cold panniculitis treatment

lawrence: hello. i am dr. lawrence broder,owner of beleza medical spa with offices in austin and round rock, texas. i'd like totalk to you today about a new procedure we are introducing here at beleza called coolsculpting.coolsculpting is based on the principle of cryolipolysis. cryolipolysis means, basically,freezing fat to reduce the fat. it is fda approved to selectively reduce fat on thebody. the principle on how it works was seen inchildren in a syndrome called popsicle panniculitis. when children were noted to have popsiclesin their mouth for long periods of time, they were noted to get a dent in their cheeks andit was thought the ice, the cold was causing selective fat reduction in their cheeks. someresearchers did some studies at massachusetts

general hospital and were able to safely coolfat without, of course, freezing the skin but cool fat and then they found out theycould reduce it from 20 to sometimes to 80 percent in those studies. the way the machine works is, basically...youhave an area, let's say in your lower abdomen that you want to treat. it has a large applicatorthat goes on your abdomen with a little gel pad and it selectively cools that fat downin that area to a certain temperature, a safe temperature so your skin is protected, andit keeps the fat at that temperature for about an hour. after an hour, we take it off andthe area is kind of red and swollen and hard. it's almost like it's frozen. then whathappens is those fat cells that we froze,

some of them, will start to die. over thenext several months your body will clear those fat cells away and you will get the resultsof fat reduction. there is some temporary redness, swelling and numbness, usually forabout a week after the procedure but that all resolves without any treatment. the safety profile of this machine has beenvery good. i haven't seen any reported side effects yet. over the next several monthsafter the treatment, those fat cells die and then we hope and usually see about a 20 to25 percent reduction in the fat layer. it is a non-invasive method. it's relativelycomfortable. you sit there for about an hour. you can read, watch tv, listen to music, sleep.you get up and you leave. there's no surgery.

there's no anesthesia needed. you're backon your feet, back to work immediately. this is another procedure in our armamentariumthat we can use to reduce fat. the other method that is fda approved for selective fat reductionis zerona. that is the low level laser. we also have that. coolsculpting will fit in nicely with ourother treatments like smart lipo, acg medical weight loss, zerona. now, the coolsculptingwill offer another non-invasive way to reduce the fat layer and this can be combined withthose other treatments so you get the body contouring results that you want. now, we're going to show a little, shortvideo of just how the procedure gets set up.

then, we'll show you some pictures on how...beforeand afters and how it works. thank you. courtney: hi. i'm courtney with beleza medicalspa and we're going to be demonstrating how we do the coolsculpting today. this isjosh, our patient. we're going to be treating his lower abdomen. we're going to use atemplate. we're going to be using the larger head on him. it's called cool max. we'rejust going to use this template and show exactly the area we're going to be treating on hereand go ahead and mark it so we know how the treatment is going to start. i'll go ahead and start and mark this. sincejosh is doing the lower abdomen, we're just going to be going right in the middle. righthere. now, i know where exactly the head is

going to go. next, we will use one of our cool pads whichis a little bit cold when we put it on. let me grab that. this just works as a barrierbetween the machine and the skin. this is the part that can be a little bit cold rightat first. all right. we're just going to place this right in the area being treated.is it a little cold? josh: just a little. courtney: we just place it down so it worksas almost like a second skin onto the patient before we actually start the treatment. oncethe gel pad is in place, i've already put the liner on, and then have the machine readyand set to go with the cool max head on, which

is the larger head. now, we're just goingto place it on to the patient. at first, you will feel a little bit of a suction and thenwe will actually start the treatment once it's in place. do you feel the suction? josh: yeah. courtney: all right. we just make sure we'restill lined up and then we start the treatment. each treatment per area is one hour and sowe just have to put a little bobby on so the patient is comfortable with the treatmentand the patient will just sit here for an hour. you can experience a little bit of coolingand freezing in the area but it's a very comfortable, painless procedure. there'sa pager on with the machine and if you need

anything, we come and bring you something.but, the patient just sits here for an hour. after the procedure, you notice what lookslike, almost, a little, frozen stick where it has been in the machine. afterwards, wejust massage that out and those are actually the frozen fat cells. we massage it out sothat those frozen cells hit other cells and so it's going to also kill the cells surroundingit. with this machine, sometimes men see resultsfaster than women. most of the time it takes about two months to see the full results fromthe treatment for all of the fat cells to die and kill off. it is a one-time treatment,it does take an hour per area. the results are permanent. it actually does kill the fatcell. it's just a one-time treatment and

patients are pretty satisfied with the result.it's just an hour per treatment and...is it comfortable? courtney: that is how the coolsculpting works. [end of audio] duration: 8 minutes and 28 minutes page 2 of 3