Can the Coolsmooth applicator be used on the abdomen and is it as effective there as the suctioning method?

Doctor Answers 11

Coolsmooth versus suctioning method

This is an interesting question. For areas where the suction method is possible Cool Sculpting is the preferred technique. CoolSmooth is designed for areas that are not amenable to the suctioning method and requires a few sessions. It works nicely for further contouring and shaping following Cool Sculpting procedures, particularly, treating areas above and below areas that were treated with a suctioning method.
It is very important to go to a center that specializes in these kind of procedures and has other devices that can be helpful. For example, our center has other skin tightening and fat melting devices that can be efficient in areas where the cool smooth applicator or the suction device may not work.

New York Oculoplastic Surgeon
4.7 out of 5 stars 66 reviews

CoolSmooth for Abdomen

Even though the CoolSmooth is meant to be used for non-pinchable fat areas, it can most definitely be used for the abdomen as well.
The concept behind all the suction based applicators is that when fat is drawn into the applicator, it is isolated from the muscle, blood supply and heat, therefore, making it faster to freeze. With the CoolSmooth applicator however, the fat tissue is not isolated. The closer it is to a heat source, the longer it will take to freeze. The extra hour makes up for the fat cells not being isolated, allowing enough time for the cells to become crystalized and damaged.
The CoolSmooth procedure is a fairly comfortable procedure. Unlike the vacuum based procedures, there will be no sensations of deep pulling, tugging and pinching in the area being treated. You may experience intense stinging, tingling at the beginning of the procedure when the cooling is applied. After about 5-10 minutes, the area becomes numb and the sensations will go away.

Michael L. Workman, MD
Portland Plastic Surgeon
4.7 out of 5 stars 36 reviews

CoolSmooth Can Treat Abdomen

There is no reason why the CoolSmooth applicator can't be used on the abdomen. How effective it will be depends on the amount of fat you are trying to treat. Because the CoolSmooth lies on the surface of the skin and the fat is still in contact with the warmth of the underlying muscles, it cannot treat as much fat at once as the original, sucking applicator can. Please consult a board-certified dermatologist to find out which technique and applicator is best to help you sculpt the body shape you desire.

Margaret Weiss, MD
Baltimore Dermatologic Surgeon
3.7 out of 5 stars 7 reviews

Coolsculpting Applicators

Zeltiq/ CS is rolling out a series of new applicators with quicker treatment times and has also gotten clearance for several new body areas.  All of these updates can affect the areas that can be/ should be treated including those that previously required suctioning as mentioned in your question.  Check with the most experienced certified provider in your area who will be getting the new applicators so that they can answer your more specific questions in person.  Best of luck, Doc Halliday

Douglas Halliday, PhD, MD
Syracuse Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews


I appreciate your question.
The suctioning devices are better suited for pinchable fat

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

Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 91 reviews

#CoolSmooth applicator on the abdomen?

I recommend the CoolSmooth applicator on the abdomen if the layer of fat is thick.  When the layer is thick, it will not be drawn into the applicator as easily, and a smaller area will be treated.  The CoolSmooth treatment takes longer but may there may be less discomfort at the beginning and after the treatment with this applicator.  If your fat layer is not thick, you might want to allow the doctor to use a CoolMax or CoolCurve applicator.

I do hope this helps to answer your question!

Sheryl D. Clark, MD
New York Dermatologist
5.0 out of 5 stars 8 reviews

Can the Coolsmooth applicator be used on the abdomen and is it as effective there as the suctioning method?

If you have "pinchable" fat, go with the standard applicator. If not the Coolsmooth applicator will be effective if it can be afixed to the fat and deliver the appropriate cold for the prescribed time. good luck.

Robert Graper, MD
Charlotte Plastic Surgeon
4.4 out of 5 stars 27 reviews

Sometimes there of flat areas of fat that will respond to the CoolSmooth Applicator.

Areas on the upper abdomen may respond to the CoolSmooth applicator even if they are not well suited for the suction applicators.  Other methods are also available including Vanquish, Liposonix, Ultrashape and traditional liposuction (the gold standard).

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

CoolSmooth for Non Pinchable Areas

Thank you for your question.  The coolsmooth applicator can be used on other non-pinchable areas.  The difficulty is getting the applicator to sit appropriately to get the most effective treatment.  The new coolsmooth pro applicator is better suited for abdominal applications with shorter treatment times. Best wishes.

Robert F. Centeno, MD, FACS
Columbus Plastic Surgeon
4.9 out of 5 stars 77 reviews

Using The CoolSmooth Applicator On The Abdomen

Hi Diana. The CoolSmooth applicator can be used on any area where there is "non-pinchable" fat and the applicator can be safely applied. This includes the abdomen. However, if the fat can be pinched and pulled away from your body then the suction based applicators are preferred. If your abdominal fat can't be pinched, then the CoolSmooth applicator can be used. Technicially, the results are the same with either applicator but because there is less fat that cannot be pinched, the results will be less drastic. Hope this helps.

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 10 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.