22
June
2010
Dr. Sydney Coleman, a Manhattan Plastic Surgeon, was recently interviewed by Kristine Johnson of CBS News to discuss Cryolipolysis.
Cryolipolysis is a non-invasive technology that has been developed by Zeltiq for fat reduction. Dr. Coleman has been using the technology in his office in TriBeCa for over two years now.
Sydney Reese Coleman is the lead author of the clinical study that examined the efficacy and safety of the exciting new technology for non-invasive reduction of fat. Please go to the CBS website link to watch the video of the news piece and to read the script. Please note, you will need to click on the video located in the upper right hand corner of the page.
In the interview, Dr. Coleman noted that his study demonstrated that Cryolipolysis could successfully reduce a percentage of fat in a bulge. He warned that the device has not been approved specifically for fat reduction. However, it has been cleared by the FDA for skin cooling during dermatologic treatments as well as for temporary relief of cellulite.
Dr. Coleman has been treating patients using the Zeltiq device in his office for over two years, and the fat reduction initially observed with the published paper appear to have remained. A preview of the article authored by Dr. Coleman can be viewed as a pdf from the journal of Aesthetic Plastic Surgery. Or the article can be seen in full by accessing the Journal of Aesthetic Plastic Surgery. For a review of the paper check out Aesthetic Device Review.
For background on Zeltiq and Cryolipolysis, please refer to previous postings entitled Freezing Fat for Natural Body Sculpting, Zeltiq device approved by FDA for Several Uses, Noninvasive Liposuction Alternative, and Zeltiq Device Now Available in the Office of Sydney Coleman in New York City, NY. For a more scientific description, please refer to the following: RESHAPING FAT BY CRYOLIPOLYSIS,
Further Media Coverage:
Cosmetic Surgery Times: ”Results for cryolipolysis impressive“
American Health & Beauty: Cryolipolysis: Zeltiq Freezes Your Fat Away 
Please call TriBeCa Plastic Surgery at 212 571 5200 for more information.
© Coleman 2009
Posted: Media, Minimally Invasive and Non-Invasive Fat Removal
21
October
2009
Cryolipolysis Developed by Zeltiq for Cooling Fat
Zeltiq is a new technology developed to reduce body fat by cooling bulges in your body (cryolipolysis) but currently used for a variety of indications. Dr. Sydney Coleman, author of the only peer-reviewed paper on Zeltiq, has been using the Zeltiq cooling device since February 2008. Four months ago, a new advanced version of the initial machine arrived in his office.

Before (left), 2 months after (middle) & 3 months (right) after application to lower abdomen

Closeup of above pictures before (left) and two months after (right)
The Zeltiq procedure is performed under Dr. Coleman’s supervision at TriBeCa Plastic Surgery at 44 Hudson with a non-invasive applicator that delivers precisely controlled cooling through the skin surface over fat bulges. Studies have shown that this noninvasive procedure results in a noticeable, natural-looking reduction in the treated areas without the need for needles, incisions, anesthesia, pain, medication, or recovery time. In just a few months following the Zeltiq Procedure, the study demonstrated that there is a gradual reduction in the thickness of the fat layer, resulting in cosmetic improvement of fat bulges.

Less fat can be pinched in this patient at 3 months after Zeliq procedure by Dr. Coleman
Ideal candidates are men and women who are relatively fit, but have some modest-size fat bulges that are resistant to diet and exercise. Clinical studies show that, for properly selected patients, the Zeltiq Procedure is an effective way to reduce the fat layer, without the pain, risk, and recovery time of invasive procedures. The result is noticeable, natural-looking fat reduction in the treated areas. To date, the Zeltiq Procedure has been performed on hundreds of patients in clinical studies.
Harvard Medical School dermatologists at Massachusetts General Hospital in Boston, MA developed the science behind the Zeltiq Procedure, called CryolipolysisTM. Their research showed that fat cells are naturally more vulnerable to the effects of cold than other surrounding tissues, and that fat cells can be safely eliminated without harming the skin.
Dr. Coleman’s clinical study validated that cryolipolysis for fat layer reduction of love handles and back fat pads in men and women is well-tolerated and produces a visible contour change in the majority of subjects. Based on ultrasound assessment, an average fat layer reduction of 22.4% was demonstrated after only one procedure.

