Jordan Ellis
Mayo Clinic is a nonprofit hospital system with campuses in Rochester, Minnesota; Scottsdale and Phoenix, Arizona; and Jacksonville, Florida. The clinic was founded by William Worrall Mayo and continued by his sons, Will and Charlie Mayo. The clinic has been ranked number one in the United States for seven consecutive years in the US News & World Report's Best Hospitals Honor Roll. Mayo Clinic offers a wide range of healthcare services, including CoolSculpting, a brand name for cryolipolysis (CLL), a fat-freezing method to reduce fat thickness in treated areas. While CoolSculpting is generally considered safe, there have been concerns about paradoxical adipose hyperplasia (PAH), a term used to describe fat growth in the treated areas. Patients interested in body contouring may consider alternative methods such as liposuction or energy-based devices.
| Characteristics | Values |
|---|---|
| CoolSculpting availability | Not offered at the Center for Aesthetic Medicine & Surgery at Mayo Clinic |
| CoolSculpting risks | Paradoxical adipose hyperplasia (PAH), redness or inflammation, numbness, motor neuropathy, prolonged pain or dysesthesia, hyperpigmentation |
| CoolSculpting treatment time | 35 minutes to 1 hour per treatment area |
| Mayo Clinic locations | Rochester, Minnesota; Scottsdale and Phoenix, Arizona; Jacksonville, Florida; London, UK |
| Mayo Clinic services | Epilepsy monitoring, stroke care, transplant program, COVID-19 treatment, regenerative medicine, virtual care |
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What You'll Learn
CoolSculpting is the brand name for cryolipolysis (CLL)
Through controlled cooling, selective destruction of fat cells can be achieved due to cold-induced apoptosis (fat cell death). Dr. Sharaf states that CLL is popular because it can be performed without anesthesia, unlike liposuction, which is typically done through small incisions and often requires sedation or general anesthesia. However, it is important to note that CLL is not a weight-loss alternative and should be combined with healthy lifestyle changes for optimal results.
CoolSculpting was developed and introduced in the United States in 2010 by Zeltiq Aesthetics and was later acquired by Allergan Aesthetics in 2017. It is a relatively new and popular way to remove fat without surgery or needles. The cryolipolysis device cools the targeted fat to a temperature that destroys it while leaving the skin and other tissues unharmed. The treatment can take 35 minutes to 1 hour per area, and the final results may take a few months to appear.
While CoolSculpting is generally considered safe, there are associated risks and side effects. Short-term side effects may include redness or inflammation (erythema), numbness of the overlying skin, motor neuropathy, prolonged pain or dysesthesia, hyperpigmentation, and paradoxical adipose hyperplasia (PAH). PAH is a rare but serious complication where fat cells increase instead of decreasing, resulting in a visible bulge or lump. It is challenging to predict who may develop PAH, which is why CoolSculpting is not offered at the Center for Aesthetic Medicine & Surgery at Mayo Hospital.
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CLL is a non-invasive body contouring approach
CoolSculpting, or cryolipolysis (CLL), is a non-invasive body contouring approach. Body contouring, also known as body sculpting, refers to changing the shape of an area of the body. This includes changing the circumference of certain body parts, like the waist or thighs, improving muscle tone and firmness, and improving the appearance of cellulite.
CLL is a fat-freezing method that reduces fat thickness in treated areas. It is based on the hypothesis that fat cells (adipocytes) are sensitive to cold temperatures. Through controlled cooling, selective destruction of fat cells can be achieved due to cold-induced apoptosis (fat cell death). This technology promises a reduction of unwanted fatty deposits in certain areas of the body without surgery.
CLL is considered safe for all skin types and can be repeated. It is best suited for those within their ideal weight range who engage in regular exercise and eat a healthy diet. Patients should also have noticeable fat bulges on the trunk and be realistic in their expectations. Additionally, they should be willing to maintain the results with a healthy and active lifestyle.
While CLL is generally safe, there are some associated risks and side effects. Short-term side effects may include redness or inflammation, numbness of the skin, motor neuropathy, prolonged pain or abnormal sensations, hyperpigmentation, and paradoxical adipose hyperplasia (PAH). PAH is a term used to describe fat growth in the treated areas instead of shrinkage.
It is important to note that non-invasive body contouring procedures do not treat obesity or improve overall health. They do not result in weight loss or provide health benefits associated with weight loss. These procedures are designed to decrease small amounts of excess fat in the treated areas, reducing visible bulges.
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CoolSculpting has associated risks and side effects
CoolSculpting is the brand name for cryolipolysis (CLL), a fat-freezing method to reduce fat thickness in treated areas. It is a non-invasive body contouring approach based on the hypothesis that fat cells (adipocytes) are sensitive to cold temperatures.
