Lipo vs CoolSculpting?

Why would a person choose cool sculpting as opposed to lipo? So many mixed reviews here. Who would be considered a good candidate for cool sculpting and do you find in your practices that it is effective? Thank you

Doctor Answers 12


I appreciate your question.
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

best of luck!

Dr Schwartz

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 91 reviews

Liposuction vs. CoolSculpting

Coolsculpting is a more non-invasive way to get fat reduction rather than liposuction. With Coolsculpting you get a smooth result but you wont start seeing a result for approximately 4 weeks. With liposuction you will see a result immediately after the swelling goes down however you can have some imperfections or tunneling. With Coolsculpting you do not need to wear a compression garment after the procedure but with liposuction you will need to wear a compression garment for 6 weeks after.

Shelena Lalji, MD
Sugar Land OB/GYN
5.0 out of 5 stars 3 reviews

Coolscultping - Non-Surgical

Thanks for your question. This is a question that we get asked often by our patients.
Coolsculpting is a non-surgical procedure that has been developed for fat reduction in problem areas. It involves freezing fat cells without damaging your skin. The fat cells are naturally eliminated from your body over the following few months. You will typically notice results 3-4 weeks after the initial treatment. On average, patients see a 25% reduction of fat in the treated area after one visit. Some patients can acheive greater results with additional treatments as early as 4 weeks apart.
These are advanced techniques so be sure to get an experienced cosmetic dermatologist consultation for recommendations and treatment options.    

Alim R. Devani, MD, FRCPC
Calgary Dermatologist
4.9 out of 5 stars 14 reviews

CoolSculpting VS Liposuction

In my practice we offer both CoolSculpting and Liposuction. The instances where I see patients moving forward with CoolSculpting over Liposuction generally involve a patient who is concerned about the risks associated with general anesthesia and the downtime associated with surgical procedures. The pricing to get similar results generally looks pretty similar and the results with each technique can be fantastic assuming that you are in capable hands.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.8 out of 5 stars 109 reviews

Liposuction versus Coolsculpting

Coolsculpting is very effective for a localized bulge such as in the abdomen and flanks.  It is also extremely effective for the inner and outer thighs.  Coolsculpting has no down time and takes only one hour in an office.  Liposuction would remove more fat but is a surgical procedure with significant downtime and side effects.  Please consult a coolsculpting expert to see if you are a good candidate for this procedure.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 76 reviews

Lipo vs. CoolSculpting

Thank you for your question. There are many variables that need to be considered when deciding on liposuction vs. CoolSculpting. Such as, the size of the area being treated, the location, down time, cost, to name a few.

You will want to speak with a CoolSculpting provider to discuss your options.

Sincerely yours,

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 457 reviews

Liposuction versus Coolsculpting

What to consider between liposuction and coolsculpting:
1)  Level of invasiveness:  Liposuction is more invasive and has a more visible downtime with more activity restrictions
2)  Coolsculpting may be initially cheaper if you are doing one or two areas.  It starts to get more expensive if you you start to add multiple areas and repeat treatments.

Liposuction in general allows for a more customized approach to address a broad area of concern, while Coolsculpting treatments are done in very local regions but can be done adjacent to one another.

I have had ideal Coolsculpting patients opt for liposuction because they wanted a broader area treated and some skin tightening associated with some of the energy-assisted devices.  I have also had ideal liposuction patients opt for Coolsculpting and may as much (sometimes more) because they wanted no activity restrictions.

I would recommend visiting with a board certified plastic surgeon who does a fair amount of both procedures to give you a balanced pros/cons of each procedure and help determine which is right for you.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews

CoolSculpting versus liposuction

Both CoolSculpting and liposuction offer great results.   The advantages of CoolSculpting is the lack of downtime.  Most patients need to be reminded that is isn't cheaper than liposuction; it is an expensive technology which freezes the fat.   The disadvantage is that it can take two treatments per area and the results are not final for 2 to 3 months.   Liposuction requires sedation (or some form of anesthesia) and is a surgical procedure.   The best option is to find a Board Certified plastic surgeon in your community who does both CS and liposuction.   He/she will be able to determine the best procedure based on your specific goals.   Best of luck.

Joseph Franklin, MD
Durham Plastic Surgeon
5.0 out of 5 stars 8 reviews

Liposuction and coolsculpting both reduce fat well but differently in my NYC practice

Both liposuction and CoolSculpting reduce fat volume. Ideal patients for both procedures are not obese, but rather have focal areas of fat that they can't seem to reduce despite exercise and eating a healthy diet.
The physician can remove fat with liposuction from some areas that CoolSculpting's applicators won't fit well. Liposuction often reduces as much fat as the physician and patient desires, but CoolSculpting reduces fat volume dependent on how the body metabolizes the frozen fat cells that die, but in general leaves more fat behind than liposuction. Some patients need a second liposuction to finesse certain areas, and many patients are told in consultation that they would probably need two or more CoolSculpting procedures to reduce an ample amount of fat because of their shape.
Liposuction patients may experience more bruising than that with CoolSculpting. Areas may ooze slightly the first day after liposuction, not with CoolSculpting.  Exercise is usually restricted for a couple of days or more after liposuction, but not necessarily with CoolSculpting.  Focal swelling is present after both procedures but slightly more with liposuction generally. Liposuction is an invasive procedure but CoolSculpting is not. There may be some medical conditions or medications that a patient takes, for which liposuction would not be considered safe to do whereas these limitations are much less with CoolSculpting.
If there is a signficant volume of fat in one distinct area and the patient desires to see the final result sooner, rather than later, then liposuction might be their choice as it does take a couple to several months to see the result after each CoolSculpting.
So both patient and physician will have a contribution of the decision-making process when determining if CoolSculpting or liposuction will be done.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Lipo vs. Coolsculpting

Thank you for your question. Coolsculpting definitely works. If you are close to your ideal body weight and want a moderate improvement of a stubborn area of fat then Coolsculpting may be for you. It decreases fat in the treatment area 15-25% and it takes 2-3 months to appreciate the results. Also, there is no down time. Liposuction can remove much more fat and the results are immediate. It is surgery and there is some down time. Good luck. 

Sanjiv Kayastha, MD
Albany Plastic Surgeon
5.0 out of 5 stars 68 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.