Does CoolSculpting Really Work?

And how long do you wait between procedures?

Doctor Answers 16

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
5.0 out of 5 stars 90 reviews

CoolSculpting results

Yes, CoolSculpting  works for the right candidate. It uses the technology called cryolipolisis to freeze and destroy fat cells, which are then naturally eliminated by the body. Patients can expect a 20-25% reduction in fat after the first treatment although multiple treatments may be needed to achieve a patient’s goals.. Results can be as early as 4 weeks post treatment but full results can be seen in 12-18 weeks.
I recommend visiting CoolSculpting Certified Practice for an in-person consultation to determine if you would benefit from the procedure.

John A. Kotis, DO, FACS, FACOS
Chicago Plastic Surgeon
5.0 out of 5 stars 12 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
4.5 out of 5 stars 57 reviews

Coolsculpting results and timing

I recommend waiting a good 2-3 months to evaluate your results from Coolsculpting. Many patients may find results come sooner if they are doing multiple areas. For example if they are doing a circumferential treatment around the beltline, and repeating the treatment in quick succession (e.g. 2 weeks apart), then they will begin to see results within weeks, but will continue to see improvement until the 2-3 month mark.
As far as efficacy, I would still rate surgical solutions as a more effective tool at achieving the results you may be looking for, however, the trade-off is the downtime.

Does CoolSculpting Work?

CoolSculpting is a great nonsurgical, no downtime treatment for permanent fat reduction. Generally, it reduces about 20-25% of the fat in an area. Results can be noticeable as early as 4 weeks post treatment and maximum results are normally noticed at about 3 months. It is best for patients who are within 15-20 lbs of their ideal body weight. It is best to have a consultation in person to see if you are a candidate for treatment and how many cycles are needed for your areas of concern.

CoolSculpting Does Work

CoolSculpting is a permanent solution for fat reduction for the ideal candidate who maintains a healthy lifestyle. Most patients will start to see results as early as 3-4 weeks but typically get peak results, 20-25% fat reduction at 8 weeks. At our practice we suggest waiting 8 weeks between treatments.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 39 reviews

CoolSculpting Has Produced Undeniable Results

CoolSculpting really works on the right patient. We've seen it produce noticeable results after only two months. It is generally recommended to wait at least 4 weeks between treatments, though sometimes longer periods of time in between can help achieve better results. So who's the right patient? The ideal CoolSculpting candidate is a person who is close to his or her goal weight who is unhappy with pockets of unwanted, stubborn fat that doesn't respond to diet or exercise. These areas are often known as love handles, muffin top, paunch, etc.. It's important to note that this treatment is not for weight loss but rather for eliminating stubborn fat. 

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.

CoolSculpting REALLY works

As with all cosmetic procedures, there are many variables that enter the equation and not all patients derive the same excellent result. CoolSculpting can provide significant fat loss to many individuals. Rarely there are cases in which the amount of fat removal is less than satisfactory but patient satisfaction with CoolSculpting in my NYC practice is very high. Depending on the build of the patient, some are told pretreatment that they may need as many as three procedures separated by at least one month, to get  a signficant result.  Patients are informed that Zeltiq's freezing fat method is not a replacement for diet and exercise. If a patient continues to eat the same excessive calories that put on the fat initially, they will not see the same loss of fat as someone who once they lose the girth, reduce the calories eaten.

In the last three years we have seen a significant improvement in the loss of fat by producing two to three treatment sessions in many patients and by overlapping the applicators so that one cosmetic unit is truly being sculpted rather than being only reduced.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 34 reviews

Coolsculpting really works

Coolsculpting is an excellent treatment in properly selected patients. It will work consistently and produces predictably 20-25% fat reduction in treated areas.

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.