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Dr. Anil Shah:
Right. So we’re doing a, uh, a mini podcast on Coolsculpting. Uh, I’m pleased to be joined by Bailey Bailey. Again has been, uh, with, with me in my office for more than a year. She is a cool sculpting university trained provider. Um, people always ask, what is the cool sculpting university? Is this like, like or something like that
Bailey:
Pretty close? Um, no. So it’s actually a weekend long training session that we did in DC, um, which just goes really in depth over all of the different applicators, different types of bodies. Um, and then we treat with, um, the other trainers and stuff and treat each other. You learn a lot. So it was, it was very, very good to
Dr. Anil Shah:
Kind. Yeah. I, I don’t think they do that anymore as my understanding are they, they cut that down.
Bailey:
Um, they probably have I’m sure with COVID and everything, it’s probably, you know, putting a pause on everything, but
Dr. Anil Shah:
So you might be one of the, the few or last post talking, uh, university graduate, um, which is actually kind of cool. And, um, even though I say that a little bit in just, it’s actually, it’s, it’s a big deal because sometimes the more, you know, about how something works kind of backwards and, and forwards you end up treating patients differently. Um, there there’s a patient that’s in the news right now. Um, I’m not sure if you’ve heard, um, it’s a former, um, model maybe still model, but I, I think her heyday was in the nineties, Linda Evangelista. Um, so she had, uh, cool sculpting done, uh, not with the elite with the previous generation. Uh, apparently it was done in 2016. Again, I, I don’t know the details of this. Yeah. And we’ll put a little disclaimer on this that I I’m, again, have not seen her have not treated her. Um, don’t know anything about it. Um, I did read a people magazine story on it, so I’m gonna, I’m just doing this kind of a, a comment on this as an aside. Um, so she had some issues, she did her neck, her arm and her leg and her stomach. So she cool up in these areas. And then she developed by, um, in all of those areas. Hmm. Um, which I feel really, um, yeah, that’s, you know, upset for her.
Bailey:
That’s not something we ever hoped for.
Dr. Anil Shah:
Um, and so she ended up getting multiple surgeries to correct it, and I still don’t think that she’s been corrected. So, um, first of all, have you seen that in any patients?
Bailey:
I personally have not. Um, the one thing I have seen from a previous office that came for a consult once, um, they actually, um, had paradoxal adipose hyperplasia where the area actually gets bigger for some reason, instead of smaller. Um, it’s kind of strange looking, it kind of looks like the fat where the applicator was. You can kind of see the borders of the applicator. Um, so it’s so rare that if it does happen, the Allergan will actually pay to have it lipos sucked out. Um, so I’ve actually seen, um, patients come for that kind of consult.
Dr. Anil Shah:
So that patient you saw, um, did that patient get treated by your office? Were you
Bailey:
Working her? Um, yeah, she actually did.
Dr. Anil Shah:
And how did she do
Bailey:
Good? It got rid of everything and then she got a little, you know, bonus Lippo
Dr. Anil Shah:
Section bonus Lippo on that too. So yeah, so again, I have not seen it, but of course it, it must exist. It’s out there. It’s PAH, uh, for those who don’t know, and it’s the dreaded complication, but from, from what I understand is it’s treatable again, I don’t know the story about, um, you know, um, Linda Evangelista, but, um, you know, somewhere along the way and maybe her cool sculpt, maybe the way she reacted to co sculpting. And then unfortunately she’s had multiple lipo sections out afterwards, which weren’t able to ReMed it. So I don’t know where she went after. Um, and so it looks like she’s, she’s had a hard lot at it. Uh, but fortunately for us, we, we don’t really see that here. Um, and, um, it might have been, she had an older generation machine. Yeah. That might have been a reaction as well.
Bailey:
Yeah. We’re finding that the newer machines are better adhering to the skin causing less side effects and less issues. So I don’t know if that could be a contributing factor, you
Dr. Anil Shah:
Know, um, and they’ve done some update, they did major updates. So what Bailey’s alluding to is there’s a new version of co consulting called cool scaling elite. And there’s a previous version, uh, which is regular co scaling, but even the early, early additions of co scaling, some of those MIS are a little bit dated and the newer versions would go a little colder and then the elite, I think it’s not necessarily colder, but it has more,
Bailey:
More contact to the skin for sure. Um, so the suction, the way that the actual applicators are designed, um, they’ve had a bunch of providers kind of give feedback over the course of years from the original cool sculpting. Um, and they’ve kind of worked together to try and figure out how best to create applicators that fit to people’s body shape better. Um, so with that contact leads to better results because it’s the fat is actually being cooled longer. Um, during that cycle,
Dr. Anil Shah:
I, I think the other thing that’s cool about, uh, not to use that, um, pun, but the other thing I, I like about the new, uh, cool scaling elite is that there’s two applicators instead of one. So before you could dual sculpt, but you’d have two machines in there you’ve done dual scaling with patients you’ve done cocutine elite. Let’s talk about the differences between the two of them.
