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June 18, 2010

Zeltiq Can Be a Great Fat-Reduction Option

It's been almost a year now since I became the first physician in the United States to use the Zeltiq Coolsculpting system outside of clinical trials to reduce unwanted pockets of body fat. (I had previously participated in the device's clinical trials.)

I remain impressed with this non-invasive technology.

Developed by a respected team of Harvard Medical School dermatologists, Zeltiq cools fat cells in a controlled way, a process that then causes them to break down. Gradually, the cells are eliminated from the body through natural processes.

The typical treatment takes about an hour, and requires no anesthesia. Nor is there any recovery time. Side effects are minimal, and mostly involve some skin redness and minor bruising (from the suction device used during the procedure).

Of course, not everyone is the right candidate for this kind of fat reduction treatment. Zeltiq is for people who are at their ideal weight and toned, but who can't seem to get rid of isolated pockets of fat (such as "love handles"). Because this fat-reduction solution is not for everyone, it's important that you have a thorough evaluation and consultation with your physician before starting treatment. Ask about all your options.

You should also be aware that although the U.S. Food and Drug Administration has approved Zeltiq for other medical uses, the agency has not yet endorsed it as a way of losing fat. The device is used for that purpose in Europe, however. Using Zeltiq "off label" is legal in the United States (I wouldn't be offering it if it wasn't), but doing so requires some wise judgments from the treating physician. Again, seek care from someone who's experienced in using the technology.

One final thing: The similarity between the device's name and my last name is purely coincidental. I have no proprietary interest in the device. Still, given the similarity, I'm glad the device is one that I've found to be effective.

June 9, 2010

Paying Attention to Ink and Skin Color Is Key to Successful Tattoo Removal

When it comes to tattoo removal, not all ink colors can be treated alike. In general, black and dark blue inks tend to be the most responsive to laser removal treatments, while lighter inks--particularly yellow and green tones--are much more challenging to remove.

But skin color also influences how successfully a tattoo can be removed. Tattoos on darker skin types are generally less responsive to treatment.

These factors are why it's so important to receive treatment from a physician who's experienced using different kinds of Q-switched lasers (the high-intensity, ultra-short-pulse lasers that are most effective at removing tattoos). Not all lasers (or even laser wavelengths) work equally well on all ink or skin colors.

For example, some Q-switched lasers don't work at all at removing green or red inks. And not all are effective at removing tattoos from darker-hued skin.

Other factors--such as the type of ink used, the location of the tattoo, and whether or not the ink has "blurred" into the surrounding skin--must also be considered in deciding the treatment protocol for removing a tattoo. So be sure to ask your physician about all your treatment options. You want to make sure that the laser treatment used to remove your tattoo from your skin is the safest and most effective one available.