10 Tips About CoolSculpting You Won't Hear on Talk Shows

A. Foley on 20 Aug 2014 at 8:50am

CoolSculpting Before and After

Since its media splash in late 2010, CoolSculpting by Zeltiq has taken the body-contouring world by storm. It’s non-invasive, cheaper than liposuction, and is marketed to almost be painless — though the length of results still remains a question mark.

It’s making more and more appearances in the media lately, so we rounded up some of the discoveries our community has made during their frolics with the fat-freezing treatment.

Top 10 Things About CoolSculpting You Might Not Hear on TV:

1. 7/10 people would do it again, according to the RealSelf Worth It Rating.

2. "CoolSculpting is not a procedure to improve skin laxity," says Dr. Leyda Bowes. Meaning, if your skin is already saggy, it will not be improved. In fact, fat removal could make it even more noticeable.

3. It's definitely not pain-free“CoolSculpting can be uncomfortable during the first 5 to15 minutes when the vacuum grabs the skin and fat," explains Dr. Michael Persky.

4. It’s really a two-hour procedure. Though it's marketed to only be an hour, that time is for one area only. Each love handle is a separate area, and the lower abdomen counts as two. (Hey, who wants to be lopsided?)

5. Right after the procedure, the treated area will look like it’s got a stick of butter underneath — or as one RealSelf member wrote, “It looked like I had a 1lb piece of salmon under my skin. It was weird but they massaged it right down.”


6. Only one treatment is needed to see 20-25% fat reduction in that area. But if you opt for more, doctors say you can see an additional 20-25% each time.

7. Some patients don’t see success in round one, but find the “second time’s a charm” to get visible results.

8. Doctors and patients agree that recovery could involve days or even weeks of soreness (“similar to the day after you've done a hard work out”), as well as bruising, swelling, and tingling in the treated area.

9. Full results take an average of 2-3 months to show. Some people will show within weeks, some take up to 4-6 months.

10. CoolSculpting is not a license to go on a calorie binge. If you gain weight, the remaining fat will get larger and lessen the results," says Dr. Steven Weiner. Doctors recommend maintaining a healthy diet and exercise regime for lasting results.

What do you think about CoolSculpting? Would you try it? Have you? Let us know in the comments below.

Photo credits: Courtesy of Dr. Laurie Casas; RealSelf member RavenandTim

Comments (18)

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Well I'm twenty-four hours into my cool-sculpting and I felt discomfort all day. The smoothing out of the "butter roll" above my naval area was just unbearable!!!!!!! I love the place I received treatment but I will not return. I hope I see 20% reduction at least. I am 57 and I was bruised terribly. I wear a size 4 and I'm small but I had this little pouch... not I've come to love my pouch. LOL
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These are the perfect methods for reducing the fat from the different areas of body. Now if someone wants to get rid of fatty skin quickly than Coolsculpting is the best solution for them.
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Isn't it kind of expensive if you have to have it done again? I personally couldn't afford to take the chance that it might not work and I'd have to pay for it a 2nd. time.
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Love CS!!! I've done it about a dozen times (see my avatar), upper/lower abs, inner/outer thighs. I have absolutely ZERO pain other than a bit of soreness, like I worked out a little for the 1st time.
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CoolSculpting definitely worked on me. Luckily, I just had an inch or two I didn't like. I coolsculpted my waist, stomach, inner thighs and under butt and it really looks perfect now. I also coolsculpted by arms but it did not work (maybe I didn't have enough fat there). The arms are the most painful area to do because of the nerves. I would do my waist and inner thighs again if needed but I would only do my arms again if I medicate which I don't like to do. Be very selective when choosing a doctor, ask questions and ask the doctor how many patients and for how many years they have been using coolsculpt.
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Let's be truthful the recovery time is weeks of pain. Almost everyone that I know that received this had weeks of pain not one or two days.
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I did not have any pain afterwards, just numbness. Wear compression shorts to combat the swelling and massage the area to stimulate circulation.
Its your gratefulness for affixing and giving out Tips About coolsculpting zeltiq with all of us ! It is very polished and proficient . I really appreciated it .
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A week after and I am still feeling horrible.. no down time? I've had 2 children and felt better a week later than I do now after the cool sculpting treatment. I'm swollen, tingly, bruised very badly and there is a constant stinging feeling. Not good.
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I am a week into post treatment and the pain is unbearable, constant tingling and stinging the area is also very bruised and swollen, it hurts to wear clothing, walk, sit, etc. They say there is no down time but I've given birth to two children and that had less discomfort a week later than this... I do not recommend it.
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I appreciate the post and the comments. Many physicians, myself included, use two CoolSculpting systems simultaneously in order to provide treatment to both "love handles" at the same time. This is an advantage to the prctice and the person receiving treatment. We provide a reduced fee for the second area being treated. There can be discomfort for some following a CoolSculpting procedure. We have found that proving compression garments for our patients to wear immediately following a CoolSculpting procedure seems to make patients feel more comfortable.
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I had one treatment of cool scuplting and didnt really see significant results. The nerve pain (tingling sensation) was VERY uncomfortable and lasted at least a week. Treatment was not worth in my opinion.
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We're seeing great results when we "Treat to Transformation," which generally involves treating the same area up to three times. It isn't typically worthwhile treating the same area more than three times, though, as you'll see diminishing results.
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In response to Mackenzie's comment, though I of course agree that watching what we eat will in most cases result in becoming slimmer, nonetheless, sometimes we benefit from a shortcut; boosts the motivation. Also, there can be areas where no matter what we do we just can't seem to shift the fat.

Perhaps the advice from the doctor about BNF2012's friend watching what she eats is more related to keeping the fat off. As the tips point out, CoolSculpting is definitely not a way to keep the fat off. If I were not where I am now I would never consider CoolSculpting as a viable option.

About three and a half years ago I was nudging 130kg. Taking a good long hard look at how I ended up there, and realizing where I was headed, I set a five year plan to achieve 20% or lower body fat content. Though it isn't about weight but rather size - look at boxers - as a guide to my success, I am currently 97kg. Taking the long term approach, working at altering my eating patterns, and developing an exercise habit has definitely worked for me.

Now I am thinking of trying CoolSculpting - hence the research I am doing. There is a Deal Offer going at the moment $295 (normally $1,020) for four sessions. If it will cut a CM or two off my waist that would be a great shortcut in reaching my ultimate goal.

I've got some messages up on other boards and blogs. If I get independent confirmations that this is truly effective then I will definitely give it a go.

Solomon Kane.
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Hey SolomonKane, thanks for sharing your story. Congrats on how far you've come in your mission to get fit!

Have you checked out the CoolSculpting reviews in our community yet? Of nearly 400 reviews, 77% say CoolSculpting was worth it for them. I think you'll be able to get some independent confirmation there (with pictures!).

If you do choose to try CS, please come back and let us know how it went! 

(P.S. Check out our tips for evaluating group coupons for cosmetic procedures)


I dont think I will consider cool sculpting. It is half the price of lipo with faint results and longer time to see a change. I have a friend who tried it and I am still waiting to see the change. I was the freezer burns but that was all. Her doctor told her to get another treatment and really watch what she eats.
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Hmm that does sound a little questionable... obviously if she watches what she eats she'll slim down! Can't attribute that to the CoolSculpting :

depends on the price and smoothness of final result.
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