluid and a “super wet” technique is done for comfort (because the fluid contains local anesthetic), for less bruising and bleeding (because the fluid contains epinephrine), and for safety of the tissues as it relates to the heating of the tissues using either a laser or ultrasonic probe. Small amounts of this can typically be tolerated without anesthesia, larger amounts benefit greatly from sedation and general anesthesia.  This is what we use at Davis Plastic Surgery.

The benefits of liposuction include the greater ability to contour and remove larger areas of fat.   The drawbacks are the recovery time and cost for liposuction is higher because of the operating room and anesthesia necessary. Safety is key, this procedure is not without complications and should only be done by properly trained physicians. A patient should strongly consider the physician and their credentials. Be aware that specific technologies such as laser liposuction heavily target non-core physicians (non Plastic Surgeons) who are eager to please and happy to charge, without the knowledge in safety nor the ability to gauge their own limitations. Many physicians will feel confident after a weekend course or an online webinar.  A garment is typically worn for several weeks as well. Downtime varies per person and per area, but is not insignificant in even the smallest of areas treated. Return to full activities generally takes  a couple of weeks. Liposuction remains a poor choice when extra skin is the problem. Excess skin and patients with poor skin tone do not benefit from fat removal without skin excision.

Finally abdominoplasty, aka tummy tuck, is the procedure of choice for skin redundancy of the abdomen. Frequently this will be used along with liposuction of the flanks for contouring of the trunk.  The benefits are readily apparent with a tight abdominal wall and removal of excess skin and fat. The drawbacks are the downtime, the cost, the pain, the scarring, the potential for complications of either the anesthesia, the recovery, or the scarring. That being said frequently this is the best procedure for the patient’s wishes and is well worth the risk. For the rotund abdomen with intra-abdominal fat (it can’t be pinched on the outside with the abdominal muscles tight) can only be treated with weight loss. Again, a tummy tuck is also not a treatment for weight loss. However, in the right patient, It can be a great boost to someones overall appearance and self confidence. Recovery time is typically 4-6 weeks, though return to work and most activities is within a couple of weeks.