Does CoolSculpting Really Work?

And how long do you wait between procedures?

Doctor Answers 33

CoolSculpting Does Work - but NOT for everyone

CoolSculpting DOES work.  But, I wold strongly disagree with the dermatologist who started her answer with "CoolSculpting works for everyone" It does not.   Most healthy people with areas of stubborn, unwanted fat can achieve wonderful results with CoolSculpting


  Some people simply do not have enough body fat for Coolsculpting to work effectively. There are areas where a person may have unwanted small bulges, but if the handpiece doesn't fit securely, the patient will not see results.  Even people with large bellies, but very firm fat may not be ideal candidates if the handp[iece does not fit securely over the skin and fat .  Additionally people who are obese, and looking for weight loss vs. reduction or elimination of stubborn areas of excess fat are not ideal candidates.

Yes, CoolSculpting works. It works for most people, but not for everyone. Please take your time and ask a lot of questions before and during your consultation. if you feel any pressure during a consultation, do not procedure with a treatment at that time.

We have had people disappointed to learn they are not ideal candidates for CoolSculpting in my practice. But, being turned away with an explanation is far less disappointing than having someone take your money and time for a procedure that may not be ideal for you.


Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 117 reviews

Coolsculpting treat to transform protocol can really sculpt your body

Coolsculpting does work!  It has been proven by over 3 million treatments worldwide and in over 60 publications.  No other noninvasive fat reduction treatment has that amount of treatments or data behind it.  The key is making a plan with your physician and her 'coolsculptress' (coolsculpting expert).  The treatment plan should include the full area that concerns you.  If you dislike your lower abdomen, don't ignore your flanks and hips -- together they make up your waist and can make the difference between closing a zipper easily or filling out but not bursting out of a skirt or pants.  With recent advances, we can treat more areas, better and faster.  My office has dualsculpting (two coolsculpting machines that can be used simultaneously on different areas to speed treatment time) and a zimmer z wave (radiowave device used instead of manual massage to break up the ice crystals in the fat cells immediately after treatment so you achieve results faster).  

You can do multiple areas on the same day or spread over days or weeks.  Results start to be evident about a month after treatment and improve until about 3 months.  That is the time to retreat areas where you want further sculpting.

I hope this answer helps. Best wishes.

Heidi A. Waldorf, MD
New York Dermatologist
5.0 out of 5 stars 10 reviews

Coolsculpting is Effective

For an appropriate candidate, coolsculpting works great. Patients with tight skin, with a BMI lower than 30 may a candidate for coolsculpting. Patients with a BMI between 20 and 30 may be a better candidate for liposuction. Consult in person with an experienced and expert board certified plastic surgeon who has a Certified Coolsculpting Center to understand your options. 

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 37 reviews

CoolSculpting Works

CoolSculpting is an extremely effective treatment for the reduction of fat. It is an FDA cleared procedure that is noninvasive with no downtime. The treatment utilizes controlled cooling to damage and kill the fat cells and over time your body eliminates those dead fat cells. You will generally see about 20-25% reduction of fat in a treated area. Some patients start seeing results as soon as 3-4 weeks after treatment and it can take up to 3 months for the full result to be visible. It is recommended to wait until you see your results and if you want to do an additional treatment, then you may do so after about 2-3 months.

John Diaz, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 34 reviews

FDA Clearance & Clinical Trials Confirm Its Effectiveness

Gaining FDA clearance for fat reduction is a rigorous process that required CoolSculpting manufacturer ZELTIQ to prove results via clinical trials. Its intended use is specific: fatty bulges in areas that have been resistant to diet and exercise. Common examples include the abdomen, inner and outer thighs, and flanks (or "love handles"). Waiting time between treatment sessions will vary from patient to patient depending on the area being treated, but we generally recommend a minimum of 4 weeks. Results from a session will not be fully visible until about 8 weeks, because the body is gradually removing the destroyed fat cells in the interim. I hope this answer is helpful to you.

