Are the results similar between CoolAdvantage (35 min) vs the old Coolsculpting applicators (1hr)?

I heard that there is now a new applicator for Coolsculpting that provides better comfort, causes less bruising, and can be done in 30-35 min. I also heard with the new machines that there is less vacuum suction. I wanted to know if the results from the CoolAdvantage is just as good as the old Coolsculpt machines? It just seems that it would be better to have a lot of suction and a longer time inside the machine, no?

Doctor Answers 13

Cool advantage just as effective

cool advantage does decrease the total time by almost half as well as increasing the surface area of the treatment. Studies did reveal equal effectiveness between the newer and older hand pieces. In addition, so far there have been less reports of delayed onset pain. This is anecdotal and once more treatments are performed or studies conducted. We should have a more definitive answer. Cool advantage hand pieces are based on the cool mini design where instead of the fat being sandwiched between two plates, there is a continuos curved area which requires less vacuum and increase the overall treatment area. This decrease in time makes it more competitive with newer treatment modalities such as Sculpsure. 
There have been millions of treatment performed with ththe Coolsculpt and we know for the right client this is an effective treatment. As always consult with an experienced provider who has performed many treatments and can show you their work. 
All the bestDr Soni


Summit Emergency Medicine Physician
5.0 out of 5 stars 40 reviews

Advantage of the Cool Advantage applicator...

In addition to the shorter treatment time, the applicator allows for the treatment of a larger surface area because of the new design.  Additionally, the larger surface area allows for less discomfort and less risk of bruising following treatment.  So, while the ultimate result of fat reduction is the same, we can essentially treat more tissue in less time.

Parker A. Velargo, MD
New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

Coolsculpting Advantage

The new application is the same as before just limits the amount of pain and the amount of time needed for the procedure.  Results are essentially the same.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 188 reviews

New CoolSculpting CoolAdvantage Applicator

With the new CoolAdvantage applicators the treatment time is 35 mins instead of 60 mins. The shorter duration is possible because the temperature is 1 degree celsius less than the current applicators. The entire applicator provides cooling, instead of only the side panels. This allows more surface area to be cooled and less suction to be applied, making the treatment more comfortable. In the clinical studies done before the applicator's release the results of both applicators were comparable. Hope this helps answer your question.

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 10 reviews

CoolAdvantage Results Are As Good As CoolSculpting

Not only does the CoolAdvantage applicator treat a larger surface area in nearly half the time that CoolSculpting did, increasing comfort level by about 45%, comparative studies have shown the result are equivalent. Both CoolSculpting and CoolAdvantage use a patented technique called cryolipolysis to disrupt and destroy fat cells by lowering their temperature enough to cause apoptosis (slow cell death). It takes about two weeks for the cells to completely destruct and then up to three to six months for the body to completely eliminate all of the detritus. At that time, your final results will be visible. With that said, I believe in some instances, like the upper abdomen CoolAdvantage, usually fits better and treats more fat. At other times when the skin is loose and a big roll of fat can be picked up off the skin, from my clinical experience, I think the original applicators work best with the suction turned up high.

CoolSculpting is a very popular procedure because the results are phenomenal if you go to a center with very experienced physicians and dedicated, skilled staff. Please consult a board-certified dermatologist with a special interest in body contouring to find out if CoolSculpting or CoolAdvantage would help you reshape your contours.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 16 reviews

CoolAdvantage Has Great Results

Zeltiq continues to improve upon its popular CoolSculpting body contouring system by offering new applicators that work twice as quickly and provide more comfort to the patient, yet are still as effective as the original CoolSculpting. CoolAdvantage has interchangeable cups that fit various contours of the body, plus it works in just 35 minutes. You should start to notice results after three weeks and will have your final results after about two months. 

My patients have been thrilled with their new CoolAdvantage shapes. At our center, we also offer Zimmer Z-Wave radial pulsed therapy after CoolSculpting to increase comfort and obtain better and more uniform results. Please consult a board-certified dermatologist to find out if you are a candidate for CoolAdvantage.

Margaret Weiss, MD
Baltimore Dermatologic Surgeon
3.7 out of 5 stars 7 reviews

Less is more. CoolAdvantage covers a bigger area abc shorter treatment time.

CoolAdvantage is clearly more superior than the traditional Coolsculpting. 

CoolAdvantage applicator has a shallower but wider opening. This allows more and better surface contact and more cooling to be delivered to the treatment areas. In the past, when patient came in with stubborn thick fat pad on their belly or love handles, the old Coolsculpting handpieces could only sit on top of the patient’s belly without too much fat being drawn inside the cooling chamber. In return, the results were suboptimal for these patients. Now with the new CoolAdvantage applicators, it delivers more effective results for these patients. In addition, CoolAdvantage applicators cover a bigger area. Due to its new design, the treatment surface area is also more predictable. These all leads to precise treatment results and better patient outcomes. CoolAdvantage is also available in a larger size called CoolAdvantagePlus. It provides more patient comfort during treatment, as it doesn’t feel being “pinched” like with the old applicators.

Sheena Kong, MD
San Francisco Internist
3.8 out of 5 stars 6 reviews

Advantage more effective

We have found the advantage and mini applicators to be more effective as there is more contact with the cooling portions of the applicator.  

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 56 reviews

Are the results similar between CoolAdvantage (35 min) vs the old Coolsculpting applicators (1hr)?

Thank you for the question. The difference between the two treatments is the amount of time it takes results should be the same. It is best to schedule a consult with a board certified plastic surgeon to see if you are a candidate. Good luck.

Himansu Shah, MD
Las Vegas Plastic Surgeon
5.0 out of 5 stars 17 reviews

New Coolsculpting Applicators

Thank you for your question. The new applicators provide efficacious results just like the old applicators if not more. The new applicators are more advanced. They reduce discomfort during treatment and treatment time is less because the new system is 1 degree Celsius cooler. There have been clinical studies showing less discomfort and more efficacy. Dr. Kathleen Morno

Kathleen Morno, MD
Highland Park Physician
5.0 out of 5 stars 1 review

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.