CoolSculpting or liposuction for arm flab and flabby spot under chin?

Contemplating cool sculpting for arm flab. Wanted to know if this procedure will work with just one treatment, also would this work for loose skin under chin. Should I do this or liposuction? Also, will there be bruising and swelling? Should I do during the summer or wintertime? Thank you

Doctor Answers 8

New CoolSculpting applicator for Upper Arm Fat

CoolSculpting recently received FDA clearance for a new applicator, the CoolAdvantage Petite, which is specifically designed for reducing upper arm fat. The new applicator is scheduled to hit the market in mid 2017.

CoolSculpting does not tighten or lift skin, so it will not work for loose skin under your chin. Depending on the severity of skin laxity, you could consider a cosmetic surgery known as a lower rhytidectomy (neck lift.) For moderate “chin sag,” minimally invasive treatments such as Ultherapy or Thermage can lift or tighten loose skin. Ultherapy uses ultrasonic energy to lift skin and trigger collagen production. Most patients see results after one Ultherapy treatment, but two treatments may be recommended for optimal results.

If you have submental fat, or a double chin, and that is causing some sagging below your chin, than CoolSculpting may be an effective treatment. CoolSculpting offers an applicator known as the coolmini which is specifically designed to treat small areas of fat and is FDA cleared for reduction of submental fat.


New York Dermatologist

CoolSculpting or Liposuction for arm, chin.

CoolSculpting has given us an applicator, (the CoolMini), that can be used in the bra fat area on the back, the area by the armpit, the knees, and under the chin. Folks are very excited about this. We have used it in our office and have very nice results. Best to talk with your well trained, experienced, Board Certified Plastic Surgeon that does CoolSculpting and Surgery.  They will have the options for you. Tell them what your reasonable goals are. Together you will come up with a plan.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews


I appreciate your question.
Coolsculpting work well for arm fat but not for loose skin.
They are coming out with applicator for under the chin

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

Coolsculpting for Arms

Coolsculpting works very well on the arms for reducing fat in just one single treatment.  Coolsculpting will not help with skin laxity.  If you have both issues then you might require both Coolsculpting and Thermage to help resolve your concerns.  Coolsculpting is done in the office and only requires an hour for each area treated.  The most important consideration is choosing a board certified dermatologist who has a lot of experience with Coolsculpting and the applicators for the best cosmetic results.

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

CoolSculpting on arms and chin

CoolSculpting is an excellent treatment for arms. We see excellent reduction with a single treatment. In some people, we recommend a second treatment to enhance the result. It is currently not possible to treat under the skin. However, there is new applicator under development which should be out in the next few months. CoolSculpting uncommonly causes bruising but moist people have some degree of swelling. It is easier to cover up in the winter but the time of year won't impact your ultimate results.

Todd C. Becker, MD, PhD
Boulder Dermatologist
4.4 out of 5 stars 7 reviews

Loop vs coolscultping

 Thank you for your question. I would recommend either traditional Liposuction or smart Lipo to treat the chin and arm regions.  Cool sculpting is currently not FDA approved for the chin region. 

Johnny Shea-Yuan Chung, MD, FACS
Allentown Plastic Surgeon
4.5 out of 5 stars 22 reviews

Coolsculpting gets rid of fat but also seems to tighten the skin

I would recommend CS, as it works, its gentle, and the method we use; one can have both arms done...completely and in half the time in a single visit.

Peter J. Capizzi, MD
Charlotte Plastic Surgeon
4.9 out of 5 stars 84 reviews

Coolsculpting is for fat, not loose skin

I would do laser lipo for arms and submental area. Currently there are no attachments for the Coolsculpting in the chin area but they are working on one. The other technology you can research is the Thermi Tight RF. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 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.