Cryolipolysis

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

cryolipolysis; Fat Reduction

Definition
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Non-invasive surgical procedure developed in 2002 by Manstein and Anderson for local fat reduction through defined exposure to cold

Effects
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Decisive for the development and success of cryolipolysis is the local limitation of the procedure and the greatest possible protection of the surrounding tissue. Due to different crystallization points of fat and water, adipocytes with their high fat content react more sensitively to cold than other cells. Rapid cooling leads to local anaemia of the tissue and direct crystallisation of the fat. Ultimately, these processes lead to apoptosis of the fat cells.

Implementation
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At the beginning of the treatment, a gel-soaked cloth is applied and spread out without air bubbles. It serves to protect the skin during the strong temperature reduction. Afterwards, the application is placed on the area to be treated and skin and fatty tissue are sucked in by means of a defined vacuum. Afterwards the aspirated skin area is cooled down to a preset temperature. Since adipocytes are sensitive to temperature and are driven into apoptosis over the cooling time axis, localized atrophy of the fatty tissue occurs. Visible results can be expected after 3-5 weeks.

Complication(s)
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Dents, hyperpigmentation, local frostbite, pain during the procedure and post-operatively, panniculitis.

Preparations
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CoolSculpting, KryoShape system1.8.

Literature
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  1. Boey GE, Wasilenchuk JL (2014) Fat reduction in the inner thigh using a prototype cryolipolysis applicator. Dermatol Surg 40:1004-1009
  2. Fischer T (2014) Cryolipolysis: Mode of action and application in practice.skin 5:232-237
  3. Kwon TR et al(2014) Improved methods for selective cryolipolysis results in subcutaneous fat layer reduction in a porcine model. Skin Res Technol doi: 10.1111/srt.12176. PubMed PMID: 25220194.
  4. Stevens WG (2014) Does Cryolipolysis Lead to Skin Tightening? A First Report of Cryodermadstringo. Aesthet Surg J 34:NP32-NP34.

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Last updated on: 29.10.2020