It is frustrating when obstinate pads of fat can’t be removed, even with intensive exercise activities and a healthy, low-calorie diet. The thought of having fat surgically suctioned doesn’t sound appealing to every person concerned.

Especially for those people, who have long awaited an alternative to surgical procedures, there is now cryolipolysis – a non-surgical procedure, which helps eliminate the troublesome local problem areas.

However, cryolipolysis is not suitable for over-weight people, who are striving to lose weight. The nutrition and exercise behavior should be coordinated with the treatment. For example, if a person continues to eat too much, eats too many sweets or consumes large amounts of alcohol, then fat will be stored again.

Only fat cells will be destroyed

The procedure for “cryolipolysis treatment” is based on the local application of cold and was developed by Harvard University. The effect results from the fact that fat cells are more sensitive to cold than all the other kinds of tissue, like skin, muscles, nerves and connective tissue.


(1) A non-invasive hand applicator is fixed to the desired area. (2) The applicator pulls the fat tissue to be treated with a gentle vacuum between two cooling panels and thus causes a controlled cooling of the skin to about 4 degrees Celsius for 60 minutes. (3) The individual fat lipids are crystalized in the fat cells and with their new pointed shape, they destroy the cell membranes from within. (4) Subsequently, the body will remove them gradually over the next 2-4 months, which leads to a visible reduction of the fat pad.

I use the Coolshaping™ system from MSC Medical in my practice. This device has two handpieces, which are available in three different sizes and can be operated simultaneously. Consequently, the one hour treatment can cover two zones.

Will it hurt? Are there any risks and how do I feel after a treatment?

This procedure is not painful. At first, you feel some tension from the vacuum. You are hardly aware of the cold up to minus 4°. Furthermore, the device has a massage function, which ensures that the cold is evenly spread out. The skin is protected by a jelly-like fleece. Most of my clients use this time to relax or to sleep.

Immediately after the treatment, the area, besides being cold, feels slightly irritated. A certain amount of redness can persist for a few hours. It is also possible that an occasional bruise may be caused by the vacuum.

In the first few days after the treatment, the area can also feel numb and be sensitive to pressure. However, you can immediately perform any kind of athletic or occupational activity without any mandatory break. In order to activate the metabolism after the treatment, the body should be supplied with extra liquids. An extra 2.5 liters per day is recommended.


However, there are unfortunately some health exclusion criteria. Included are cold allergies as well as chronic inflammation. This method can also not be used in the case of diabetes. Furthermore, no treatments can be given in the case of extreme excess weight or weight deficiency.

The following diseases can inhibit the use of cryolipolysis: blood diseases, bleeding anamnesis, liver or kidney disease, autoimmune disorders, insulin dependent diabetes, paroxysmal cold haemoglobinuria (PCH), cryoglobulinaemia and cold urticarial. People with peripheral circulatory disorders or wound healing disorders should also refrain from using cryolipolysis.

In addition, when certain medicines are consumed, like anti-inflammatory drugs, cytostatic drugs or cortisone drugs, then cryolipolysis treatment may not be used.

What areas are suitable for cryolipolysis and what results can be expected?

The following areas can be treated: the knees, the abdomen, thighs, back, upper arms, armpit wrinkles, as well as the waist and hips. The chest is a popular area for men.


The treatment takes a total of 60 minutes at a time. A second treatment lasting 60 minutes can be done within the following four weeks. Past experience shows that the first results for qualified clients come after 2-4 months.

A third treatment of the same area should only be done after this time frame. There is a 25-30% fat reduction in the treated area through the use of cryolipolysis.

You can ask more questions about the details of this procedure anytime at a free counselling interview in my office.