Does Fat Come Back After Liposuction or CoolSculpting?

Does Fat Come Back After Liposuction or CoolSculpting?

Video Transcript:

Hi everyone,
I’m Dr. David Reath, I’m here to discuss this week truth o meter question.
Turns out this is a good question to ask because not everybody got the answer correct. About half the people did. We were talking about fat and what happens to fat cells when we gain weight.

So the question for this week.

True or false, if you gain weight after having fat removal either by undergoing liposuction or coolsculpting you’re gaining more fat cells?

The answer is false.

fat-cellsWhat is happening is the existing fat cells you have get larger as you gain weight and as you lose weight those cells get smaller. The exact number of fat cells we have is determined early in our life probably after we go through puberty. You don’t create more fat cells after that and the only you lose fat cells is through some method of fat reduction like coolsculpting or liposuction.

When you’re doing those procedures you’re actually removing fat cells and they are gone forever. If you do have weight gain after that then your existing fat cells which is basically just container for fat get larger and if you lose weight those fat cells get smaller.

Another question is what happen if you gain weight after liposuction? is it going to come back to other areas? So if you do gain weight, a good study years ago showed in the 3rd of the people, it comes back in the place where you didn’t have the liposuction or coolsculpting. In a third of the patients, it came back to the areas treated, and in a 1/3rd of the people it came back to both areas.

So it has to do with where the fat cells exist. By removing fat in one area you’re not creating more fat cells in other areas. That is the physiology of fat cells kind of interesting.


Anyway, when you have liposuction those cells are gone forever, if you gain weight you’re existing cells get larger.