Bailey:
Yeah. So the new modem is actually much smaller, much easier to, of move around the room, um, with the old cool sculpting machine I’ve done cool dual sculpting, which is where we have two cool sculpting machines going at once on a patient’s body. Um, it’s tough. It’s, it’s very big and bulky in there. It’s hard to get two machines with these heavy, long hoses and everything. Um, cuz the hoses can definitely cool. And on the patient, especially when they’re sitting there for 35 to 45 minutes, um, so I really am enjoying the new cool sculpting elite. Um, it’s got the two hoses that actually disconnect from the head, which makes my job a lot easier. Um, I feel like patient’s comfort is a lot, is a lot better as well. Um, and it’s just a lot easier to use. Um, the actual hand pieces are much lighter than the original ones.
Dr. Anil Shah:
So from a patient experience standpoint, it sounds like it’s better to have a close company lead than even if you’re going to legacy devices that are like, um, uh, dual scaling with two older, um, some offices will do like four or five areas with legacy devices. Like what’s the most areas you think you can get a good result, but still, um, treat patients efficiently. Yeah.
Bailey:
Well we can talk about you how many we were able to do at once. Um, so I’ve recently treated a bunch of a abdomen, um, which is really fun because patients are kind of surprised how fast they’re able to get in and out with a full abdomen treatment. Um, since we can kind of treat that lower tummy area and then the upper abdomen, um, at the same time we could even do a love handle and a lower abdomen or an arm and a abdomen, you know, anything like that in combination. So it really speeds up the process in half.
Dr. Anil Shah:
Um, yeah. So, so, and just to kind of put that in perspective, if you’re doing a lower stomach, how, how long does that take by itself?
Bailey:
Um, it depends if it’s the smaller applicator, 35 minutes larger is 45.
Dr. Anil Shah:
Okay. And so if you were to do 45 plus 35 plus love handle, um, what’s the full time for that patient to be in the office?
Bailey:
Um, maybe about two hours from start to finish, which normally is like four hours.
Dr. Anil Shah:
So you’re basically cutting the time in half. Yeah. Oh my gosh. And I think so anytime you can get a better result for less time. I know. Uh, that’s the idea
Bailey:
When, in my book,
Dr. Anil Shah:
Yeah, for sure. Um, to patient experience issue, um, which I think is super helpful. Um, what have, what have we done differently in our office for coing here? Like you’ve been in our old office or new office, uh what’s the patient experience like getting co scaling aside from the coastal elite?
Bailey:
Yeah, I think the overall office, um, obviously is a lot more modern than what we were working with before. Uh, the room that we have the cool sculpting machine in is, has a nice chair that uses lots of different functions so we can get the patient really comfortable. Um, we’ve got a TV in there so they can relax, they can bring their laptop with them, they can eat, they can do whatever they need while they’re actually in that treatment room. Um, and it’s nice and private and quiet for them just to kind of relax while they’re doing their treatment.
Dr. Anil Shah:
Yeah. I think the thing I like the most about it is, uh, a window that’s still private, but you can still get some sunlight in, and again, you don’t feel like you’re in a, in a box and uh, before being in a, um, you know, really, uh, uh, in a high rise. Yeah, definitely. I think it could be a little bit, uh, you know, claustrophobic for patients after a while being in there versus there. I think patients, I, I think I, I don’t mind hanging out in that room cause it’s so bright and I think in general, when you have bright rooms with, uh, the big windows, um, we
Bailey:
Have a nice,
Dr. Anil Shah:
There
Bailey:
We go. I enjoy looking out at it.
Dr. Anil Shah:
Cool. Um, for someone who’s gonna get cool sculpting elite, um, is there a way they should prep themselves for that day?
Bailey:
Um, I would say bring, you know, if you’ve got work to do, like I said before, bring your laptop, bring your phone. Um, you know, you can just hang out on the air. Um, usually like comf or clothes is probably good. I would avoid wearing like jeans or something
Dr. Anil Shah:
Tight on that laptop. I’ve had a few, um, patients as patients of yours who’ve come in and done who actually worked from home while they’re getting a cold
Bailey:
Smoking treatment
Dr. Anil Shah:
And actually kind of one of the cool things that you can actually get a treatment done while you’re working. Um, you’re plugged in you’re on your laptop. No one can tell you’re getting a treatment
Bailey:
Done. I’ve had patients on conference calls during it
Dr. Anil Shah:
And, and I mean, what’s better than, uh, staying, working, not
Bailey:
Having to take time off to do it.
Dr. Anil Shah:
And exactly. Um, so comfy clothes is another thing.
