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 24

Zeltiq's CoolSculpting machines & applicators

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There is only ONE machine -- it is manufactured by Zeltiq and is named "CoolSculpting." Note: it is NOT CoolSculpt or CoolSculpture! Please, please, please be aware of this and check the label on your office's machine(s)! You can also ensure that your treatment is coming from a legit CoolSculpting account by visiting the physician locator on CoolSculpting's website. Unfortunately, off-brand machines trying to resemble CoolSculpting can be available for [a very expensive] purchase on the internet and typically do not require authenticity of an MD or DO within a practice. The word "unsafe" does not even begin to describe why this is not a good idea.

In addition to researching the authenticity of the treatment itself, you should also research the authenticity of the practice in which you are visiting. Although a technician (hopefully CoolSculpting Certified such as ours) will likely be the one providing the CoolSculpting treatment, is the doctor within the practice Board-Certified IN Plastic Surgery? Are there other treatment options available to you if needed, or is this the only option within the practice, and if you do elect or need other options will they be performed by the appropriate physician?

Beyond the one trademarked CoolSculpting console, or machine, are multiple trademarked CoolSculpting applicators: CoolMax, CoolCore, CoolCurve+, CoolFit, CoolSmooth Pro, CoolMini, CoolAdvantage, CoolAdvantage Plus, and coming summer 2017 CoolAdvantage Petite. Besides the chin (which would be treated with CoolMini), the sky is the limit as to which applicator treats which area. Different body compositions require different applicators and often involve thinking outside the box. As an example the CoolSmooth Pro was originally intended for the outer thighs because it's a flat plate that does not "pinch and grab," but there are multiple instances where other areas of the body may require this non-pinching plate. No treatment is EVER cookie-cutter; we treat each patient and each area with individual attention. In fact as you're reading this, you may see one of our photo sets to the right side of the screen with a red bra / blue shorts in the "before" photo and a muted gray/purple set in the "after" photo. This is the perfect example of treating each spot individually; she required two spots on her left side and only one on her right. Our office uses all CoolSculpting applicators so that we may treat appropriately.

Rochester Plastic Surgeon
4.8 out of 5 stars 8 reviews

Coolsculpting Provides Improvement in Body Contour That lasts!

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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.

Andrew T. Lyos, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 65 reviews

There is currently only one Coolsculpting machine.

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There is currently only one Coolsculpting machine, so any office that offers Coolsculpting will be using the same base machine.  What does differ is the applicators that are used for each procedure. The shapes of the applicators vary based on the treatment area. Additional benefits of the newest applicators is that they have decreased treatment times by nearly half for most areas. We currently use two Coolsculpting machines known as Dual Sculpt, which allows us to utilize two applicators at once during treatments, also reducing treatment times. As for the price, this may vary depending upon the area being treated and the applicators used. The results are a 20-25% reduction of fat in the treatment area per applicator.

William Kwan, MD, FAAD
San Francisco Dermatologist
4.8 out of 5 stars 5 reviews

Difference in CoolSculpting Machines

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The only FDA-approved CoolSculpting machine is the Zeltiq. Any other brand or off-brand has yet to be approved by the FDA, including “DIY” CoolSculpting equipment.

Daljeet Samra, MD
Pleasanton Physician
5.0 out of 5 stars 5 reviews


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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 3 reviews


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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
4.8 out of 5 stars 56 reviews

Coolsculpting applicators

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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.

Only Zeltiq can guarantee Coolsculpting safety and effectiveness

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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, FACS
Manhattan Plastic Surgeon
4.7 out of 5 stars 47 reviews

Differences in Coolsculpting Machines

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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 56 reviews

Cool Sculpting devices

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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.

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.