Does CoolSculpting Also Freeze Muscle?

Doctor Answers 9

Muscles not harmed by Coolsculpting

One reason I love Coolsculpting is the incredible safety profile.  When you "pinch and inch" you are pinching skin and subcutaneous fat.  This is the tissue that is drawn into the Coolsculpting handpiece and is chilled to just above freezing.  The fat is particularly sensitive to the cold so it is the only thing affected.  Muscle lies below the fat layer and is not drawn into the handpiece.  Actually, even if it was it would not be harmed, remember that fat is more sensitive to the cold.

Paradise Valley Dermatologic Surgeon
4.6 out of 5 stars 31 reviews

CoolSculpting Only Freezes Fat

CoolSculpting is very advanced technology and is able to only treat the fat without harming the skin or muscle that surrounds the fat.  We have had great consistent results with CoolSculpting - our patients are very happy.



Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 144 reviews

CoolSculpting and Muscle Tissue

No, CoolSculpting is not intended to affect either muscle or skin tissue. The fat-freezing technique is designed to specifically address fat in various regions around the body, targeting the fat that lies atop muscle, thus leaving muscle tissue unaffected. 

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 73 reviews

CoolSculpting Does Not Freeze Muscle

The CoolSculpting applicators are designed to target fat and do not damage skin or muscle. The fat is more sensitive to the cooler temperature of the applicator, and that is why the treatment works so well to specifically destroy fat cells. The muscle layer sits below the fat layer, so it is not affected by the cold temperature.

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

The science of CoolSculpting prevents freezing of the muscle, only the fat

There are checks and balances and feedback systems in the CoolSculpting to prevent incorrect freezing, such as if the suction gets insufficient and the skin loosens from the device.  The fat cells preferentially freeze before the muscle cells so there is an innate protection of the muscle.  Only the fat and skin are brought into the device by suction and the electrostatic chilling plates affect only these tissues.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Freezing Muscle?

Thank you for your question.

No, the muscle is not harmed during the Coolsculpting procedure.  The technology is such that it freezes the fat but not the skin or surrounding muscles.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,460 reviews

Does Coolsculpting Freeze Muscle?


The pivotal research was done by Rox Anderson at Harvard and showed that fat is preferentially frozen with Zeltiq.  In the most recent paper out of the American Society of Laser Medicine and Surgery, in looking at over 30,000 treatments, the safety profile is very high and there has not been a reported case of muscle damage.  


Dr. Liu

Grace Liu, MD
Newport Beach Dermatologic Surgeon
4.9 out of 5 stars 50 reviews

Coolsculpting does not affect muscle

Colsculpting does not cause injury to muscle due to the rich blood supply that warms the muscle tissue..  Temporary numbness after coolsculpting is common, but muscle will not be affected.

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 41 reviews

Coolsculpting is for fat

Coolsculpting is for the fat only. It is very controlled cold temperature application that has been set to kill fat and not the overlying epidermis.

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