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Plenty of people want to reduce the appearance of fat around their thighs, stomach and love handles, but not everyone is ready for an invasive procedure such as liposuction. CoolSculpting is a non-invasive treatment that targets areas of stubborn fat without injections, anesthesia or major recovery time. If you’ve heard the buzz about this body contouring procedure, chances are you have some questions—for instance, how does CoolSculpting work? And does CoolSculpting hurt? Here, board-certified dermatologist, cosmetic surgeon and LovelySkin CEO Dr. Joel Schlessinger answers all your questions about CoolSculpting, including:
If you're wondering if CoolSculpting works or if it is too good to be true, it’s important to know that CoolSculpting has been cleared by the FDA to treat visible fat bulges on several different parts of the body, including the upper arms, back, abdomen, love handles, thighs, underneath the buttocks and under the chin and jawline. “CoolSculpting has taken a problem that a significant portion of the population has—unwanted fat—and allowed it to be treated with a simple, lunchtime procedure,” Dr. Schlessinger says. “Over the years, the process has been improved and refined so it is easy to perform and achieve results that, in many cases, are as good or better than traditional or tumescent liposuction. To me, this makes CoolSculpting an essential part of any dermatology practice.”
We are often asked how CoolSculpting works and how it differs from other procedures such as liposuction.Through a process called criolipolisis, CoolSculpting is designed to remove excess fat by freezing fat cells, causing them to die and be naturally eliminated from your body. The process of CoolSculpting is non-surgical, meaning there’s no anesthesia needed and there are no cuts made in the skin. CoolSculpting is not a weight loss treatment, but rather a targeted fat reduction procedure. Per Dr. Schlessinger, patients who are at or near their goal weight can potentially reduce stubborn fat by 20 to 25 percent through CoolSculpting.
A CoolSculpting treatment can last up to an hour or more, depending on the area that is treated. “Most patients need two or more treatments per area and you need to wait about four to six weeks in between treatments,” Dr. Schlessinger says. “This is the time your body needs to process and naturally eliminate the excess fat cells that have been frozen during the treatment.” Dr. Schlessinger’s practice in Omaha, Nebraska offers CoolSculpting Elite, which is CoolSculpting’s latest treatment equipment. CoolSculpting Elite offers faster treatment times—often 35 minutes—that are more efficient than traditional CoolSculpting thanks to dual applicators that can treat two areas at once. The Elite system’s applicators are redesigned in a C-shape that fits the curves and contours of the body for less discomfort during the treatment, as well as larger cooling panels that cover 18 percent more surface area on the body. “CoolSculpting Elite is truly the newest generation of this innovative technology and our clinic was the first in the Midwest to have it in-office to serve our patients,” Dr. Schlessinger says. Check out the results in these CoolSculpting before-and-after photos.
“Does CoolSculpting hurt?” is definitely one of the most frequently asked questions about this body contouring procedure. “CoolSculpting is easy, fast and relatively painless,” Dr. Schlessinger says. During CoolSculpting treatments, you can expect to feel intense cold as well as a tugging, suction-like sensation. “After the procedure, side effects could include redness, bruising or swelling, or mild cramping that subsides with time,” he says. Read more details about side effects during and after the procedure in CoolSculpting’s full safety information disclosure.
Because this is not a weight loss procedure, not everybody is a good candidate for CoolSculpting. CoolSculpting is intended for patients who exercise regularly and eat a healthy diet, but still have areas of stubborn fat that won’t go away. “I look for patients who are within about ten to fifteen percent of their goal weight and motivated to keep their weight stable or decrease their weight,” Dr. Schlessinger says. “I also like to make sure people don't have a history of yo-yo dieting or large fluctuations in weight. This helps to keep people satisfied after the procedure, as weight gain afterward in the five- to ten-pound range can erase great results.”
CoolSculpting is intended to remove fat cells permanently from the body, so those fat cells will not return. “If you maintain your weight at about what you went in for CoolSculpting, fat shouldn't come back except in rare situations,” Dr. Schlessinger says. “Additionally, if it does, a few more targeted sessions can tweak the area.”
Want to hear more about CoolSculpting? Watch Dr. Schlessinger talk about CoolSculpting on TV news show Omaha Everyday.
Aaron serves as Editor at LovelySkin. Since graduating from the University of Nebraska at Omaha in 2016 with degrees in Creative Writing and English, he has immersed himself in the beauty industry. When he’s not writing about the latest beauty trends, he spends time cuddling his dogs, scouring antique stores, playing tennis and hiking.
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