I have always stayed clear of cosmetic procedures, because
while they may appear simple, the context in which they act
is complex. The confusion around coolsculpting and PAH is a case in
point. Fat cells are frozen by a machine, and the body is meant to clear
out the debris leaving a thinner body surface, all well and good. But
in a certain number of cases, a dense fat mass will appear at the treated area.
One might want to step back and consider the multiple roles fat cells may
be playing in the body to begin with.
How does the body know where to store fat. Hormones play a role for young
women, directing fat to hips and thighs for childbearing. This stops at menopause.
Interestingly, fat cells themselves produce female hormones. How is fat distributed
in men: it often goes to the belly because men eat more meat and by the time it is
broken down, fat just gets put at the nearest convenient location, the belly. Voilà!
The error people may be making - I suspect - is thinking that because the body has
gotten rid of fat cells, it will not 'deposit' fat anywhere. Wrong, it has to go somewhere.
Anything that triggers an insulin response will require that deposit occur, which
may be temporary or not. If one is eating in a balanced way on a daily cycle, as most
dietary counsel recommends, it still occurs. (This is where the interest in the keto diet finds
its root.)
Below, the clearest overview of PAH I have run across, from YouTube:
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