Despite being non-invasive, CoolSculpting does carry some risks and side effects. The treatment exposes patients to cold temperatures, which can cause skin irritation and pain. Some people may also experience an uncommon side effect where fat cells grow bigger in response instead of becoming smaller. This side effect is called paradoxical adipose hyperplasia (PAH). PAH is a cosmetic rather than physically dangerous side effect, but it requires corrective liposuction or other surgery to remove the enlarged fat cells. It is difficult to predict who may develop PAH after CoolSculpting.
Other side effects of CoolSculpting include redness or inflammation, numbness of the overlying skin, motor neuropathy, prolonged pain or dysesthesia, and hyperpigmentation. Motor neuropathy affects the nerves that control the muscles in the body, leading to weakness or paralysis. Dysesthesia is a persistent abnormal sensation such as tingling, burning, or numbness. Hyperpigmentation is the darkening of the skin due to an increase in melanin production.
CoolSculpting has been under scrutiny following a lawsuit by a supermodel who alleged that the procedure disfigured her. However, the U.S. Food and Drug Administration (FDA) has certified CoolSculpting as a safe medical treatment. Multiple reviews have concluded that cryolipolysis is a reliable, safe alternative to procedures like liposuction, with limited side effects. Nevertheless, it is important for individuals to be educated about the potential side effects of any medical procedure they are considering.
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The Mayo Clinic Diet is an alternative approach to losing weight
CoolSculpting is available at the Mayo Clinic in Rochester, Minnesota. It is a noninvasive body contouring approach that reduces fat thickness in treated areas. CoolSculpting is the brand name for cryolipolysis (CLL), a fat-freezing method. While it is generally considered safe, there are associated risks and concerns for paradoxical adipose hyperplasia (PAH), a term used to describe fat growth in the treated areas.
The diet is based on evidence-based behavioral science and is designed as a 12-week program broken up into two phases: "Lose It!" and "Live It!". During the first two weeks, the focus is on adopting healthy habits and breaking unhealthy ones, specifically targeting lifestyle habits that contribute to weight. This phase emphasizes adding a healthy breakfast, fruits and vegetables, whole grains, healthy fats, and at least 30 minutes of physical activity per day. It also involves eliminating sugar (except from fruit), snacking (except on fruits and vegetables), excessive meat and full-fat dairy, and eating out.
The second phase, "Live It!", focuses on maintaining healthy habits for life. This includes making smart food choices, understanding portion sizes, meal prepping, and committing to physical activity and exercise. While no food group is completely off-limits, the emphasis is on creating a pattern of healthy eating that can be followed long-term.
The Mayo Clinic Diet also offers additional resources such as an app, meal plans, food tracking, and access to a private Facebook group for support and accountability. It provides unlimited group coaching sessions and optional 1-on-1 dietitian sessions. With over 1,400 recipes, at-home workouts, mindset assessments, and a comprehensive curriculum, the program aims to support individuals in their weight loss journey and establish healthy habits that can be maintained for life.
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CoolSculpting is not offered at the Center for Aesthetic Medicine & Surgery
CoolSculpting is a brand name for cryolipolysis (CLL), a fat-freezing method to reduce fat thickness in treated areas. While it is generally considered safe, there have been concerns about the risk of paradoxical adipose hyperplasia (PAH), a term used to describe fat growth in the treated areas. PAH is one of the main reasons why CoolSculpting is not offered at the Center for Aesthetic Medicine & Surgery, according to Dr. Basel Sharaf, the practice chair.
Dr. Sharaf emphasizes that "a key factor when choosing which approach we use is efficacy, safety, and predictability of the results long term." Instead of CoolSculpting, the Center for Aesthetic Medicine & Surgery at Mayo Clinic prioritizes other techniques for safe body contouring, such as liposuction or energy-based devices. Liposuction, for example, was the most commonly performed cosmetic procedure in the U.S. by board-certified plastic surgeons in 2022, according to the American Society of Plastic Surgeons (ASPS).
While CoolSculpting may be an option for people who are not good surgical candidates for liposuction, it is crucial that individuals considering any body contouring procedure are educated about the various technologies, their effectiveness, and potential side effects. Short-term side effects of CoolSculpting can include redness or inflammation, numbness, motor neuropathy, prolonged pain or abnormal sensations, hyperpigmentation, and, in rare cases, PAH.
As such, the Center for Aesthetic Medicine & Surgery at Mayo Clinic does not offer CoolSculpting, opting for alternative methods that prioritize patient safety, efficacy, and long-term predictability. Patients interested in body contouring treatments are encouraged to explore proven methods and consult with their healthcare providers to make informed decisions about the available technologies and their potential risks and benefits.
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Frequently asked questions
CoolSculpting is the brand name for cryolipolysis (CLL), a fat-freezing method to reduce fat thickness in treated areas.
CoolSculpting is not offered at the Center for Aesthetic Medicine & Surgery at Mayo Hospital due to concerns for paradoxical adipose hyperplasia (PAH), a term used to describe fat growth in the treated areas.
Yes, liposuction and other energy-based devices are available for body contouring at Mayo Hospital.