Zeltiq cooling device applied to abdomen of above patient
The Zeltiq device has already been cleared by the FDA for various applications related to skin cooling during dermatologic treatments and temporary treatment of cellulite. There is a pending application for non-invasive fat layer reduction.
A preview of the article authored by Dr. Coleman can be viewed as a pdf from APS. Or the article can be seen in full by accessing the Journal of Aesthetic Plastic Surgery.
For a review of the paper check out Aesthetic Device Review.
For background on Zeltiq and Cryolipolysis, please refer to previous postings entitled Freezing Fat for Natural Body Sculpting, Zeltiq device approved by FDA for Several Uses, and Noninvasive Liposuction Alternative.
Please call Tribeca Plastic Surgery at 212 571 5200 for more information.
© Coleman 2009
Posted: Home, Minimally Invasive and Non-Invasive Fat Removal
22
September
2009
Zeltiq device approved by FDA for Several Uses
New York City, NY–The FDA has approved the Zeltiq in 510(K) application K090094. Following is a quote from the official FDA document which describes the use for which the device was approved:
“INDICATION FOR USE: The Zeltiq System is intended for use as a skin cooling device to minimize pain and thermal injury during laser and dermatological treatments. Alternative uses include skin cooling as a local anesthetic for procedures that induce minor local discomfort. The Zeltiq System can also provide localized thermal therapy (hot or cold) to minimize pain for post traumatic and/or post surgical pain and to temporarily relieve minor aches and pains and muscle spasms. The optional massage function can also be used for the temporary relief of minor muscle aches, pain, and spasm, for temporary improvement in local circulation and temporary reduction in the appearance of cellulite.”
Dr. Sydney Coleman was the lead author in a paper on the device. The study demonstrated that cryolipolysis treatment can cause substantial reductions in subcutaneous fat volume and changes in the contour of the treated love handle without damage to the skin or underlying tissues. The Zeltiq device has not been approved by the FDA for the purposes discussed in the paper.
A preview of the article can be viewed as a pdf from APS. Or the article can be seen in full by accessing the Journal of Aesthetic Plastic Surgery.
For a review of the paper check out Aesthetic Device Review.
For background on Zeltiq and Cryolipolysis, please refer to previous postings entitled Freezing Fat for Natural Body Sculpting and Noninvasive Liposuction Alternative.
Dr. Sydney Coleman received an updated, advanced version of the Zeltiq Device and has been using this version for several months. Click here to read more.
Please call 212 571 5200 for more information.
© Coleman 2009
Posted: Minimally Invasive and Non-Invasive Fat Removal
24
June
2009
Noninvasive Fat Reduction with Cryolipolysis effective and safe in recent study
NEW YORK CITY, NY – Sydney Coleman, a Plastic Surgeon in New York City, is the lead author on the first clinical study published on the effectiveness and safety of cryolipolysis. The study demonstrated significant and safe reductions in fat deposits of humans treated with the new non-invasive fat technology cryolipolysis.
Cryolipolysis treatment causes substantial reductions in subcutaneous fat volume and changes in the contour of the treated love handle without damage to the skin or underlying tissues. The innovative technology brings the temperature of the targeted fat down to above freezing. This apparently programs the fat cells to die over the next two or three months.

View of flanks from the front before non-invasive cryolipolysis (left) and three months after one treatment (right) demonstrate significant change in contour to the flank or "muffin-top".

Lines help to better distinguish the change in contour.

View of “lovehandle” before non-invasive cryolipolysis (left) and three months after one treatment.

Lines help better distinguish the volume changes. Ultrasound studies confirmed about a 25% reduction of fat after one treatment.
The study examined the effect of cryolipolysis on nerves. The treatments were not painful, and temporary “funny feelings” after the treatment resolved quickly. The study concluded that cryolipolysis is not associated with obvious nerve injury.
One patient recently reported at one year after the treatments: “Dr. Coleman, I wanted to tell you that the procedure that you performed on me really works – I can not believe that all of my clothes are big on me – and Ihave not been dieting. This is very exciting, when are you doing the “pouch”? Thanks again,”
In summary, the study demonstrated that cryolipolysis treatment can cause substantial reductions in subcutaneous fat volume and changes in the contour of the treated love handle without damage to the skin or underlying tissues.
Dr. Sydney Coleman received an updated, advanced version of the Zeltiq Device and has been using this version for several months. Click here to read more.
A preview of the article can be viewed as a pdf from APS. Or the article can be seen in full by accessing the Journal of Aesthetic Plastic Surgery.
For a review of the paper check out Aesthetic Device Review.
For background on Cryolipolysis, please refer to previous posting entitled Freezing Fat for Natural Body Sculpting.

© Coleman 2009
Posted: Home, Minimally Invasive and Non-Invasive Fat Removal
12
August
2008
Zeltiq Aesthetics has developed a breakthrough biotechnology for reducing unwanted fat. The Zeltiq device uses cryolipolysis to precisely cool fat and induce lipolysis (the breakdown of fat) apparently without any permanent damage to other tissues (skin, nerves, muscle and bone) around the fat. The technology allows for natural body sculpting.
Harvard Medical School and Massachusetts General Hospital performed the pioneering research that evolved into a non-invasive system to reduce subcutaneous fat. They first presented their research at the 2008 meeting of the American Society of Laser Medicine and Surgery. Please refer to the scientific paper on cryolipolysis from this meeting for a detailed explanation.
Dr Sydney Coleman is on the physician advisory board for Zeltiq.
More information about this and other non-invasive or minimally invasive methods of fat removal can be seen in a new paper Co-authored by Dr. Sydney Coleman.
Dr. Sydney Coleman received an updated, advanced version of the Zeltiq Device and has been using this version for several months. Click here to read more.
© Coleman 2008
Posted: Minimally Invasive and Non-Invasive Fat Removal