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Submental Fat: Inject or Freeze?

Aspen, Colo. – At the summer edition of The Cosmetic Bootcamp (CBC), Vic A. Narurkar, M.D., explained when and how he uses freezing versus injectable treatments for submental fat. He is founder and director of the Bay Area Laser Institute, chairman of dermatology at California Pacific Medical Center, San Francisco, and a CBC cofounder and director.

“We have 2 approved options to treat submental fat,” CoolSculpting with the CoolMini applicator, or Kybella, he said. Because the patient he was treating in a live demonstration did not want swelling, and could fit into the CoolMini adapter, he used it to perform one cycle on each of 2 pinchable areas of fat. In pivotal trials, “The procedure was very well tolerated. We saw an improvement in neck contour and high patient satisfaction.” According to manufacturer Zeltiq, the applicator provides 20% fat reductions, as does the original CoolSculpting applicator.


In his clinic, “I use both technologies – often on the same patient. I will debulk with the CoolMini and contour with Kybella. This is something I do routinely,” often using one vial of Kybella at least 8 to 12 weeks after the first cryolipolysis session. “Even with my Kybella treatments, I’m spacing them 2 to 3 months apart. It’s made a huge difference, because the inflammatory process can go on for quite a while.”

For additional details or to register for future CBC events, please contact:

Karen Dennis

CBC/Meeting Designs, LLC

Phone: 877-809-7525

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