Objectives: To objective the tolerance, and the reasons of some disappointing results using the cryolipolysis device (Coolsculpting) since 2009.
Introduction: Cryolipolysis, used since 2009, is now became a very common non invasive procedure to reduce undesired limited fat bulges on the abdomen, the back, the thighs, the arms, and the chin and the idiopathic gynecomastia.
More and more (several billions) patients have been treated with a high level of satisfaction, but, with time, we observe logically some side effects and disappointing results.
Materials / method: Our experience is based on the treatments (more than 4000) we made since 2009 at the Centre Laser International de la Peau de Paris.
Results: The main side effects are the risks of paradoxical hyperplasia, probably very uncommon (may be an incidence of 1/1000 ?), and more severe, but observed only with some devices,( never seen with our device, the CoolSculpting) the risk of necrosis of the skin.
Some patients present a moderate pain lasting a few days or weeks, and , very uncommon a great pain lasting a few weeks..
We will discuss those risks, and how to avoid and manage them.
The main warnings are related with the fact that some treatements are made on bad indications ; the consequence will be a disappointing result.
Conclusion: The profile of tolerance with our device is very good, wiyhout any risks of severe side effects. We must be respectful with the rules ; cryolipolysis is a safe and effective treatment for limited fat bulges, without a lot of laxity or any need of diet. If the fat hyperplasia is too diffuse, or if the fat bulge is too big, regarding the limited treated area, the treatment by cryolipolysis must not be planned.
Eventually, we have to discuss the surgical liposuction or the others non invasive procédures.
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