Does fat freeze really work?

does it really work? the doctors that don't offer it (they say they have better techniques) say it doesn't work and the ones that do say it's the best. is it suitable for someone who has very little fat to loose? Also, how do you choose the best doctor? I have seen few and I always feel I am being sold the technique they have not the best for me.

Doctor Answers 13

“Fat Freeze” Really Works

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Cryolipolysis is a patented technique developed by Zeltiq for their CoolSculpting system. It lowers the temperature of fat sufficiently to freeze and destroy it, so it can be eliminated by the body over the next three to four months. It really works, and the results are permanent. CoolSculpting is best for people who have only small amounts of fat to lose. Keep interviewing board-certified dermatologists with expertise in CoolSculpting until you find one who inspires confidence.

Washington DC Dermatologic Surgeon
5.0 out of 5 stars 6 reviews


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Clatuu is usually very effective, can do 2 areas simultaneously and this makes it time and cost effective. Regards, Dr Steve Merten, Sydney, Australia

CoolSculpting's “Fat Freeze” Really Works

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CoolSculpting is FDA approved for fat elimination because it has been proven to be effective. Certainly, each center has fat elimination techniques that they favor. We have been using CoolSculpting for many years and find it to be extremely effective for the right patient. Sometimes other treatment options would give a better result, depending on skin looseness and the amount of fat. I think it is best to consult with a board-certified dermatologist with expertise in, not only CoolSculpting, but with several other modalities. Then they can choose what is best for your situation rather than just use the same treatment for everyone.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 20 reviews

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Freeze your fat

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Yes, coolsculpting works great. It has been such a wonderful procedure to offer patients since it is safe with no downtime and excellent results!  There are other great comments already listed. 

Angela Bowers, MD
Southlake Dermatologic Surgeon
5.0 out of 5 stars 1 review

Fat freezing - the concept and the reality

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Every physician is entitled to opinion - and you are right, sometimes they will only speak well of what they have in their office.

But the FDA won't approve a device unless it is proven to do what it says it will do. CoolSculpting is FDA approved and it does work. But it won't work if it's used for the wrong reason. 

The right reason: You have a few fat bulges that have been resistant to exercise and diet.
The wrong reason: You are overweight, want to lose weight and you don't want to diet or exercise.

CoolSculpting is not surgery so it can't be directly compared to liposuction. Remember, this is a completely noninvasive treatment and the applicators only cover a certain area. But for helping trim down small fat pockets, it's a simple and effective process.

Your treating provider (this could be a doctor, nurse or PA) can tell you if you are a good candidate...and you need to have that "inch to pinch" to even consider it. 

As to how you choose - a good recommendation is to pick a practice that is supported by a board certified dermatologist or plastic surgeon. Both will have ample education and training working with the skin and body tissues. 

Rebecca Fitzgerald, MD
Los Angeles Dermatologic Surgeon
4.1 out of 5 stars 22 reviews

Coolsculpting works.

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Coolsculting works great on the right patient. It is FDA approved for flanks and abdomen.  We have been using it for the past 4 years and we had great results. Please consult with a board certified dermatologist to see if you are a good condidate for it.

Fat reduction with Coolsculpting

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CoolSculpting is a great, FDA-approved treatment for fat reduction of the abdomen and flanks. It can be used safely for off-label treatment of the upper arms, inner/outer thighs, bra-strap area and above the knees. The advance 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 one treatment. I recommend scheduling a consultation to determine if your an ideal candidate for CoolSculpting.

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

CoolSculpting vs liposuction

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Coolsculpting really does work. Liposuction does work more predictably in the right hands.  However, in my practice, we have two CoolSculpting systems and we are the top provider of Coolsculpting in our area. Our patients are very happy with the results. Coolsculpting is great for men or woe with little to no downtime for a surgical procedure. Coolsculpting is quite remarkable. In an office with two systems, bot love handles, arms, back fat etc. can be treated in just an hour with no downtime. 

Liposuction is ideal for peep with excess fat in multiple areas of the body, including areas like the chin that CoolSculpting cannot currently safely and effectively address.

When selecting a Coolsculpting provider, look for the most experienced office in your region. Also look for CoolSculpting complete. This protocol includes a vibrating plate to stimulate the lymphatic system and enhance results as the frozen fat relies on the lymphatic system to exit the body. 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

CoolSculpting freezes fat effectively

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We were one of the first offices to offer CoolSculpting in Orange County, 4 years ago.  We have found it works great, for the right patient.  Patients that are too thin with just loose skin, or those that are too "round" do not do as well as patients who just have bulges.

Doctors who don't offer a procedure will usually say something doesn't work because they want to do surgery instead or have you try something else.  CoolSculpting is the most effective non-surgical procedure available for fat reduction.  In my office we find it especially useful for our many patients who do not want lipo-suction.  

If you research who is doing CoolSculpting, most of the top cosmetic physicians offer it.

We find it so successful we just bought a second machine to do "dual sculpting" (2 areas at the same time).

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
4.9 out of 5 stars 217 reviews

Non-Surgical Treatment Results

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There are multiple non-surgical treatments for fat reduction that are very effective. In my office I use both Coolsculpting and Liposonix. We are born with a certain number of fat cells; the cells that are desctructed by a Coolsculpting or Liposonix treatment are permanently removed by your body. That being said you can expand the size of your remaining fat cells if you do not maintain a healthy diet and exercise program. Coolsculpting destructs about 20% of the fat in the treated area; sometimes multiple treatments in the same area are necessary for the best results. Liposonix uses High Intensity Focused Ultrasound to destruct the fat; you can lose approximately 1 inch in 1 hour with 1 treatment. Either option is not going to yield immediate results as the body has to naturally remove the treated fat. This generally takes 8-12 weeks to be completed. Consult with a Board Certified Dermatologist to see which option is best for you.

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.6 out of 5 stars 23 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.