Will the CoolSculpting "Cool Mini" applicator be used off-label for the lower jaw, cheek & jowl area?

When the Coolsculpting "Cool Mini" applicator is released later this year, will an off-label use be to reduce unwanted fat around the lower jaw, cheek & jowl area? It seems like this would be a less risky alternative to micro liposuction that has potential side effects such as dents and nerve damage....

Doctor Answers 13

CoolSculpting Mini Applicator is FDA Cleared

The FDA recently cleared the CoolSculpting Mini Applicator for use in submental area.  The applicator was cleared for specific use following the protocol used in the studies.  As physicians gain experience with the applicator, off-label use will increase.  I would recommend you find an experienced CoolSculpting physician that is familiar with the anatomy of the neck and jowls who also has experience with surgically treating the areas.  

The product should be available at the end of October 2015.  

Trey Aquadro, M.D.
Auburn, AL

Auburn Plastic Surgeon
5.0 out of 5 stars 37 reviews

Off with the chin!

The Cool mini applicator has been around for a while now and results are stunning.  The submental area can be done from jowls on each side, to simply the 'double chin' pocket, and yes with minimal side effects.  Very few risks with using the mini when compared to other jaw/chin treatments, and no downtime following the procedure.  Consider finding a Certified Preferred Crystal CoolSculpting Practice – the Preferred ‘Crystal’ distinction is given to select physicians based on the number of patients treated with CoolSculpting.  Talk with others online who have had the procedure done, and ask questions such as you have done here.  Hope this helps, goodluck in your decision.  

Jennifer Cova, DO
Dayton OB/GYN
5.0 out of 5 stars 1 review

Coolsculpting Mini Produces Improvement in Your Double Chin That Lasts

Hello and thank-you for your question and photos.

We offer the Cool mini as a non-surgical alternative to liposuction for the right candidate. For optimal results, 2 treatments are generally required. The treatments are separated by 4-6 weeks. If there is mild to moderate skin laxity, combining the treatment with Ultherapy is an option. We also offer Kybella and often use the 3 technologies to develop customized surgical alternative to surgical options. Coosculptin can not be used in the cheek or jowls. Although I would anticipate that you will have a significant improvement in you profile with Coolsculpting Mini, you may consider a neck lift for optimal improvement. I would visit with a board certified plastic surgeon in your area who offers all these options to discuss what is best for you. Best regards,Andrew Lyos MD, FACS

Andrew T. Lyos, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 58 reviews

Cool mini off label uses

Thank you for your question.  The Cool-mini applicator is great for small areas of pinch able fat such as the double chin region (where it is FDA indicated) or regions like the armpit/bra fat, back rolls etc..
A physical exam would be needed to discuss the suitability of this as option for you in more detail.

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


I appreciate your question.
A submental device will be out later this year

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 "Cool Mini"

The CoolSculpting “Cool Mini” applicator is not yet on the market and has not been tested for use in the lower jaw, cheek, and jowls. However, there are other body contouring procedures that have proven safe and effective for these areas.

Burton M. Sundin, MD
Richmond Plastic Surgeon
4.7 out of 5 stars 57 reviews

CoolSculpting "Cool Mini"

The CoolSculpting “Cool Mini” applicator has not yet been introduced, so it is difficult to predict how it will be used.

Reps B. Sundin, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 28 reviews

Coolsculpting for Neck

Coolsculpting is working on a mini-adaptor for the submental area of the face - the fat under the neck.  This piece should address the areas that bother you. The applicator cannot fit into the other areas that you described.  Kybella can be used in connection with these areas. In addition, Thermage is fabulous at tightening the skin under the neck, particularly the lower jaw, cheeks, and jowl area.

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

Will "Cool Mini" be used off label for lower jaw, cheek and jowl area?

Thank you for your question. It is unlikely the CoolSculpting submentum treatment will be used for the cheek area. You may want to look into other treatment options. Perhaps consider a consultation with a board certified plastic surgeon who is currently using CoolSculpting and can provide all considerable avenues. 

Sincerely yours, 

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

Better options

I have some patients that cannot wait for the neck Coolsculpting applicator.  However, you want to go to a plastic surgeon who can tell you what is your best option: facelift, fillers, CS, Kybella, or liposuction.  They are all great tools with regard to treating this area but only a board certified plastic surgeon can offer all of the options and let you know what will work best for you. 

I have the Coolmini too! Just got it in today. Very excited to get started using it on the neck, knee and elbow fat!
My best,
Sheila Nazarian

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 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.