Bailey:
Um,
Dr. Anil Shah:
What, what kind of clothes do you recommend, do you, uh,
Bailey:
Um, well sometimes depending on what area would treating will get them changed into these little disposable shorts. They’re really cute. Um, but you know, sweatpants or something, that’s not too tight around the abdomen, if that’s the area we’re treating, just cuz it helps me, um, kind of see the full area to treat versus where it like kind of cuts into the abdomen.
Dr. Anil Shah:
So stomach is good to have like stretchy sweatpants. Yeah.
Bailey:
Some than that, you’re just comfortable in. Um,
Dr. Anil Shah:
How about legs?
Bailey:
Legs will probably have to get you changed into something you could wear shorts or we’ve had patients come in with like a bikini bottom on instead. Um, just cuz if we’re treating inner thigh, you know, we kind of have to have that area free of clothing. Um,
Dr. Anil Shah:
How about arms,
Bailey:
Arms tank tops work perfectly for of that? No long sleeves, obviously coming to sports bra and a zip up hoodie or something like that would be
Dr. Anil Shah:
Good. What percentage of patients who do arms are women?
Bailey:
Oh gosh. I would say probably like 99%
Dr. Anil Shah:
99.
Bailey:
It seems like almost gonna say a hundred, but I think I have treated men in the past. Really.
Dr. Anil Shah:
Yeah. It seems like that seems to be more of, um, you know, the there’s certain areas that men gravitate to and women gravitate to. So what is the area that almost every man comes in and treats?
Bailey:
Uh, I feel like lower abdomen in love handles is a really popular one for men. There
Dr. Anil Shah:
You go. Yeah. Um, and what about women?
Bailey:
Women? I get a lot of, um, submental, so Chen, they are always concerned about the, the fat under their neck. Um, and then abdomen that lower belly PO everybody complains of it’s always an issue.
Dr. Anil Shah:
Yeah. I think it’s, I think women are more complicated. Right. So they want that shape. Uh, they have to have their arms exposed, um, that little V shape. Um, and then, um, you know, depends on what’s being exposed so it can probably be the whole GAM it men ever treat lakes.
Bailey:
I don’t think I’ve ever treated a man’s legs before.
Dr. Anil Shah:
Yeah. Again, doesn’t seem to be an area where, where most men get that. Um, yeah. Um, in there. So it seems that extremities seem to be more women. Uh, love handles is both men and women. Stomach is both men and women and sub you’re getting more women than men. Yeah.
Bailey:
I I’d say I do get a fair share of men that come in too. So it’s pretty common.
Dr. Anil Shah:
Is there a best candidate for submental, uh, lipo or for submental cool sculpting?
Bailey:
Yeah, I think, um, obviously they can’t be like someone that’s like probably a facelift candidate. That’s looking for a full transformation, I think stubborn pockets of fat that you feel like with diet and exercise that fat under your chin, just isn’t going anywhere. I think it’s a great option for you.
Dr. Anil Shah:
Yeah. I think that area it’s gonna be the superficial fat sometimes the deep fat, uh, there’s no treatment and I know of, that’s not a base, so that treats that, but the superficial pat, um, excellent alternative. You’ve done both Ella and cool sculpting. What works better.
Bailey:
Usually my kind of route is I do cool sculpting to debunk that area first. I think you get the most bang for your buck with that. And then if there’s any little areas left over, then I’ll go on with Ella.
Dr. Anil Shah:
How long does it take for somebody to do a Nick
Bailey:
For?
Dr. Anil Shah:
Cool. And how long some, uh, so they they’ll do a neck after they do a neck. Is that sore swollen for
Bailey:
How long? Um, it’s really, I don’t think it’s that bad, honestly little tender, maybe a little red for that day, but swelling’s not terrible.
Dr. Anil Shah:
Can compare Ella recovery to cold sculpting recovery for, for S
Bailey:
Totally different Ella kinda look like a little towed for how long, like a couple days, probably like five days or so. Cool sculpting. I mean, there’s really, there’s no bruising. There’s really minimal swelling. If any, I would say more, maybe just a little tenderness if you touch the area, um, could be like a little bit of a numbness sensation of how patients describe it, but that’s one of the reasons why I usually go with cool sculpting first because Kai, they just aren’t here for the, the downtime. There
Dr. Anil Shah:
We go. Uh, yeah, I think the other thing about post helping, that’s not, not talked about as much is that it does create a little thickness in your DMI. So it doesn’t seem to be like creating extra laxity or more laxity that’s there. So
Bailey:
That’s kinda, they have shown that the submental, it really does help kind of tighten the skin in that area as well, which is always loss.
Dr. Anil Shah:
Cool. Uh, I keep saying that. Sorry. Uh, excellent. So this is a little mini podcast on cool sculpting elite with Bailey, who is one of the few cool sculpting university trained in the city. Thanks so much for joining us today. Thanks
Bailey:
For having me.
Dr. Anil Shah:
Cool. I did it again.