Now, you can finally achieve your weight loss goals without the risk or downtime of major bariatric surgery. The new, FDA-approved device, Orbera™, is a small gastric balloon that is gently placed into the stomach so you feel fuller longer and can practice portion control with greater success. Orbera™ is a non-surgical solution to help jump start your weight loss and maintain a healthier lifestyle.
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.
Now here are a couple more facts: We all have many billions of fat cells. In fact, the number of fat cells that we have, and the distribution of those cells are both pretty much fixed from very early in life (around one year in age). The reason that different people have different shapes is that their fat cells are distributed differently. The woman with disproportionately wide outer thighs has more fat cells in that area, and therefore she perceives it as a stubborn disproportion. One man may have a relative ‘hill’ of fat cells under his chin; another in his love handles, and so on.

CoolSculpting works by taking advantage of the fact that fat cells are more sensitive to cold than the other cells around them. This basic scientific fact was first discovered in 1970 by doctors observing children who sucked on popsicles for hours, and ended up having first soreness, and later dimples, caused by loss of fat cells! Fast forward about 20 years, and Harvard scientists revisited this fact, and realized that they could turn this science into a system for aesthetic sculpting of fatty bulges. The key was to find the ‘sweet spot’ of time and temperature, which would kill some fat cells but not damage surrounding structures such as skin. They called the public company that makes the systems Zeltiq. The proof of the success of this concept and treatment: Zeltiq was bought out by Allergan in 2016 for whopping 2.5 billion! This was the largest sale of a single medical device company in history.
During the procedure you may experience sensations of pulling, tugging, mild pinching, intense cold, tingling, stinging, aching, and cramping at the treatment site. These sensations subside as the area becomes numb. Following the procedure, typical side effects include temporary redness, swelling, blanching, bruising, firmness, tingling, stinging, tenderness, cramping, aching, itching, or skin sensitivity. Sensation of fullness in the back of the throat after submental area treatment. These effects are temporary and generally resolve within days or weeks. Though rare, some additional side effects may occur. As with any medical procedure, ask your physician if the CoolSculpting procedure is right for you.

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A typical CoolSculpting procedure in the U.S. can cost anywhere from $1,000-$4,000. Although the fat cells destroyed by cryolosis are gone permanently, it doesn’t mean a patient cannot regain the weight. Regular diet and exercise should always be a part of a healthy lifestyle. Also, body sculpting is not pain free. Many patients who claim to have a “high pain tolerance” report intense soreness, swelling, bruising, or tenderness both during the procedure and up to weeks afterward. Always, always consult your doctor before trying procedures like selective cryolosis.


*In the U.S., the CoolSculpting®procedure is FDA-cleared for the treatment of visible fat bulges in the submental area, thigh, abdomen and flank, along with bra fat, back fat, underneath the buttocks (also known as banana roll), and upper arm. It is also FDA-cleared to affect the appearance of lax tissue with submental area treatments. In China, the cryolipolysis system is used for fat layer reduction of the abdomen and flanks. In Taiwan, the CoolSculpting procedure is cleared for the breakdown of fat in the flank (love handle), abdomen, and thigh. Outside the U.S., China and Taiwan, the CoolSculpting procedure for non-invasive fat reduction is available worldwide. CoolSculpting® and its design are trademarks of ZELTIQ Aesthetics, Inc., an Allergan affiliate. CoolSculpting is the treatment doctors use most for non-invasive fat removal.
1 July 2015: The CMA is considering whether it is or may be the case that this transaction has resulted in the creation of a relevant merger situation under the merger provisions of the Enterprise Act 2002 and, if so, whether the creation of that situation has resulted, or may be expected to result, in a substantial lessening of competition within any market or markets in the United Kingdom for goods or services.
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