Differences in Coolsculpting Machines?

Which coolsculpting machines are more effective based on the cost per session? Do some machines have better results on certain parts of the body?

Doctor Answers 22

Coolsculpting Provides Improvement in Body Contour That lasts!

Hello and thank-you for your question.  There are sevearal applicators with different shapes and sizes desighed for specificic areas.  An experienced Coolsculpting provider will design a treatment plan utilizing the applicators to maximize your results. We utilize the new Cool Advantage applicators which are much more comfortable and reduce treatment time to 35 minutes.  We currently have 4 Coolsculpting machines and can offer "Dual Sculpting" which further reduces the treatment time.  It can be used safely for off-label treatment of the upper arms, inner/outer thighs, bra-strap area, chin, and above the knees. The advanced cooling technology selectively targets and eliminates fat cells gently and gradually without affecting the surrounding tissue. Patients in our office have seen an average fat reduction of 20-25% with each treatment. Depending on the patient's body composition and outcome goals, it generally takes more than one treatment to achieve optimal results. A second treatment is general scheduled 30 to 45 days after the initial treatment. It takes about 2-3 months to get a general idea of the final results. The results are long-lasting as long as you maintain a stable healthy lifestyle.  I recommend scheduling a consultation with a Board Certified Plastic Surgeon well versed in all options for body contouring to determine if you an ideal candidate for Coolsculpting.

Houston Plastic Surgeon
4.8 out of 5 stars 58 reviews

There is currently only one Coolsculpting machine

There is currently only one Coolsculpting machine.  So any office that offers this has the same base machine.  What does differ are the various applicators.  There are different shaped applicators that are used based on the body area and contour of the area.  Plus with the newer applicators, treatment times have decreased to almost half (from 60mins to 35mins) for most body areas.  We currently use 2 Coolsculpting machines known as Dual Sculpt, which allows us to apply up to 2 applicators at once (depending on treatment area) to speed up the whole process.  Prices vary for treatment based on how many, and which applicators are used.  You can expect approximately a 20-25% reduction of the fat in the treatment area per applicator.

William Kwan, MD, FAAD
San Francisco Dermatologist
5.0 out of 5 stars 1 review


The CoolSculpting procedure can involve several different applicators. As the applicators are designed for specific areas on the body, one applicator may be better than another depending on the area you might want to treat. Recently, Zeltiq has introduced a new CoolSculpting applicator called the CoolAdvantage applicator. One cycle with the CoolAdvantage applicator is only 35 minutes. This means that patients can complete their treatment with CoolSculpting in almost half the time. Patients who seek a provider with multiple machines can shorten their treatment time even further as they can utilize two applicators at one time. For patients interested in CoolSculpting, it is important to research the provider and ensure he or she has attended CoolSculpting University and received the proper training. Patients should seek out an office where treatments are supervised by a board-certified plastic surgeon. Good luck in your research!

Tom S. Liu, MD, MBA
Los Gatos Plastic Surgeon
5.0 out of 5 stars 1 review



Coolsculpting is an excellent form of non-invasive  fat reduction for the right patient. There are different applicators that are used on different area. Some applicators take 1 or 2 hours but the new advantage applicators take only 35 minutes and have significantly less risk for delayed onset pain (especially in the abdomen). Results are seen at 2 months and typically 1-3 treatments will be necessary on each area to achieve ideal results. The number of treatments depends on the amount of fat there and the patient's goals.  There is not downtime and the results can be impressive in the right patient.  We also use the Zimmer Z-wave for improved patient comfort and added results. The best candidates are those who are in pretty good shape with areas of stubborn fat that won't go away no matter what.Zeltiq usually sets the base price, however, prices range from clinic to clinic. You can visit zeltiq website to see which doctor is near you. It is important to have the procedure done with a doctor who is experienced in cool sculpting

My best,

Sheila Nazarian, MD, MMM

Beverly Hills, Board Certified Plastic Surgeon

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 56 reviews

Coolsculpting applicators

There are different applicators that are shaped and geared for different parts of the body.  So depending on your areas of concerns, there are different applicators.  An experience coolsculpting provider should be able to help you develop a plan that is right for you.  In addition, if your experience provider is also a plastic surgeon, then they can tell you the trade-offs between a surgical procedure and Coolsculpting.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 34 reviews

Only Zeltiq can guarantee Coolsculpting safety and effectiveness

There is only one provider of Coolsculpting (Zeltiq) that can guarantee safety and effectiveness of the procedure. There are imposters out there, and I advise you stay clear of them. Zeltiq makes many shaped applicators that are designed to fit different areas of your body, and your Coolsculpting provider will determine which applicators will fit best on your body shape. Best of luck. 

David P. Rapaport, MD
Manhattan Plastic Surgeon
4.6 out of 5 stars 38 reviews

Differences in Coolsculpting Machines

Coolsculpting is a registered trademark from Zeltiq. These machines are more effective and safer from both the patient's and provider's standpoint then the imitators.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 38 reviews

Cool Sculpting devices

These machines are all produced by Zeltiq.  If they are not from this company then they are not Cool Sculpting machines.  There are many imitation devices on the market now.

CoolSculpting, Dual CoolSculpting. Zeltiq what's the difference?

There is just one type of CoolSculpting machine. It is made by a company called Zeltiq. There re different sizes of handpieces for different areas of the body. It is true that in order for CoolSculpting to be effective  the handpiece must fit the area securely.

Some practices use the term DualSculpting or Dual CoolSculpting to describe a treatment when two systems are used so that both love handles, muffin tops, or back rolls can be treated simultaneously.   In my practice we do use two systems simultaneously. We also offer vibrational therapy to stimulate the lymphatic system and compression garments to provide comfort.

CoolSculpting iby Zelttiq is FDA approved for Fat elimination. if there are "knock off" brands, I am not aware of other devices FDA approved fro freezing fat at this time.

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

CoolSculpting Machine

Thank you for your question. There is only one FDA-approved CoolSculpting machine available. This machine has different size applicators, and each applicator will give better results on different parts of the body. Your doctor will determine which applicator is best. Best of luck.

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
4.8 out of 5 stars 107 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.