Richard Chaffoo, MD, FACS
San Diego Plastic Surgeon
4.7 out of 5 stars 18 reviews

CoolScuplting Effectiveness

CoolSculpting has not proven nearly effective as SculpSure. SculpSure takes 25 minutes while CoolSculpting takes 60-90 minutes. CoolSculpting can be painful and leave you with prolonged numbness, while SculpSure is painless and provides a warming feeling for relaxation.

SculpSure has consistently beaten CoolSculpting in head-to-head studies providing our staff here at Clevens Center to prefer SculpSure. SculpSure is a non-invasive lipolysis device that leverages controlled and targeted hyperthermic laser. The technique dives past your dermis for minimal absorption and then penetrates deeply to destroy subcutaneous fat.

I suggest you consult a board certified facial plastic surgeon to receive the highest quality knowledge, treatment, care and skill available.

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.8 out of 5 stars 112 reviews

Cool sculpting results are improved with post procedure massage

Results can be seen in 4 weeks or up to 12 weeks.

Body reshaping can be performed with a cannula that removes fat via liposuction or with noninvasive technology like Cool Sculpting. With Cool Sculpting there is no cannula inserted into your body. All treatments are performed on the surface from the outside in using technology that freezes the fat. Don’t hesitate to give us a call in Austin regarding a Body Reshaping Consult at the Upper Room. On our Facebook Page there is an Interview I recently did with KVUE, a local news station in Austin, that was picked by affiliates around the United States, including Miami. During the Interview we discussed the technology of Cool Sculpting as well as it application process.

The discomfort from treatment does resolve. Taking over the counter tylenol or naproxen resolves this in the majority of cases. If you have swelling that is persistent then a waist binder is helpful.

Does CoolSculpting really work and time between

In my Plastic Surgery practice there was always a gap for those patients who wanted fat reduction, but for one or other reason, were not going to have liposuction. Their requirement for fat reduction did not go away. I just did not have anything reputable, scientifically based, that I trusted, to offer them.

The reason I brought CoolSculpting into my practice was that it does work. The fat cells are naturally metabolised by the body and are gone. Quite soon after I bought the first machine, I bought another so that we could treat 2 areas at the same time to save time for the patient. Since then we have also implemented additional technology that allows some treatments to be effective in half the time. It just depends on which applicators are correct for your specific areas that you are concerned about. It is really gratifying to see how happy patients are as they get better sculpted bodies. 

When I first learned about this type of fat freezing I thought it was only appropriate for slim people who had an area of fat that did not respond to diet and exercise(like the area we all pinch on the side near our waists). Over the years I have come to realise that this is just as appropriate for patients who are not slim necessarily, but who just want to look better or sculpt some areas. They key is in good assessment initially so that appropriate treatment sessions are planned, and that expected expectations of outcomes are set.

We see noticeable results from 4 weeks, but like to retreat after 6-12 weeks, so that we have maximum result before another session is planned to the same area. It depends on a few factors, and the site of treatment makes a difference.

Mark Edinburg, MBBCH, FRACS
Sydney Plastic Surgeon
4.8 out of 5 stars 23 reviews

Does CoolSculpting Really Work?

Coolsculpting really does work on the ideal candidate. The coolsculpting technology uses controlled cooling to target and kill fat cells, reducing them from  20% - 25% in the treated area. Results may be seen as early as 1 month but the most drastic results are seen in 3 months.  It is recommended that you consult with a board certified plastic surgeon to discuss your goals and to determine if coolsculpting is the right treatment for you. 


Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 444 reviews

Does Coolsculpting really work?

Coolsculpting is absolutely a favorite procedure in our clinic because of the great results so many clients have seen. However, some may not be a good candidate for this treatment.  Here are a few things one should consider about Coolsculpting:

The ideal candidate is someone who is in general good health, maintains a health conscious lifestyle with regular exercise. One who has a very distinct pocket of stubborn fat that they feel with no diet or exercise will ever change. This is an area one should consider for treatment of Coolsculpting.  

With that being said, each treatment will not reduce 100% of the fat, and thus some may require multiple treatment to achieve their desired "end point" of ideal results. In this case a consultation is absolutely required so that we may see exactly the areas you wish to treat and explain what kind of results you can look to achieve. 

Edward Stokes, MD
West Hollywood 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.