CoolSculpting on Lower Abdomen - Large Handpiece or 2 Smaller Handpieces?

Is It Better to Use the Larger Zeltiq Head Vs 2 Smaller Ones for the Lower Abdomen?

Doctor Answers (13)

It depends on the patient and determined during a consultation

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It depends on the patient.
We normally determine which applicator would be appropriate during the initial consultation and assessment. Each patient has different anatomy, fat distribution and different areas of concern. In most cases the large applicator is used to “debulk” the fat or when the bulge is concentrated in the center of the abdomen. The small applicators are used to sculpt or define the stomach or for the flanks.


Chicago Plastic Surgeon
4.5 out of 5 stars 24 reviews

Large vs 2 Small Handpieces

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This answer will vary depending on your distribution of fat at your abdomen. The best thing to do would be to get a consultation in order for your clinician to assess the area. While the larger hand piece can shorten the treatment time, it may be advantageous to take the extra time with the smaller hand piece in order to more accurately treat the area if it requires it. It really depends on your anatomy and how much fat can be suctioned into the hand pieces adequately and give you the optimal result.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 21 reviews

CoolSculpting on Abdomen

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This really depends on your anatomical structure.  The large applicator works best to "debulk" an area while the small applicators work well to define the treated area.  It is something that would best be determined through a consultation with your provider.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 11 reviews

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CoolSculpting Selecting the appropriate handpiece

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The appropriate handpiece depends on an individual's anatomy. The treatment is truly technique dependent. For some, the larger, single applicator for lower abdomen might be ideal, for others, using two small handpieces, one on each side, could be best.

In order to provide elimination of fat as quickly as possible we do offer CoolSculpting Complete. This includes two systems, for twice the fat elimination in a one hour period. Vibrational therapy increases circulation and lymphatic drainage which my help waste, including damaged fat cells be eliminated with the body more efficiently. Finally, al of our patients receive a compression garment to help with skin quality and comfort.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
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CoolSculpting - Abdomen - When one large handpiece is better than two

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With CoolSculpting, you have the two handpiece sizes (thus far) - The larger one grabs considerably more fat than the smaller one. If your abominal fat is centralized, then the one larger handpiece (or cup) is the most efficient, both from a time and cost perspective.

This eliminates any potential two-handpiece "treatment overlap" which can cause some additional tenderness and side effects. So when possible, opt for one larger handpiece.

On the other hand, if your fat is more laterally focused - outside so that the single large handpiece won't grab hold of the entire width of the area you want to treat, then the two smaller handpieces will be your choice.

A careful technician will be able to consecutively treat side by side areas without undue overlap.

Rebecca Fitzgerald, MD
Los Angeles Dermatologist
4.0 out of 5 stars 17 reviews

Which handpieces for the abdomen when having CoolSculpting depends on your body

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The only important thing is to make sure the applicator that is applied fits well and covers the maximum area possible. Even if you need the large applicator on the lower abdomen, you may need a separate treatment on the upper abdomen and a small applicator may be the only one that fits you there.

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

Which CoolSculpting Applicator for the Abdomen?

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Thank you for your question.

Each patient is different and that is why an examination is important.  Some patients have 2 distinct areas separated by the belly button and so two treatments with the smaller handpiece would work well on this patient.  Some can get a real good treatment with the larger handpiece.  

When you go in for your consultation, they should also discuss that sometimes with the larger handpiece, there may be more discomfort during and after the procedure.

Best to be well informed and make a good decision.

Best Wishes!

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 679 reviews

CoolSculpting for the Stomach Fat

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The beauty of CoolSculpting is that there are several handpieces with different treatment areas to allow for individualization of the treatment.  The large 8 applicator is most commonly used in the low abdomen.  It covers 2.5 x the area of the smaller 6.2 or 6.3 applicators, but each persons fat and tissues are different.  So it is important to have a consultation with a provider who can determine the best treatment plan for your individual needs.

Kent V. Hasen, MD
Naples Plastic Surgeon
4.5 out of 5 stars 29 reviews

Which Handpiece is Better for the Lower Abdomen?

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Hi,

From having done hundreds of consults, it is always surprising to me how different each person's distribution of fat is!  It is really important to have a consult prior to treatment and to be measured out with the template to see first if the area is a good canidate, and second which applicator would give you the best treatment.  I always tell patients that with the template I can see whether the fat can be sucked into the applicator.  The more fat that can be sucked in, the better the result.  So to answer your question, it is best for you to have an accurate assessment with the template by an experienced practitioner!

Best,

Dr. Liu

Grace Liu, MD
Newport Beach Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

CoolSculpting has handpieces designed for various shapes.

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The choice of handpiece in treating any area, including the abdomen will depend on the individual contours of the person.  For you, your physician will assess the areas of greatest fat and recommend the single large handpiece if the your hips are wide enough and the fat is central.  If you have narrow hips the smaller hand piece may be the right fit.  If, as many men and women do, you have two areas of fat with a thinner area just below the belly button you may do best with two small handpieces one on either side of the tummy.  As you can tell, the body tells us the right fit.

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