since coolsculpting kills adipocytes,are they not replaced in due course of time?

since coolsculpting kills adipocytes,are they not replaced in due course of time?

Doctor Answers 9

CoolSculpting Results are Long Lasting

No, the cells killed by CoolSculpting are typically not replaced over time. Instead, other fat cells in the area that were not destroyed can enlarge. But technically the results of CoolSculpting are very long lasting.


Long Island Dermatologic Surgeon
4.9 out of 5 stars 19 reviews

Coolsculpting and Fat cells

Coolsculpting works by freezing the fat cells which result in their permanent destruction.  Other fat cells may enlarge in that area if you have an unhealthy diet and gain weight.  That is why it is essential to maintain a healthy diet and exercise so that the results of your Coolsculpting are permanent.  Please find a board certified dermatologist with a great deal of experience in cool sculpting for the best results.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 71 reviews

Since coolsculpting kills adipocytes,are they not replaced in due course of time?

Generally no. In some rare patients, fat cells can come back but usually this is a result of the remaining cells getting bigger. Once the cells are gone, I would not worry about them coming back. CoolSculpting as well as liposuction results in permanent removal of fat cells.

Kurtis Martin, MD
Cincinnati Plastic Surgeon
4.9 out of 5 stars 69 reviews

CoolSculpting permanently removes fat and fat cells.

It seems that for the most part once a fat cell is removed (either by liposuction or by destruction with cold or heat) is does not regenerate.  Of course fat cells have the nasty ability to get bigger as they store more fat when we take in more calories than we burn.   If you gain weight the remaining fat cells will get fatter and may blunt the results that you would otherwise enjoy. Always combine contouring procedures with some common sense diet and exercise for the very best outcomes.

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
4.6 out of 5 stars 31 reviews

CoolSculpting Effects on Fat Cells

CoolSculpting works by freezing fat cells without hurting the skin.  The cells undergo apoptosis or programmed natural cell death.  The lipids are absorbed by the lymphatic system and cleared. The loss of cells is permanent.   Not all fat cells in the area are affected. Those that remain can still hypertrophy or enlarge so maintaining a healthy weight is important to your health and the outcome.  If your weight is maintained the outcome of the procedure is permanent.  Consult with a Plastic Surgeon experienced in CoolSculpting and Laser Liposuction to discuss all of your options. All the best!

George Bitar, MD
Fairfax Plastic Surgeon
4.6 out of 5 stars 54 reviews

Do the fat cells killed by CoolSculpting come back?

Once the fat cells have undergone apoptosis they are dead.  They cannot be revived, but other cells may get larger.

Suresh Koneru, MD
San Antonio Plastic Surgeon
4.5 out of 5 stars 19 reviews

Fat Cell Elimination Through CoolSculpting

CoolSculpting is an effective non surgical method to remove fat cells from a targeted area.  During the treatment the fat cells are frozen and the body eliminates those damaged cells over the following three months.  CoolSculpting causes a gradual reduction of fat and does not remove every fat cell from the treated area.  The ideal candidate is at or near their ideal body weight and intends to maintain that weight through a healthy lifestyle.  Patients can gain weight after CoolSculpting and the treated area may carry some of that fat, but the amount of fat storage capacity in that area has been reduced.

Most patients will want multiple treatments and special pricing may be helpful.  Top CoolSculpting providers may have access to discounts that all practices cannot provide.  My practice in Raleigh NC has Instant Rebates for one free CoolSculpting session with each session purchased.  You can find the Premier Crystal Practice near you by searching the CoolSculpting website.


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

CoolSculpting Kills Fat Cells Permanently

The fat cells that are frozen and killed during a CoolSculpting treatment are permanently eliminated from you body. However, if you do not maintain a healthy diet and exercise the remaining fat cells in the area can increase in size and mask your results. 

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

Are adipocytes destroyed by CoolSculpting replaced over time?

Adipocytes (fat cells) destroyed by CoolSculpting are not replaced over time.  Not all of the fat cells in a treated area are destroyed however, so it is possible to still see the area get fatter if there should be an increase in weight.  With weight gain, the fat would not just increase in the treated area but throughout the body.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 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.