Can Cool Sculpting Help with Fat Pockets in the Armpits and is It Safe?

Can Cool Sculpting Help with Fat Pockets in the Armpits and is It Safe?

Doctor Answers 9

CoolSculpting is not a good treatment for underarm fat

The bulge near the underarm is often breast tissue that is compressed at its side and made more apparent by bulging outwardly with tight fitting bra straps or shirts.  CoolSculpting can't fit well with their applicators in this region, nor i indicated to treat breast tissue.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Coolsculpting has developed several applicator sizes which allows for treatment in smaller areas.

Coolsculpting has developed several applicator sizes which allows for treatment in smaller areas. The areas around the armpits where fat appears would respond well to CoolSculpting. I recommend you book a consultation with a board-certified dermatologist to assess the area you are referring to and whether CoolSculpting would be an effective course of treatment. As far as safety is concerned, CoolSculpting has been approved by the FDA which requires it to pass several safety measures before going on the market.

William Kwan, MD, FAAD
San Francisco Dermatologist
5.0 out of 5 stars 2 reviews

CoolMini Eliminates Armpit Fat

Yes, I have used the CoolMini applicator from Zeltiq's CoolSculpting system to successfully remove excess armpit fat. Most often patients complain of the bulge of fat in front of the armpit and this area responds nicely. We also commonly treat the fat behind the armpit. CoolSculpting has been such an effective nonsurgical alternative to liposuction that Zeltiq has developed a number of new applicators to treat variously shaped parts of the body that may or may not have “pinchable” fat.

The CoolMini was originally designed to remove fat from the submental area – freezing away double chins – but its small size makes it perfect for reaching other little pockets of fat, such as those under the arms and around the bra line. It will probably take more than one session to get the results you desire. Final results take about three to four months to be visible. Please consult a board-certified dermatologist who is an expert in CoolSculpting to find out if you are a candidate for this effective procedure.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 17 reviews

The new CoolMini Applicator is perfect for Armpit Puffs

The new CoolMini applicator is much smaller and designed to go under the chin. We have found that it's also the perfect size to remove fat pockets in the armpits and above the knees. It takes about 45 minutes and the results can be seen in two-three months. Below is a photo of one of our patients who had it done.

David B. Reath, MD
Knoxville Plastic Surgeon
4.9 out of 5 stars 107 reviews

CoolSculpting for underarm area

The current CoolSculpting applicators are to large to treat small areas like the underarm area. Smaller applicators that may be available in the near future might be able to treat this area successfully.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

Cool Sculpting On Armpits



Theoretically, if the area of interest is large enough with the fat thickness falling within optimal operating range of the Zeltiq device, then a patient should be fine.

However, the arms, neck and thighs are often out of the well defined range and even the usage of the small applicator for cool sculpting will not work well and will put the patient at risks. So, I recommend that you have a thorough assessment of any area in your body before you consider it for cool sculpting.

I hope this help.

Thank you for an important inquiry.

The best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 195 reviews

Areas Safe To Perform CoolSculpting On

CoolSculpting is great for the following areas: love handles (muffin tops), spare tires (abdominal fat), and bra fat (back fat). Newer applications are on the way, such as for the arms and neck. Currently, it would not be safe to use on the armpits. 

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
4.8 out of 5 stars 107 reviews

Coolsculpting in the axilla

Coolsculpting in the axila is an off label use of the technology. I would discourage treatment in this area as there are certain risks with improper placement of the Coolsculpting handle.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

CoolSculpting at Underarms

CoolSculpting can be done on many areas, but unfortunately, the underarms may not be one of them. The applicators are successfully used in areas of pliable fat that can be suctioned into the applicator. The applicators that are currently available most likely will not be able to effectively treat the underarms because it is such a small area. You may consider possibly having liposuction done on the area instead. It is always best to go in for a consultation to best assess your needs and goals.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 49 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.