Ultrasound energy (UltraShape). This type of treatment uses ultrasound energy to break down fat. It is the most time-intensive of the four types, taking approximately one hour per treatment session. Instead of hooking you up to a machine, a technician will move the device around manually. It uses a mechanical vibration to break down and destroy fat. This works on the abdomen and isn’t meant for other areas, Dr. Khetarpal says. There is no discomfort, she says.

Cold treatments (CoolSculpting).These employ temperatures cold enough to kill fat cells but not damage your skin. A device pulls portions of skin in by suction, then cools it to destroy the fat underneath for a set amount of time. You can use this procedure on many body parts including the chin, arms, abdomen, love handles and thighs. It’s safe for most patients. However, those who have a vascular condition that makes them extra sensitive to cold temperatures (Raynaud’s syndrome, for instance) should not use this treatment.
CoolSculpting is a gentle, 40 to 75 minute treatment (depending upon which applicators are used) during which you may watch movies, TV, read, listen to music, nap, or work on your laptop. The Coolspa specialist will outline your target zones with a surgical pen, and then apply a soothing gel. Next, the cryolipolysis applicators will be placed strategically over your skin, drawing the target areas inside. Each applicator is computer monitored to ensure its proper temperature at all times.
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