Body Contouring
Body contouring procedures remove or destroy localised fat deposits that persist after weight loss. They are not weight loss treatments — they are best used for targeted areas at stable weight.
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- •These are not weight loss treatments — they remove localised fat deposits that remain after weight has stabilised
- •CoolSculpting freezes fat cells; the body removes them over 4–12 weeks
- •Liposuction permanently removes fat cells surgically — results are stable if weight is maintained
- •Best done after weight has been stable for 6–12 months, not during active loss
Based on clinical trials · No rankings · Every claim linked to source
Last reviewed: March 2026
CoolSculpting / Cryolipolysis
How it works
Controlled cooling (between 0°C and −11°C) is applied to targeted areas via an applicator. Fat cell lipids crystallise at these temperatures while surrounding tissue is unharmed. The body's immune cells (macrophages) clear the dead fat cells over 4–12 weeks — producing a gradual, visible reduction in fat thickness.
Clinical results
Sources: PubMed 2024 · PMC 2021
Risks and considerations
- •Common: Mild, transient redness, swelling, numbness in treated area (resolves within weeks)
- !PAH (Paradoxical Adipose Hyperplasia): ~4 cases per 3,453 treatment cycles (~0.1%) — treated fat paradoxically expands rather than shrinking. Requires liposuction to correct. Main serious risk.
- •Results appear gradually over 6–12 weeks; peak at 3 months
- •Not appropriate as a weight loss treatment — best for localised deposits
Liposuction
How it works
Surgical procedure: a thin cannula (tube) is inserted through small incisions and fat cells are physically suctioned out. Fat cells in the treated area are permanently removed — they do not regenerate. Most effective for: abdomen, flanks, thighs, arms, chin.
Considerations
- ✓Permanent removal of fat cells — results do not reverse if weight is maintained
- ⚠Surgical procedure — carries standard surgical risks (infection, bleeding, anaesthesia)
- ⚠Complication risk is approximately 60% higher in patients who have had prior bariatric surgery compared to non-bariatric patients
- ⚠Not a weight loss tool — for body contouring after stable weight is achieved
Source: PubMed 2014