Why Do Some People Not See Results with Coolsculpting?

I have searched for this and have not been able to find a definitive answer. Perhaps there has not been any research into the issue. I read online that one doctor speculated that some individuals have fat cells that are more resilient, and either do not die from cryolipolysis, or die at a much lower percentage. Does anyone have any insight into this, or care to speculate?

Doctor Answers 5

No results from Coolsculpting

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While it is possible that the coolsculpting procedure did not work for you, it is extremely rare for the procedure to not be successful.  The greatest failure is the failure for the coolsculpting center to set proper proper expectation of when change occurs, and how much change to expect. Many patients will observe changes after 3 weeks, with most noting the most change from 6 weeks to 2 months. In a rare case, it may take up to 4 months to see a benefit. 20% of the fat cells of the treated area will be eliminated for each treatment.

The other common failures is poor patient selection (e.g. patient does not have pinchable fat to treat) or inability to have proper expectations set . In some cases, patients have gained weight that hid the benefits of the treatment. 

West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

CoolSculpting Results

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I think it is important to find a practice that understands the importance of patient selection. In addition to patient selection, technicians must be well trained. The attachments must have ideal contact and "grab" of the skin and fat treated. 


CoolSculpting, it is a spot reducing procedure, rather than a weight loss procedure. Ideal candidates for CoolSculpting are people looking for reduction of stubborn areas of fat. They are at or near a healthy weight and not significantly obese. Most healthy people with problem areas of fat can achieve great results from treatment with CoolSculpting. Studies have not been performed on pregnant women or people with compromised immune systems. Therefore, In the office of Michael Law MD, we do will not perform CoolSculpting on people with the following conditions


1) Pregnant, breast feeding or trying to become pregnant

2) Fibromyalgia, chronic fatigue syndrome, or currently suffering from any other auto-immune disorder that causes excessive pain, weakness or discomfort

3) Hernia or history of hernia in the area to be treated

4) A BMI of 34 or more (Bodybuilders or individuals with extremely muscular physiques could possibly be an exception

5) Any person currently suffering from chronic pain

6) Any person who has had body contouring surgery within the last 12 months without written consent from your physician

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

CoolSculpting by Zeltiq can induce fat loss for most patients. Others may not obtain as good results

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Many procedures can produce great results for the majority of patients but the minority might not receive as good results.  If the fat and skin is not as pinchable in one area as others, then the fat can't gain access into the CoolSculpting's device's applicator and wont' get as good a result. There may be a difference in results depending on the type of fat and its saturated vs. unsaturated fatty content.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

CoolSculpting Results

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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. If someone receives the treatment but is not the right candidate, their results will not be as optimal. 

CoolSculpting as non invasive fat reduction result

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Coolsculpting is FDA approved for the abdomen and waistline.   In my experience, the best results are seen in patients who are good candidate for the procedure. Good candidate receive good to excellent results with coolsculpting. It is not a weight loss procedure. The area of interest has to fit the cooling panels. The fat tissue has to be drawn into the cooling panel for maximum effectiveness.

Coolsculpting is designed to removal fatty areas that does not respond to diet and exercise.  When stubborn areas such as love handles and abdomen (tummy) does not respond to diet and exercise, consider freezing the fat with Coolsculpting. Cooslculpting is a non-surgical alternative to liposuction. There is No cutting, No needles, No injections, No garments, No downtime, and No need for anesthesia.

Stanley Okoro, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 168 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.