CoolSculpting

Professor Carlo Tremolada, Scientific Director of Image Regenerative Clinic, emphasizes the fundamental difference between liposuction and lipoaspiration. While both are regenerative medicine procedures aimed at body contouring, they are distinctly different interventions. What is the difference between lipoaspiration and liposuction? Patient Case Study Sabrina L., 31, serves in the Carabinieri (Italian Military Police). Despite regular training, gym dedication, and various dietary regimens, she was unable to reduce persistent fat deposits at the junction between thighs and gluteal area, both medially and laterally. These areas proved resistant to conventional aesthetic treatments. During periods of muscle definition, when Sabrina worked with a personal trainer to maximize muscle sculpting, these problematic areas became more pronounced against her well-defined torso and calves. After discovering Image Regenerative Clinic through social media, Sabrina explored treatment options. During consultation with Prof. Tremolada, lipoaspiration combined with Lipogems technology was identified as the optimal solution for her case.

Coolsculpting is a technology that selectively reduces fat deposits, so effectively that it is considered the premier non-surgical alternative to liposuction. The results are measurable in centimeters. Dr. Claudio Carenzio, aesthetic surgeon at Image Regenerative Clinic, recently interviewed by Vanity Fair, explains this technology. What is CoolSculpting? CoolSculpting is a device that selectively reduces fat deposits by targeting adipose cells through a biological process called cryolipolysis, literally cold (cryo) that destroys (lysis) fat (lipo). When subjected to thermal stress (between -11° and -13°C), adipose cells undergo crystallization and are subsequently eliminated through apoptosis (programmed cell death). It is an exceptional method because it enables measurable reduction of localized adiposity in centimeters, visible after the first month. Furthermore, the adipose cells will not return, and the final result will remain stable over time, although a balanced diet is recommended to support the treatment and, most importantly, as a fundamental rule for one's health. Is CoolSculpting truly comparable to liposuction in terms of results? It is considered the non-surgical alternative to this procedure. It enables permanent and gradual removal of excess fat. As previously noted, CoolSculpting is highly specific and only targets the areas of concern, determined with the physician during the assessment. On average, a single session is sufficient to reduce up to 27% of fat in the treated area. How is the session performed? First, the device must only be operated by medical personnel. During the session, after applying a protective gel sheet saturated with fructose to prevent burns, special suction applicators are positioned to aspirate target tissues, cooling and crystallizing fat cells at sub-zero temperatures between -11° and -13°C. Skin, nerves, and muscles remain unaffected. After the procedure (duration varies from 30 minutes to an hour depending on the treatment area), patients may experience temporary tingling. When the device is turned off, the specialist performs vigorous massage to break down the frozen fat cells into particles, which are then eliminated by the body through the lymphatic system. Patients can immediately return to normal activities after the session. Which areas can be treated? CoolSculpting is a highly specific technology that exclusively targets fat deposits, identified with the physician during the preliminary consultation. Its specificity allows treatment of fat deposits in all body areas, particularly those where fat typically accumulates persistently. The procedure is also highly appreciated by men for treating love handles and offers various programs and applicators for different needs (CoolCurve+, CoolFit, CoolCore, CoolMini, CoolSmooth). What differentiates CoolSculpting from similar methodologies? The advantage of original CoolSculpting by Allergan Aesthetics is its 2010 FDA (Food and Drug Administration) certification, the agency that monitors the safety of food, drugs, and medical devices. Additionally, regarding safety, it differs from other technologies because the cold is precisely controlled and does not cause necrosis. Have additional questions? Contact us and Dr. Carenzio will respond with all the information.

On Wednesday, June 5th, Image Regenerative Clinic presents the highly anticipated Coolsculpting Open Day. During the event, you can meet our physicians, with the special participation of Prof. Carlo Tremolada, and discover all aspects of non-surgical liposuction. What is Coolsculpting? The Coolsculpting procedure utilizes cryolipolysis technology: it eliminates fat safely and effectively (the only FDA-approved method), without surgery or recovery time. Using controlled cooling to -11°C, Coolsculpting technology selectively targets subcutaneous fat deposits in an effective and painless manner. The treatment is particularly effective for the following anatomical areas: abdomen, flanks, inner and outer thighs, arms, submental area, and subscapular region. Results are visible within 3 weeks post-treatment, with maximum benefits achieved within 2-3 months. Coolsculpting is a non-invasive treatment that enables effective reduction of localized adiposity. It is completely safe and painless, leaves no scars, and requires no anesthesia. The procedure is ideal for both individuals who have started their body contouring journey later and those who need to address fat deposits resistant to physical activity and diet.

What is CoolSculpting? CoolSculpting is a non-surgical procedure for subcutaneous adipose tissue reduction. It operates on the principle of controlled cooling of cells to eliminate fat deposits. This mechanism achieves an effective reduction of approximately 20-25% of fat cells without damaging the overlying skin or surrounding structures, inducing cell death (apoptosis) with proven, visible, and lasting results. Typically, in adulthood, body changes occur through increases or decreases in adipose cell volume; CoolSculpting determines the numerical elimination of a percentage of these cells, ensuring fewer cells subject to dimensional changes in the treated area in the future. Treatment areas include thighs, abdomen and flanks, arms, and submental region, with handpiece size and shape varying based on thorough clinical assessment. Clinical Consultation As with any medical treatment, the clinical consultation is essential, including anamnestic evaluation, assessment of patient expectations, and collection of necessary data to develop the appropriate therapeutic path. It's crucial to establish treatment eligibility and create an individualized treatment plan tailored to the patient's specific objectives. Some patients may require multiple sessions or treatment of multiple areas with CoolSculpting. During consultation, the physician will indicate which areas can/should be treated and how many treatments will be necessary to optimize results. The CoolSculpting Treatment The procedure begins with a preparation phase where the physician marks the treatment areas (previously agreed upon during consultation) and verifies the exact handpiece position using a template. Following this, the installation phase begins with handpiece application and securing with elastic bands on the cutaneous area, where a protective gel/patch is applied to reduce any adhesion risks between the plate and tissues. The CoolSculpting procedure then commences, exerting suction force to ensure safe and precise controlled cooling of fat cells beneath the tissue held in the handpiece. The treated adipose cells are crystallized (frozen) and then physiologically eliminated, resulting in long-term results. The final phase consists of handpiece removal followed by manual massage for several minutes. The effective treatment duration is 35-60 minutes per treated area. Side Effects and Results Unlike invasive procedures such as liposuction, the CoolSculpting procedure presents minimal side effects. Following treatment, temporary redness, swelling, burning, possible chemosis, and in some cases tingling, itching, or reduced skin sensitivity may occur. These effects are temporary and generally resolve within days or weeks, without affecting normal social life. The CoolSculpting procedure is completely non-surgical and typically allows immediate return to normal work and daily activities. Results become visible after 3 weeks, with progressive improvement over the following 2-3 months and continuous modeling of the treated area. The session can be repeated after six months according to the protocol established with the physician or if further reduction of fat accumulation is desired.