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Can CoolSculpting Be Used Back of Thighs and Inner/outer Thighs?

It seems this procedure is commonly done on the abdomen area, but what about inner/outer back of thighs on a non overweight person?

Doctor Answers (10)

CoolSculpting on Thighs

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Zeltiq has come out with a new applicator called the CoolFit that can address fat reduction on areas such as the outer and back of thighs. It is contoured to fit these areas better than the previous applicators that didn't fit these areas. It's always a good idea to obtain a consultation to see if you are a good candidate for this treatment.


San Francisco Plastic Surgeon
4.5 out of 5 stars 27 reviews

CoolSculpting on outer and inner thighs for fat reduction

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Certainly, CoolSculpting by Zeltiq, has been FDA cleared for the abdomen  and the flanks and doctors are able to utilize it, off-label, on the outer thighs. Now with the recently acquired CoolFit applicator, which is flat compared with the curved CoolPlus, 6.2,6.3 and 8 applicators, we are looking forward to seeing results on the inner thighs using the CoolFit off-label. There may be side effects or risks that will be more apparent after a time during which many doctors treat many patients with the device for the thigh areas so stay well informed and ask your doctor many questions.

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

CoolSculpting on Thighs

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Thank you for your question.

The most common areas for Coolsculpting Treatment are the flanks and abdomen.  This treatment is FDA approved for those areas.  If you were to use it on your thighs, it would be an "off label" use.  Many people choose to have their thighs treated and end up with nice results.  I would recommend that you visit with a doctor who can examine the areas of concern for you and determine if Coolsculpting with help improve those areas.

Best Wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

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CoolSculpting On Thighs

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CoolSculpting is FDA-cleared for the flanks (love handles) and abdomen and is proven to be a safe and effective treatment. It is not approved for use on the thighs. 

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 100 reviews

CoolSculpting

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CoolSculpting is not FDA approved to treat the thigh area.  Also, they do not have an applicator designed to fit that area.  Smartlipo would be a good alternative, it will remove the fat in addition to tighten your skin.

Ben Hugo, MD
Virginia Beach Plastic Surgeon
4.5 out of 5 stars 8 reviews

Coolsculpting for the thighs

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Coolscultping is not FDA approved for the thighs and occasionally treatment of the inner thighs could be problematic so we avoid that area. However, well circumscribed localized fat on the outer thighs does respond quite well.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Coolsculpting For Thighs

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Coolsculpting can be done in areas other than the abdomen, but only if there is sufficient fat that can be drawn into the treatment chamber.  Coolsculpting relies on suction to pull the tissue to be treated into the applicator so it can come into contact with the panels that will then cool and freeze the fat cells.  Without sufficient suction and contact with these panels the treatment will be ineffective.  Portions of the thigh are often not soft and malleable enough to be drawn into the chamber and therefore may not be treated sufficiently.  The inner thighs can often work well but the outer thighs and posterior thighs below the buttocks can be a challenge.  Hope that helps.

Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 69 reviews

CoolSculpting can be used on the inner thighs

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CoolSculpting or "Fat Freezing" was FDA cleared in October of 2010.  The technology utilizes an applicator head that suctions tissue into the applicator and then freezes it.  The fat undergoes cryolipolisis or death by freezing.  The fat layer will decrease at least 20% for one session and around 40-50% with 2 sessions.

The areas that can be treated are limited by the applicator head size and configuration.  I have been performing Coolsculpting since January 2011 and have performed thousands of procedures.  It works well on the inner or medial thighs and on the "banana roll" under the buttocks on the upper back of the thigh.  It does not work on the outer or lateral thigh area. It works best on non overweight people.

The greatest advantage of Coolsculpting is there is no surgery involved, so, no down time and NO anesthesia of any kind.  I have had 4 treatments myself and immediately returned to work after each session!

It also works well in the upper and lower abdomen, flanks, upper back bra line rolls, men's breasts and upper arms.

David Finkle, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 48 reviews

Not yet useful for thighs

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At my office we treat a large number of patients with CoolSculpting for the abdomen, flanks, and back.  However, it has not yet been shown to be effective (nor FDA approved) for the thighs.  Moreover, it treats the fat but does not tighten the skin.  A treatment such as SmartLipo works better for the inner and outer thighs in both treating the fat and tightening up the skin for a overall better appearance.  

Jay Zimmerman, MD
Walnut Creek Dermatologic Surgeon
5.0 out of 5 stars 1 review

Most Commonly Used For Well-Defined Fat Pads.

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CoolSculpting is most commonly used for well-defined fat pads of the abdomen, love handles and the mid-back.

David Goldberg, MD
New York Dermatologic Surgeon
3.5 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.