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What Is Difference Between Liposonix and Coolsculpting?

I was curious as to what is the difference between the two procedures? Thank you for your input.

Doctor Answers (10)

Liposonix vs. Coolsculpting (Zeltiq)


We tested Zeltiq (Coolsculpting) at our clinic, and I just wasn't impressed with it. To my recollection, we scheduled 4 patients (volunteers) who were considered to be "ideal candidates" by  Zeltiq representative, in that the patients were in good shape, ate well, exercised regularly, but just had a little bit of stubborn abdominal fat. We took many "before and after photos" and measurements, and then we saw the patients back 4 months after their procedure. Maybe I'm too critical, but I just couldn't see any difference. The patients could not see a difference either. Of course, this would not be considered a statistically significant study, in that only 4 subjects were treated. However, it was enough to convince me that I shouldn't buy the system. 

Before the U.S. FDA approved Liposonix, I referred several patients to dermatologists in Canada. (These patients did not want to wait until the treatment was available here in the U.S.). All of the patients were called in follow-up by my staff, and they all said it was worth the time and money to go all the way from Atlanta to Toronto to get the treatment. Also, there is hard data on high-intensity focused ultrasound...this data goes back decades, with MRI and microscopic before and after images, so I had that data available to me, and that helped me make the decision to use Liposonix.

Alpharetta Dermatologic Surgeon
4.5 out of 5 stars 13 reviews

TruSculpt is the third and newest option


TruSculpt is the newest non-invasive fat reduction technology that uses heat instead of cold or lasers. It uses RF energy (electricity) at a specific wavelength to target the fat cells. We have seen significant results in our patients. We take 3D before and after photos that will demonstrate the improvement. The treatment is comfortable and just feels warm like a hot rock treatment. It takes about 30-60 minutes to treat one area and the results will be visible in 30-60 days.

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
5.0 out of 5 stars 14 reviews

Liposonix vs. coolsculpting


I have never been very impressed that CoolSculpt did very much. I find it to be painful, lengthy (it takes a lot of time), and it has to be done 3 times - and therefore more expensive.  Liposonix is a  one-hour treatment that can treat the abdomen and love handle areas in this time period. It only needs to be done one time which is better time savings for the patient.  This involves HIFU (high intensity focused ultrasound) technology and therefore "heat" as compared to cold.  It can also be "tailored" more specifically to anatomic areas and does not require a "suction chamber" as Cool Sculpt does.  Finally the cost is significantly less since it is only a single treatment.  I have personally had both machines tested on me and I can say from personal experience that the Cool Sculpt was painful for 2 weeks and I saw no change. The liposonix was almost no pain at all and I've seen much better improvement.  Neither modality replaces liposuction surgery which can make the biggest change, but I feel that Liposonix is the best modality in the non-surgical arena - hands down.

James F. Boynton, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 20 reviews

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Liposonix and CoolSculpting, great but different approaches to fat reduction.


We have been reducing fat noninvasively with both CoolSculpting and Liposonix long enough to appreciate both technologies.  Results are consistent and satisfying for both.  For CoolSculpting the ideal patient will have fat that can be "pinched" so that it can be easily drawn into the CoolSculpting handpiece where the fat is slowly chilled over one hour.  The fat layer is reduced by 20% or more with one treatment.

With Liposonix, you need at least one inch of fat under the skin to treat. This could be in an area where the fat is not necessarily "pinchable" such as saddle bags (an off label indication).  It also seems that Liposonix may actually tighten the skin which CoolSculpting does not.

The time involved for treatment and the cost may be fairly similar, it would depend on each individual.

The best thing to do is to have a consultation with a physician who has experience with both technologies to assess the perfect treatment for you.

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
5.0 out of 5 stars 14 reviews

Liposonix is focused ultrasound for fat reduction


Liposonix and Coolsculpting are both FDA-approved noninvasive technologies for reduction of localized fat tissue that is disproportionate to the rest of the body. Coolsculpting (Zeltiq) used cold therapy to reduce the number of fat cells in areas that can be pinched between two paddles. Liposonix uses focused ultrasound energy to destry fat tissue in a specific layer that can be mapped out precisely, just as we do with liposuction. With both procedures, the fat cells that have been destroyed are re-absorbed by the body over a period of several weeks for a permanent effect.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 25 reviews

Liposonix beats CoolSculpting


My experience which leads me to believe Liposonix beats CoolSculpting:

1. Liposonix causes DEEPER fat destruction

2. Liposonix allows custom contouring vs. CoolSculpting which has specific handpieces

3. Liposonix can be done in one session vs. CoolSculpting which may require several sessions

The only drawback with Liposonix is pain. We can work around this by using dilute local anesthetic infiltrated into the area as well as medications such as Valium or Ativan to calm the nerves.

Jennifer Ahdout, MD, FAAD
Beverly Hills Dermatologist
5.0 out of 5 stars 11 reviews

Liposonix vs. Coolsculpting

We use the Liposonix in our practice and have been good good results. Liposonix is High Intensity Focused Ultrasound (HIFU).  The focused US destroyes the fat and body gradually resorbs it.  The important thing to remember is that it is not a replacement for liposuction because it does not remove high volumes of fat.  We did test the Zeltiq prior to getting the Liposonix but did not see much results with it.

Rigo Mendoza, MD
Tampa Plastic Surgeon
4.0 out of 5 stars 23 reviews

Liposonix uses HIFU, coolscultping freezes fat


We have both technologies in our office and both work! LipoSonix uses ultrasound energy (HIFU)light to kill fat cells and Coolsculpting uses cold technology. Both are effective. No clinical trials in a randomized double blinded fashion have been done to distinguish between the efficacy of the two. One difference is that  CoolSculpting can only be used in areas where the handpiece fits the area of fat to be treated, while liposonix can be used where you can "pinch and inch" of fat

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon
5.0 out of 5 stars 43 reviews

Liposonix and Coolsculpting (Zeltiq) are both effective


Liposonix uses ultrasound technology to melt away fat, whereas CoolSclupting (Zeltiq) brings the temperature of fat down to a level where the fat cells die but the skin overlying the fat remains healthy and intact.  Both work well when the right candidate is selected.  In other words, after a careful examination, I can determine whether a patient is better suited for one procedure or another.  Ideally, you should meet with a dermatologist or plastic surgeon who offers BOTH procedures, so they can tell you honestly which is best for you.  

Whitney Bowe, MD
New York Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

LipoSonix vs. Zeltiq


LipoSonix uses laser light to kill fat cells and Coolsculpting uses cold technology. Both are effective. No clinical trials in a randomized double blinded fashion have been done to distinguish between the efficacy of the two. It is my instinct that both treatments are effective, however it is important to note that it is difficult to use CoolSculpting in areas where the handpiece does not fit the contour of the body, specifically the arms and thighs. These areas are easy with LipoSonix.

Cameron Rokhsar, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 32 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.