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Can Cool Sculpting Be Used to Remove Cheek Fat?

I'm looking to have my cheek fat reduced but i dont want any invasive procedures, i wondered if cool sculpting by zeltiq could be performed on my cheeks...

Doctor Answers 16

Fat in the face is good

Studies have shown that fat in the face gives a more youthful appearance. Removing fat is generally not indicated in the face.  It is often the repositioning of the fat that is more important.  Coolsculpting nonetheless is not the proper way to reduce this fat.

Baltimore Plastic Surgeon
5.0 out of 5 stars 8 reviews

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No Fat Freezing on Face

Even though the original idea to freeze fat was developed by watching the baby fat of the face disappear while eating a Popsicle, there is no current way to freeze facial fat.

David Finkle, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 52 reviews


Currently, the Coolsculpting procedure is designed only for large areas such as the abdomen, flanks, and back.  The applicators or the handpieces will only fit these areas.  Although according to the Coolsculpting representative the company is designing handpieces that will fit smaller areas such as the upper arm and thighs; but these applicators probably won't be available until late 2011 or 2012.  In any case, if you are concerned about fat at around the lower cheek region, a relatively quick procedure is "buccal fat removal."  Buccal fat removal is a surgical procedure that excise the fat from the lower cheek region.  The incision will be placed inside the mouth. The benefit is that the result is quick as oppose to Coolsculpting which theoretically takes 2-3 months to see a 25% reduction in fat. 

Steve Lee, MD
New York Plastic Surgeon
5.0 out of 5 stars 9 reviews

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Coolsculpting currently only works for the body

Coolsculpting with Zeltiq cryolipolysis can only be used for areas of fat bulges that are large enough to grab with 1-2 hands. The hand pieces use suction to hold on to the area during the treatment and they must be large enough to fit into the hand pieces. Even the smallest hand piece needs an area at least as large as half a large grapefruit to be able to form enough suction.

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
5.0 out of 5 stars 177 reviews

Coolsculpting should not be used on the face.

Coolsculpting is not at this time designed for facial fat.  You are probably referring to a procedure called "buccal fat excision." if you have much fat in the lower cheek region.  If in fact you have jowling (sagging of the facial fat and skin) then you would benefit from a facelifting type of procedure.

A photos would be most helpful if you want further discussion.

However, Coolsculpting is not used in this region at this time.


Jon E. Mendelsohn, MD
Cincinnati Facial Plastic Surgeon
4.5 out of 5 stars 59 reviews

Cool Sculpting and Cheek Fat

Coolsculpting has not been approved for cheeks. You should proceed carefully in this area with coolsculpting. Consult with a board certified physician who can offer surgical and nonsurgical options to understand the best treatment plan for you. 

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 21 reviews

No CoolSculpting on the face

There is still no device to reduce fat on the face.  Deoxycholine is undergoing clinical trials, and when FDA-approved, will be available to treat small areas such as under the chin, but most would agree that removing fat from the face may not result in a natural-looking appearance.

Sheryl D. Clark, MD
New York Dermatologist
5.0 out of 5 stars 3 reviews

CoolSculpting Does Not Work for Cheek Fat

                  Unfortunately, coolsculpting can’t be used in the management of cheek fat for several reasons. The primary reason is the lack of an available hand piece for this type of procedure. In addition, removal of the cheek fat can result in hollowing of the cheeks, which can be very unattractive.

                  If you have concerns about facial aesthetics, consultation with a board certified plastic surgeon would be appropriate. Although coolsculpting may not be an option, a variety of options exist to treat and optimize facial aesthetics.

CoolSculpting not ideal for cheek fat

The hand pieces on the CoolSculpt machine are much too large and are not indicated for treating the cheeks. It is indicated for larger areas such as the abdomen, flanks, back, thighs, and sometimes the arms.

CoolSculpting Not For The Face

CoolSculpt is great for the following areas: love handles (muffin tops), spare tires (abdominal fat), and bra fat (back fat). Newer applications are on the way for the arms and neck, but it is not to be used on the face. 

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.