Coolsculpting FAQs

By Dr. TRACY MOUNTFORD, MBBS MBCAM


Summary of Content

Click on the links below to jump to each section:

  1. What is the correct way to do the massage after Coolsculpting?
  2. Can CoolSculpting be done at home?
  3. Where does the fat go after CoolSculpting?
  4. When was CoolSculpting FDA approved?
  5. What’s the difference between CoolSculpting fat freezing and liposuction?
  6. What’s the difference between losing weight and losing fat?
  7. Can men have CoolSculpting done?
  8. Does CoolSculpting tighten skin?
  9. How many CoolSculpting treatments will I need?
  10. Who can perform CoolSculpting?
  11. Does fat freezing work on cellulite?
  12. How cold is CoolSculpting?

What is the correct way to do the massage after Coolsculpting?

After undergoing the FDA-cleared procedure, your practitioner will massage the affected area to complete the treatment. The purpose of this massage is to accelerate fat loss by manually breaking down the frozen fat cells. The expert massage is performed for a minimum of two minutes and involves a kneading motion at first followed by a circular massage. Studies suggest that massaging the treatment area improves fat loss by as much as 60%.

Can CoolSculpting be done at home?

No. CoolSculpting has passed FDA clearance and is therefore proven to be safe and reliable method of reducing fat. Any attempt to replicate the fat freezing process at home carries a number of risks, the least of which is frostbite. Those who perform CoolSculpting in a clinic are properly trained and licensed in the procedure. Effective treatment requires knowledge of anatomy and expertise in the technique. Without the precision that comes from training, patients risk causing themselves harm.

Where does the fat go after CoolSculpting?

The fat cells affected by the CoolSculpting process will be metabolised by the body. This involves the destroyed fat cells slowly dissolving into the blood stream before being excreted from the body.

When was CoolSculpting FDA approved?

CoolSculpting was first approved by the Food and Drug Administration (FDA) for treating the flanks (sides) in 2010. In 2012, the procedure was cleared for treating stomach fat, and in 2014 thighs were added to the list of treatment areas. A special applicator for treating smaller pockets of fat, called CoolMini, was approved for the treatment of double chin fat in 2015. Additionally, CoolSculpting has launched dual treatment applicators called CoolSculpting Elite, which were brought to market in January 2021.

What’s the difference between CoolSculpting fat freezing and liposuction?

CoolSculpting is a non-surgical alternative to liposuction.

Unlike liposuction, CoolSculpting is a non-invasive form of body contouring that is proven to work in reducing targeted fat cells.¹

1 Bernstein, E. F. (2013), Longitudinal evaluation of cryolipolysis efficacy: two case studies. Journal of Cosmetic Dermatology, 12: 149–152.

What’s the difference between losing weight and losing fat?

Losing weight is very different to losing fat. As a rule, losing or putting on weight doesn’t increase or decrease the amount of fat cells in our body: instead, it changes the size of these fat cells. When we diet, the number of fat cells remains the same; the fat cells just get smaller. When we put on weight, the fat cells increase in size.

This means that you may not weigh less after having CoolSculpting fat reduction treatment.¹ Your body will be more contoured and look thinner – your clothes will fit better too.

1 Bernstein, E. F. (2013), Longitudinal evaluation of cryolipolysis efficacy: two case studies. Journal of Cosmetic Dermatology, 12: 149–152.

Can men have CoolSculpting done?

CoolSculpting is ideal for men and women. We provide a discreet service for all our patients, with a holistic approach to transforming your body for the sculpted shape you desire to look good from every angle.

Does CoolSculpting tighten skin?

The CoolSculpting process works to effectively reduce fat. The natural elasticity of skin means there should be no looseness following treatment because skin in the area targeted will shrink down once the fat is removed. The treatment will not affect pre-existing loose skin — only areas of stubborn fat like love handles and double chins. There is some anecdotal evidence that the cooling causes skin to tighten and has the effect of causing collagen to remodel.

How many CoolSculpting treatments will I need?

The number of treatments depends on the amount of fat in the area(s) that need treating and the patient’s personal goals. As long as there is residual fat, CoolSculpting can treat these areas. We would recommend a consultation, where your CoolSculpting practitioner will discuss everything in detail, assessing your whole body, taking into account your specific areas of concern. We follow a holistic approach to help you lose stubborn fat and reshape your body through a bespoke treatment plan for the results you want to achieve. This may require the need for more than one CoolSculpting treatment, such as to reduce fat bulges from your thighs as well as love handles or belly fat etc.

Who can perform CoolSculpting?

CoolSculpting should only be offered by a clinic where staff have been trained by ZELTIQ, the manufacturer of CoolSculpting, and have attended CoolSculpting University. Here at The Cosmetic Skin Clinic, we our practitioners who solely specialise in CoolSculpting treatments, have 20 years of experience and have performed well over 50,000 Coolsculpting treatments to date.

Does fat freezing work on cellulite?

CoolSculpting is an FDA-cleared treatment for the reduction of fat bulges. Commonly treated areas include the abdomen, love handles, inner thighs and under the chin. The underlying fat that causes cellulite cannot be treated using fat freezing technology; for such areas, we recommend skin tightening treatments such as Ultherapy and Thermage.

How cold is CoolSculpting?

The CoolSculpting treatment has been cleared by the FDA and is proven to be very safe and effective in reducing unwanted bulges of fat.  The procedure involves the modulation of temperature to produce the destruction of fat cells. During treatment, the cooling cup of the device reaches a temperature of minus 11 degrees Celsius, causing the fat cells to cool down to the point at which they crystallise. This process causes the fat cells to die 2-3 days after treatment. Sensors in the CoolSculpting equipment constantly monitor the temperature of the skin and underlying tissue and adjust to prevent any damage to the epidermis layer. (The epidermis is the outermost layer of the skin).

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