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Aesthetic Medicine

Cryolipolysis — questions and answers, how it works

Mechanism (cryolipolysis):

3 min read

Illustrative photo. It shows an example of how the treatment is performed.

3 min read12 November 2026

Result: Fat layer reduction of 20–25% at the treatment site after one session.

How does cryolipolysis work?

Mechanism (cryolipolysis):

  • The applicator attaches to the skin — suction draws in the fat
  • Temperature drops to –9°C to –11°C for 35–60 minutes
  • Fat cells crystallise, triggering apoptosis — programmed cell death
  • Dead fat cells are cleared by the lymphatic system over 6–12 weeks
  • Skin, blood vessels and muscles remain undamaged

Result: Fat layer reduction of 20–25% at the treatment site after one session.

Who is cryolipolysis suitable for?

YES:

✅ Stubborn localised fat — abdomen, love handles, "saddlebags" on the thighs, "pockets" above the knees ✅ BMI under 30 (this isn't a method for overall weight loss) ✅ Skin with adequate elasticity ✅ Stable weight — not during active weight loss ✅ Men and women (note: the cryolipolysis applicator must cover the entire fat fold)

NO:

❌ Obesity (cryolipolysis contours the body — it doesn't reduce overall body mass) ❌ Pregnancy and breastfeeding ❌ Cryoglobulinaemia, cold agglutinin disease, paroxysmal cold haemoglobinuria ❌ Open wounds, skin lesions or eczema at the site ❌ Hernia or other changes under the skin at the treatment site ❌ Neuropathy at the treatment site

How many sessions do you need?

One session delivers a visible reduction. But:

  • Fat layer thickness: Small fold (2–3 cm) — Recommended number of sessions: 1–2 sessionsFat layer thickness: Small fold (2–3 cm)Recommended number of sessions: 1–2 sessions
  • Fat layer thickness: Medium fold (3–5 cm) — Recommended number of sessions: 2–3 sessionsFat layer thickness: Medium fold (3–5 cm)Recommended number of sessions: 2–3 sessions
  • Fat layer thickness: Large fold (5+ cm) — Recommended number of sessions: 3+ sessions, 8–12 weeks apartFat layer thickness: Large fold (5+ cm)Recommended number of sessions: 3+ sessions, 8–12 weeks apart

Interval between sessions: At least 8 weeks — the body needs time to clear the fat cells.

When do results become visible?

  • Time after treatment: 0–3 weeks — Result: Swelling, redness, no visible change (this is normal)Time after treatment: 0–3 weeksResult: Swelling, redness, no visible change (this is normal)
  • Time after treatment: 4–6 weeks — Result: First visible changesTime after treatment: 4–6 weeksResult: First visible changes
  • Time after treatment: 8–12 weeks — Result: Full results of the sessionTime after treatment: 8–12 weeksResult: Full results of the session
  • Time after treatment: 6 months — Result: Final resultTime after treatment: 6 monthsResult: Final result

> Important: The result is permanent — once fat cells are destroyed, they don't come back. However, the remaining fat cells can still expand if you gain weight. Cryolipolysis doesn't replace a healthy diet.

Does it hurt?

The first few minutes bring an intense pulling and cold sensation. After 5–10 minutes, the area numbs itself — the low temperature acts as a local anaesthetic.

After the treatment: You may experience:

  • Redness for a few hours
  • Mild swelling for 1–2 weeks
  • Tingling or numbness for a few weeks — this is normal
  • Rarely: bruising at the treatment site

Paradoxical adipose hyperplasia — what is it?

Paradoxical adipose hyperplasia (PAH) is a rare complication (under 1%) where the treated area develops more fat, shaped like the applicator, instead of less. It's more common in men. Treatment: liposuction.

> At J'ADORE, we inform every patient about PAH. Contact us immediately if you notice the first signs.

Cryolipolysis vs carboxytherapy — which should you choose?

  • Mechanism — Adipocyte apoptosis — Vasodilation + metabolism
  • Depth — Subcutaneous fat — Fat + cellulite + skin
  • Sessions — 1–3 (permanent effect) — 6–10 sessions
  • Downtime — Minimal — None
  • For cellulite — No (fat only) — Yes
  • Results last — Permanent (fat cells destroyed) — Requires maintenance

> Best combination: Cryolipolysis for fat + Carboxytherapy for cellulite and skin finish

Preparation and aftercare

Before: Eat normally. No special recommendations.

After: ✅ Drink plenty of water — it helps the lymphatic system clear the fat cells ✅ Physical activity speeds up fat cell metabolism ✅ Massage the treated area (10–15 minutes right after the session, at the salon) ❌ Avoid saunas for 48 hours

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