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Zeltiq for Inner and Outer Thighs?

Ive heard that for outer thighs is not so effective and there are generaly not so good results. Is that true? Thank you for your answer

Doctor Answers (11)

Zeltiq CoolSculpting for other areas such as thighs


Zeltiq chilling of the fat via CoolSculpting had been FDA cleared for the abdomen and love handles.  Physicians have been using this for other areas but all data is not collected and impossible to comment on general results. Once the company manufacturers more custom sized applicators for other body sites such as the thighs, data will be more readily obtained. For now it is between the physician and patient to determine their candidacy for other sites and to understand its advantages, disadvantages, risks, etc.

Web reference:

Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

CoolSculpting for thighs


The areas which can be treated with CoolSculpting are limited by the both the contour of the applicator and malleability of the fat bulge  First of all,  the applicator must fit properly onto the surface of the skin so that a vacuum can be established and then the fat must be able to be pulled up inside the applicator.  This is necessary to allow the fat to be exposed to the cooling plates.  Outer thighs rarely fit these requirements whereas inner thighs can sometimes be treated.  Looking forward, there are reports that the Zeltiq corporation is in the process of developing additional applicators that would allow treatment of areas such as the thighs, arms and neck.

Long Island Dermatologist
5.0 out of 5 stars 3 reviews

Zeltiq for Outer Thighs


The distribution of excess fatty tissue on the outer thighs is very common in women. It is often referred to as the "violin deformity" as the curvatures of the violin mirror that of the female outer thighs and hips. Tumescent liposculpture using a microcannular technique has been used to improve these contours. Zeltiq can also be effective for treating excess fatty tissue in the outer thighs; however, the fatty tissue must be pliable enough to be able to be drawn into the Zeltiq applicator and have adequate contact with the cooling plates. If the tissue is pliable enough to be drawn into the applicator, then Zeltiq can be helpful. Many women have dense fatty tissue in the outer thighs which are unable to be grasped adequately by the Zeltiq applicator. In these instances, tumescent liposculpture using a microcannular technique can be very useful or you could consider awaiting further applicators from Zeltiq which are in currently in development.

Wishing you all the best,

Jennifer Peterson, MD

Houston Dermatologist
4.5 out of 5 stars 11 reviews

Zeltiq for the legs


CoolSculpting works best on patients who have localized areas of fat that can be pinched between your fingers. In my experience inner thighs seem to respond better than the outer thighs, however I have seen the procedure be effective if treating the traditional saddle bags. I would recommend a consult with your physician to determine if it is an viable option for your legs.

Wilmington Dermatologic Surgeon
4.5 out of 5 stars 9 reviews

CoolSculpting for inner and outer thighs


Thank you for your question.

Yes, coolsculpting can work well on the inner/ outer thighs.... but it is very patient specific.  You must have an area of fat that is pliable and appropriate for the handpiece - a consultation and evaluation are key to determine if you are a good candidate.  Each treatment with coolsculpting reduces the fat in that area by 20-25%.  Normally, patients have 2 - 3 treatments.

There is talk about a new handpiece that wraps around the leg giving a better result (may be coming in the near future).

Web reference:

San Diego Plastic Surgeon
5.0 out of 5 stars 626 reviews

Zeltiq for the thighs



The inner and outer thighs are difficult areas to treat.  We have had some great results but patients need to be selected carefully.  Not everyone is a good candidate.  Just because we can get the suction to attach to the skin does not mean we can draw up enough fat into the chamber to give an effective result.  The fat needs to be able to be grabbed and quite pliable to fit into the chamber.  If it's firm, it will not draw up, though it will attach.  A face to face consult with someone who has done a lot of procedures is best.

Good luck~

Dr. Grant Stevens

Web reference:

Los Angeles Plastic Surgeon
4.5 out of 5 stars 57 reviews

Zeltiq for thighs


As has been asked and answered before.  Zeltiq can be used effectively on any area of the body.  We are restricted only by the hand pieces supplied by the parent company.  If you can place the hand piece properly on the thighs then it will work.  The company is in the process of developing new heads for the thighs, arms and neck.

Web reference:

Omaha Plastic Surgeon
5.0 out of 5 stars 44 reviews

Coolsculpting for the thighs


Currently the hand piece for Coolsculpting is designed for the abdomen and love handles. There is a thigh handpiece that is in development.

Regardless, treatment results vary by individual and proper patient selection is paramount. Some thigh fat will respond other types may not. Your physician should be able to give you realistic assessment prior to treatment. Either way it is an off label treatment.

West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Zeltiq Coolsculpting reduces unwanted fat that can be pulled into the device's applicator


Zeltiq Coolsculpting allows for the reduction of unwanted fat.  I regularly perform the treatment on my patients' lower and upper abdomens, love handles, flanks, bra fat, and inner thighs.  It works by freezing the fat cells and triggering a process for fat reduction over a period of weeks to months.  To be effective, the targeted fat must be pulled between the device's 2 cooling plates during treatment.  Although many ask for the outer thighs to be treated, this area often does not have enough pullable or pinchable fat to reach the cooling plates.  Like all of the targeted areas with Coolsculping, the outer thigh must be assessed on a case by case basis for its candidacy.  Whatever areas are ultimately treated, I recommend having your physician apply the applicator to the targeted fat to ensure an effective and optimal treatment.

New York Dermatologic Surgeon
5.0 out of 5 stars 7 reviews

Zeltiq CoolSculpting can successfully reduce the fat of the outer thighs.


Zeltiq CoolSculpting can be used to reduce the fat of the outer thighs. However, the 'bulge' of fat should be able to fit and be suctioned adequately into the cooling applicator. A patient with very fibrous, 'hard' fatty tissue in this area may not be a good candidate because the fat cannot be 'molded' into the applicator. It is best to have your CoolSculpting specialist evaluate you to determine if you are a good candidate for fat reduction on the thighs.

Miami Dermatologic Surgeon
5.0 out of 5 stars 12 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.

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