The skill isn't in the handpiece. It's in the fifteen minutes before the machine is switched on.
Almost every bad outcome in this industry traces back to the consultation, or the absence of one. We go through exactly who must never be treated, who needs a conversation first, and how to set an expectation that turns a technically good treatment into a happy client.
In this episode:
• The absolute no's — pregnancy, implanted electronic devices, metal in the treatment area, active cancer
• The three cold-related blood disorders that rule out fat freezing completely, and why they belong on your intake form even though you'll probably never meet one
• The conditional ones — liver and kidney function, uncontrolled diabetes and blood pressure, skin conditions, recent surgery, medications
• Paradoxical adipose hyperplasia: the rare cryolipolysis complication most new technicians have never heard of. A meta-analysis pooled the incidence at 0.22%, roughly 1 in 455 patients, and one multicentre review covered 8,658 treatment cycles
• Why proposed risk factors include applicator size and the abdomen, and why newer applicators cut the reported rate sharply
• Setting expectations: inch loss not weight loss, realistic timelines per modality, what's normal afterwards
• The photos, measurements and consent that protect you
• Why turning someone away is the most protective thing you can do for the business
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The contraindications discussed are general and illustrative. They do not replace the manufacturer's documentation for any specific device, which is always the authority for that machine, or the law and licensing rules where you operate. This episode is general information, not medical advice and not a treatment recommendation.