Should I Try to Lose As Much Weight As I Can Before a Zeltiq Cool Sculpting Treatment to Optimize Its Benefits?

I've scheduled an appointment to get the treatment done. I wanted to know if losing weight prior to the treatment will allow the zeltiq device to kill more fat cells?

Doctor Answers 10

Zeltiq And Weight-Loss

We have seen great results with CoolSculpting at our practice. Although you won't lose weight and the results will not be as dramatic as liposuction, you can expect up to 25% permanent reduction in the fat. It is the best treatment for non-invasive permanent fat reduction for the treated area. There is no downtime, minimal pain, and no anesthesia needed.

Santa Monica Dermatologic Surgeon
3.9 out of 5 stars 9 reviews

Coolsculpting is best used on diet and exercise resistant fat.

I always recommend that patients have incorporated a diet and nutritional program prior to doing any fat reducing procedures. This way the procedure merely works to reduce diet and exercise resistant fat.

Laurie A. Casas, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 90 reviews

CoolSculpting Treatment

CoolSculpting is not a weight loss solution for people who are obese, or a substitute for surgical methods such as liposuction. Good candidates have noticeable bulges in certain areas they’d like to get rid of. No supplements or pills are required and you do not have to adopt new diet and exercise habits.

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

Loosing Weight Before Undergoing Cool Sculpting

Dear Jojo,


Thank you for your inquiry.

Naturally, when the patients looses the fat and exercises with a healthy diet to achieve the maximal fat loss possible then what remains as the "stubborn fat pads" will be addressed by the cool sculpting treatment for the optimal results possible.

That said, it is important to note that if excess skin is to result prior the cool sculpting treatment then this issue will not be resolved after the treatment as the cool sculpting (Zeltiq) will not affect the skin laxity.


The best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 195 reviews

Cool Sculpting and Weight Loss?

Thank you for the question.

Similar to liposuction surgery, cool sculpting is best done for patients with isolated diet and exercise resistant  adipose tissue  “pockets”.  This will allow the procedure to address stubborn areas  and will likely result in overall improved results.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews

Diet and Coolsculpting

Technically you do not need to change your diet before or after Coolsculpting. However, it is always best to be as fit as possible but you do not want to crash diet before Coolsculpting to avoid the risk fo rebounding and gaining weight afterwards.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

CoolSculpting should be done for fat reduction after you've reduced as much as you can

Elective cosmetic procedures are best done when you are in the best medical shape.  Reducing your fat before Zeltiq's CoolSculpting won't allow you to kill more fat cells as it reduces about 20% of the larger amount of your fat if you don't diet or exercise the fat off. It also reduces 20% of the residual fat if you do diet and exercise. The overall result will be better, however, if you do have the treatment when you have lost all you can naturally.  Liposuction is suited for an ideal candidate who can't get rid of the last bulge despite diet and exericse.  This is much the same for CoolSculpting. Some people have a few sessions of Zeltiq's CoolSculpting in order to reduce the unwanted fat in a certain area to the maximum extent possible.

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

Save Zeltiq for when you are near your sustainable goal weight

You are right.  You should get nearer your sustainable goal weight before having zeltiq.  I include the word "sustainable" because there is often a difference between what we want to weigh, and what our bodies will allow us to weigh.  It is important to be realistic.

Zeltiq is meant for those stubborn pockets of diet and exercise resistant fat.  Zeltiq may actually work better when you are at your goal weight.  The reason it that weight gain stretches our skin.  As we lose weight, our skin becomes a little more lax.   The Zeltiq probe may be better able to suck in that slightly more lax skin, thereby allowing the probe to treat more fat cells.

In addition, once you are at your goal weight, your consulting physician will be able to better assess the elasticity of your skin.  If your skin is too saggy (this is usually the case after too much weight loss or weight loss that happens too quickly - eg after pregnancy), then you may get a better result from a procedure that removes fat AND skin.

Good luck!

Melissa Chiang, MD, FAAD
Houston Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

You should be at your optimum weight for Zeltiq

Zeltiq is great but it is NOT meant as a weight loss device.  It is best used on a single bulge when you are at your ideal weight.  I always tell patients it is best to eat right, diet, and exercise, and get Zeltiq for those problem areas that do not get better after doing all of that.

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

Zeltiq after optimal weight is obtained

It is highly recommended that you reach your goal weight before performing any cosmetic sculpting treatments.  Yes it is adviseable to loose weight before treatment

Ariel Ostad, MD
New York Dermatologic Surgeon
4.3 out of 5 stars 17 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.