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

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

I would not recommend jowl or cheek treatment with the CoolMini as the applicator is not designed architecturally to fit those areas and there can be temporary nerve weakness possibly despite it not being a surgical treatment or liposuction.

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

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.

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