CoolSculpting Vs. Liposonix. Which One is Better For Small Areas of Fat?

Is one better than the other for small areas of fat? I've read that coolsculpting can be a little painful for the first 10 minutes. Is liposonix painful in any way? Does one cost more than the other? Which type of fat is one better for? Does one remove more fat than the other? Is there better contouring with one than the other? If 1 inch can be lost in an hour with liposonix will I continue to see more inch's lost over 8 weeks? How many inch's can be lost with coolsulpting Thanks!

Doctor Answers 7

CoolSculpting Vs. Liposonix

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Here in our practice, in which we have nearly every non-surgical fat reduction technology available, CoolSculpting is the most effective, reliable and consistent form of fat reduction. There is a slight discomfort for the first 5-10 minutes with the CoolSculpting due to the intense suction to maximixe the tissue draw. However, Liposonix is very painful for the duraction of the entire treatment and has less reliable results and much more bruising, pain and tenderness after the treatment. You can expect 20-25% of the fat in the area treated to be reduced with CoolSculpting. We recommend 2-3 treatments to maximize the results.

Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews


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Thank you for your question, VeggieGirl. SculpSure is the best option for reducing areas of fat in spot treatments. SculpSure can vanquish up to 25% of your unwanted subcutaneous stubborn fat in a 25-minute in-office treatment where the patient then resumes their normal activities. Please consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

Liposonix vs CoolSculpting

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Both Liposonix and Coolsculpting are proven to be effect, and deliver approximately the same results. As a Plastic Surgeon, I am able to offer a variety of invasive options to patients for fat reduction, but there is also demand for a non-invasive approach to body contouring.

I chose to bring Liposonix into my practice for various reasons. High Intensity Focused Ultrasound is a tried and true technology that allows us to bypass the surface in order to generate the appropriate amount of heat in the fat layer to permanently reduce the fat cells, instead of freezing them. As an added benefit, more often than not, improvement to the skin tone also occurs; which is not the case with Coolsculpting. There is also greater flexibility with Liposonix in mapping out a treatment area because you are not bound by the size or shape of the hand piece, or the pliability of the tissue. As long as there is enough fat present in the appropriate treatment area, there are very few contraindications.

Mild to moderate discomfort can be experiences during and/or after with either procedure. Depending on a patient's tolerance level, we offer several options to manage that discomfort.

This is all best addressed during a consultation, where we can properly discuss and assess your areas of concern; and determine what is the appropriate treatment for you.

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Coolsculpting by Zeltiq is the Only Non Invasive Fat Removal Procedure that is Biologically Selective.

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Coolsculpting by Zeltiq utilizes a very specific biological principle to destroy far cells Selectively under Controlled Low Temperarures. These low temperatures exert no effect or damage on other nearby tissues (skin, nerve or muscle). It is very effective as a noninvasive far removal treatment, and now with the arrival of new larger applicators, significant areas of excess fatty tissue are being removed. Patient satisfaction remains very high with this procedure. 

Liposonix vs coolsculpting for permanent body shaping fat reduction

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Liposonix uses high intensity focused ultrasound (HIFU) which specifically targets a layer of fat about a half inch thick and a half inch deep, while coolsculpting (Zeltiq) is more of a bulk reduction of fat where it can be piched between the treatment paddles. Both are efective but I believe that Liposonix is more precise. The treatment takes about an hour to do but the reduction in fat takes several weeks to appear, which is also the same with Zeltiq because both destroy fat cells and the body then re-absorbs the tissue over time.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

Cool Sculpting vs Liposonix

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Cool Sculpting the initial discomfort of the suction of the applicator as it is initially applied.  I feel that descriptions of painful procedures are those where potentially the wrong applicator choice may have been made or the patient did not have enough fat to treat.

CoolSculpting by Zeltiq vs. Liposonix for fat reduction

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The Liposonix device does cause pain during treatment. There is one treatment that in its one hour can cause fat loss over the months after treatment. It does not mean that one inch or a garment size might be obtained in one hour,  nor can one guarantee such a result. The treatment takes one hour but the result can be significant and it can take time, months, to see the result.  CoolSculpting may hurt for the first few minutes, but most patients feel comfortable during the treatment until the removal. 20 % reduction of fat may be seen at four months after its one hour treatment.  CoolSculpting is limited by the applicators that fit the region to be treated.  In the next several months, there may be a new applicator that will allow the doctors to treat more widespread areas, which until now has been a limiting factor with CoolSculpting. They are both good treatments, and some patients can benefit from both.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 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.