Controlled cooling destroys fat cells in a treated pocket permanently. It is a contouring tool for people near their goal weight — not a weight loss treatment.
Fat cells are more vulnerable to cold than the surrounding skin, nerves and muscle. Cryolipolysis exploits that difference: an applicator draws tissue into a cooling cup and holds it at a controlled low temperature long enough to trigger apoptosis — programmed cell death — in the fat cells, while leaving other tissue unharmed.
Over the following weeks your body clears those cells through normal metabolic processes. The cells are permanently destroyed, and adults do not generate meaningful numbers of new ones, so the reduction persists provided your weight stays stable.
Typical reduction is around 20 to 25 percent of the fat layer in the treated area per session. That is a real change, and it is also a specific and limited one — worth understanding before you book.
Being direct here saves people money and disappointment.
It is not a weight loss treatment. It removes a modest proportion of fat from a specific pocket. It will not change the number on the scale meaningfully, and it will not address generalized excess weight. If weight loss is your goal, our medically supervised weight loss programme is the right route.
It does not treat loose skin. If the concern is skin laxity rather than fat, reducing the fat beneath can make sagging more apparent. Skin laxity needs a tightening approach such as RF microneedling or, in more advanced cases, surgery.
It does not reach visceral fat. Fat inside the abdominal cavity, around the organs, cannot be treated by an external applicator — and it is the type most relevant to metabolic health. A firm abdomen that you cannot pinch usually indicates visceral fat, which responds to weight loss rather than contouring.
It requires a pinchable pocket that fits the applicator. Fat that is diffuse rather than localized is not suitable.
Common effects are temporary numbness, redness, swelling, bruising and tenderness. There is also a rare complication called paradoxical adipose hyperplasia, in which the treated area grows firmer and larger rather than smaller. It is uncommon, appears more frequently in men, and typically requires surgical correction. Any provider who has not mentioned it has not given you full information.
Body contouring works within narrow limits, and the most common reason patients are disappointed is that they were treated when they should not have been. If your goal is weight loss, or if loose skin rather than fat is the issue, contouring will not deliver — and you will hear that at the consultation.
Dr. Daniel Moghadam performs the assessment personally, including determining whether what you are pinching is subcutaneous fat that responds to treatment or visceral fat that does not.
You will get an honest estimate of how much change to expect and how many sessions it will take, before you commit to anything.
Dr. Moghadam determines whether your concern is pinchable subcutaneous fat, visceral fat, or skin laxity — and whether treatment will actually help.
A gel pad protects the skin and the applicator draws the tissue in. You will feel intense cold and pulling for the first several minutes, then the area numbs.
Thirty-five to sixty minutes per area depending on the applicator. Most patients read or work through it.
The treated area is massaged immediately afterward, which is uncomfortable but improves the outcome.
Change begins around three weeks and is typically complete by twelve. Additional sessions on the same area are spaced accordingly.
The fat cells destroyed are gone permanently, and adults do not generate meaningful numbers of new fat cells. However, the remaining fat cells in the area can still enlarge if you gain weight. The result persists provided your weight stays reasonably stable.
Roughly 20 to 25 percent of the fat layer in the treated area per session. That is a genuine, visible change in contour — but it is a modest proportion, and it will not meaningfully change your weight. Multiple sessions on the same area can increase the reduction.
No, and this is the most important thing to understand. It reduces a specific localized pocket of fat. It does not address generalized excess weight and will not change the scale meaningfully. If weight loss is your goal, a medically supervised weight loss programme is the appropriate route and we will tell you so.
No — it can make loose skin more noticeable by removing volume beneath it. Skin laxity is a different problem requiring a tightening approach such as RF microneedling, or surgery in more advanced cases. The consultation establishes which problem you actually have.
The first five to ten minutes are genuinely uncomfortable — intense cold and a strong pulling sensation — after which the area numbs and most patients are comfortable. The post-treatment massage is briefly uncomfortable. Afterward you may have numbness, tingling and tenderness for a couple of weeks.
A rare complication where the treated area becomes firmer and larger rather than smaller, typically appearing a few months after treatment. It is uncommon, occurs more often in men, and usually requires surgical correction. We mention it because full consent means knowing about it — any provider who omits it is not giving you complete information.
Many patients see satisfying change from one session per area. Two or three sessions spaced six to twelve weeks apart produce greater reduction. We reassess at around twelve weeks before recommending more, since the full result takes that long to appear.
Both permanently reduce fat but suit different anatomy. Cryolipolysis needs a pocket that fits the applicator; Kybella is injected and conforms better to small or irregular pockets, though it causes considerably more swelling. Dr. Moghadam will recommend based on the shape and size of the area.
Patients come to our Beverly Hills office for body contouring from across Los Angeles:
Our Beverly Hills office sits on Wilshire Blvd near the Beverly Hills–Los Angeles border, with on-site, valet, and street parking.
8907 Wilshire Blvd, Suite 270
Beverly Hills, CA 90211
Mon–Thu 10am–5pm
Fri 9am–5pm
Sat & Sun Closed
The consultation establishes whether your concern is fat, skin, or weight — three different problems with three different answers. Consultations are complimentary.