Does CoolSculpting guarantee results? How do you know how many fats cells are freezing?

Body sculpting can be achieved with Coolsculpting alone, or in
combination with tissue tightening and skin toning therapies such as
Liposuction, Exilis Multiplane Tissue Tightening, Venus Legacy, Hidef
Fractional laser, and the Brazilian Cellulite Treatment with Stretch
Mark Laser. I would use Coolsculpting to address excess fat deposits as
it is non-invasive tool that can re-establish body proportions to
improve your body silhouette. 
We specialize in Hidef Liposuction options and Coolsculpting in our office, depending on a carefully curated protocol.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

The patented cryolipolysis technique developed by Zeltiq for their fat-elimination CoolSculpting techniques disrupt the function of fat cells by lowering their temperature enough to send them into a slow death cycle known as apoptosis. While we cannot count the number of fat cells that are killed, we can measure in inches how much fat existed before treatment and how much is left after treatment. When examining large numbers of people in clinical trials, it was discovered that each CoolSculpting treatment killed about 20% to 25% of fat cells. This has been documented with ultrasound studies looking at the thickness of the fatty layer before and after treatment. I’ve since been able to increase those numbers by adding in a session of Zimmer Z-Wave radial pulsed therapy. This often eliminates up to 35% of fat in a single session.
While no therapy can ever be “guaranteed,” all of the thousands of patients I’ve treated with CoolSculpting have been satisfied or even thrilled with their results. You may need more than one treatment; some men and women require up to three sessions to get their ideal figures. Please find a board-certified dermatologist who is an expert with CoolSculpting; that’s the best guarantee you can find.  

I have performed CoolSculpting since it became FDA cleared close to a decade ago. It has worked very well for most of those patients whom I have considered good candidates after meeting with them in consultation and examining them. As with any procedure, especially one in which we are depending on the body's host inflammatory and immune response to process  the damaged fat cells, there may be a substantial range of results, and therefore, no guarantee of results can be given. Usually there is a series of two or three treatments needed, two months apart. I have seen less than one handful of patients in all the cases I've done that did not respond to the CoolSculpting. The CoolAdvantage technology that was an update has improved our results even better.