Cryolipolyse-Coolsculpting™ – Cannes & Nice | Dr. Victor Médard de Chardon
CoolSculpting™ is a cryolipolysis medical device developed by the American
company, Zeltiq. It is the only technique which has held FDA approval since 2010
and CE marking, giving an effective treatment in complete safety. Coolsculpting™ is not a means of slimming but it makes it possible to remove
localised fat non-invasively without surgery, selectively targeting fat cells
by a process of freezing the fat, whilst sparing the other tissues.
With this non-invasive technology there are no needles, no anaesthetics and no social exclusion. Patients generally return to normal activities on the actual day of the procedure. This makes it a good choice for patients wanting a non-surgical alternative to liposuction. Cryolipolysis by Coolsculpting™ is carried out in Dr. Victor Médard de Chardon’s consulting room.
This cryolipolysis technology is solely available from doctors specialising in surgery and aesthetic medicine.
HOW DOES COOLSCULPTING WORK?
- A cooling applicator is applied to the area to be treated. The vacuum pressure under the applicator makes possible
- Controlled vacuum pressure makes it possible to suction the tissues between the cooling panels.
- The applicator then delivers cooling at -10° to the skin surface.
- The fat cells then go into apoptosis after a certain period of sufficient cooling. The fat is then eliminated naturally by metabolic processes similar to two for the fat from ingested food.
THE CRYOLIPOLYSIS PROCEDURE
The scientific principles
of cryolipolysis were discovered by dermatologists, Dieter Manstein, MD, PhD
and R. Rox Anderson, MD, of the Centre for Wellman Photomedicine at the
Massachusetts General Hospital in Boston, a teaching establishment of Harvard
The doctors and their team conducted research which has shown that, in carefully controlled conditions, subcutaneous fat cells are naturally more vulnerable to the effects of cold than other surrounding tissues. The initial work, published in Lasers in Surgery and Medicine in November 2008, showed that:
- Controlled exposure to cold causes fat cell apoptosis, i.e. natural programmed cell death, which leads to the release of cytokines and other inflammatory mediators.
- In the months following the procedure the inflammatory cells progressively digest the fat cells affected by the apoptosis induced by the cold. This reduces the thickness of the fat layer. This digestion requires the phagocytosis process.
- The fat cell lipids are then slowly released and eliminated by the lymphatic system.
- On the basis of their research results, the researchers concluded that “controlled, prolonged local tissue cooling can induce a selective reduction in fat cells and a significant loss of subcutaneous fat without damaging the skin above.” This discovery known as “Selective Cryolipolysis®“ has therefore led to the development of the patented technology, CoolSculpting™.
COOLSCULPTING IN PRACTICE
- During the initial consultation, Dr Victor Médard de Chardon determines whether there is a good indication for cryolipolysis or even an indication for liposuction. The contraindications for Coolsculpting™ are sought (cryoglobulinaemia and skin of insufficient quality). The areas to be treated are then determined.
- The cryolipolysis session with Coolsculpting™ is then programmed for a later date, when the aesthetic surgeon will mark out the areas to be treated and determine which applicators should be used.
- A session lasts at least an hour.
- Post-operative treatment consists of a simple massage combined with an application of moisturising cream. No anti-coagulation or wearing of lipo-panties is necessary after cryolipolysis with Coolsculpting™.
- Skin rash, bruising and temporary numbness of the treated site are generally observed after cryolipolysis and last about 1 week.
- The reduction in the fat thickness occurs progressively over the three months following the cryolipolysis.
WHICH AREAS CAN BE TREATED BY COOLSCULPTING?
Cryolipolysis applies to more or less the same areas as for liposuction:
- Love handles
- Adipomastia in men
- Fat rolls on the back
- Inside of the thighs
- Outside of the thighs - saddle bags
- Inside of the knees
- Double chin
WHAT ARE THE RISKS?
The main risk is insufficient results which then necessitate a 2nd cryolipolysis session to increase the result.
TOTAL ABSENCE OF RESULTS
It should be noted that 2% of patients are non-responders. After one session, if there is no efficacy observed, it is likely that the patient is one of this 2% of non-responders and then liposuction is a reasonable option.
PARADOXICAL ADIPOSE HYPERPLASIA
In exceptional cases (0.01% to 0.05%) paradoxical adipose hyperplasia may occur, i.e. thickening of the fatty tissue treated. In this case, liposuction is then the solution.
There is no risk of frostbite with Coolsculpting™ because there is a system for detecting frostbite, which stops the machine immediately. No alteration in the lipid or liver profile has been reported either after cryolipolysis with Coolsculpting™.
Cryolipolysis sessions take place at the aesthetic surgeon's office in rue d'Antibes, Cannes
- Take comfortable clothing
- Take something to take your mind off the procedure (book, music)
- No anaesthesia
- Duration: 1 hour minimum
- No time away from social activities
- Return to physical activities from the next day
- No girdle to be worn
- Result at 3 months