Slim Lipo vs. Cool Sculpting for Belly Fat and Love Handles?

What is the best treatment to remove belly fat and love handles? Both treatments get about 80% of thumbs up on this website. The photos of smart lipo show better results, ie. more fat removed. It also seems to me that the coolsculpting in the end will be very expensive because you need 3-4 treatments while from the slim lipo only one. What do doctors that offer both treatments recommend? Thank you!

Doctor Answers 25

Slim Lipo vs. Cool Sculpting for Belly Fat and Love Handles?

While both Slim Lipo and CoolSculpting target unwanted fat and aim to remove these areas, Slim Lipo is an invasive, surgical procedure while CoolSculpting is a non-invasive, non-surgical treatment with absolutely zero downtime. During the procedure, patients can email, talk on the phone, watch tv, even eat and drink and immediately following, can resume their daily activities from exercising, to work, to social events.

Those patients with a significant amount of fat to remove may only qualify for a more extensive treatment, like surgical liposuction, whereas CoolSculpting is best suited for those with only a few inches and pounds to lose of stubborn fat.


Philadelphia Plastic Surgeon
4.3 out of 5 stars 36 reviews

Smart Lipo vs Cool Sculpting for Love Handles

You're right that the photos on the website show better results with smart lipo. That is because smart lipo is a surgical procedure where a laser fiber is delivered under the skin into the fat cells where they are directly destroyed. The fat remnants are then removed by liposuction so the final outcome is greater with smart liposuction than with cool sculpting. See a board certified plastic surgeon for a consult and treatment plan.

Richard Chaffoo, MD, FACS
San Diego Plastic Surgeon
4.7 out of 5 stars 17 reviews

Slim Lipo vs. Cool Sculpting

Slim Lipo is a type of laser assisted liposuction.  This is a surgical procedure that requires small incisions, infiltration of tumescent solution, laser delivery via a "wand" and then liposuction to remove the fat cells.  Again, this is a surgical procedure and the outcome is going to greatly depend on the skill of the surgeon you have chosen.  

Cool Sculpting is a non-surgical procedure used to remove fat in targeted areas.  It requires multiple treatments and has varied results.  Some people respond very well to non-invasive fat reduction, while others do not.  Visit an experienced plastic surgeon who performs both liposuction and Cool Sculpting to get better recommendations on which is best for you.

Trey Aquadro, M.D.
Auburn, AL

Smart lipo versus Zeltiq

Coolsculpting by Zeltiq is amazing since it is non-surgical.  Smart lipo is surgery with a laser. There have been several reports of seromas and other complications from smart lipo. Since  smart lipo is a surgical procedure -not everyone is a surgical candidate or wants surgery. Zeltiq was invented as a non-surgical alternative to liposuction. It is great technique for freezing your fat in a given area by as much as 25% in one single treatment.  Zeltiq is highly effective, safe, non-surgical, and you can return to your work the same day after the procedure.  Be certain to consult a board certified dermatologist with expertise in coolsculpting for the best cosmetic results.

SmartLIpo vs. CoolScultping

I have performed a great deal of tumescent liposuction over the years and was very excited when CoolSculpting's technology was developed by Zeltiq.  Not all patients who are candidates for liposuction want to undergo surgery. Not all patients who want to have liposuction are considered candidates for surgery as they may have a medical condition or take medications that would prevent us from doing the liposuction.  Some paitents have a small bulge and it doesn't warrant the risks of the liposcution procedure.

Patients who are interested in CoolSculpting are told by me in the consultation, that liposuction is more effective in removing the fat and that it may only be one surgery, although some patients do need to have a secondary procedure to improve lumps or depressions. Only after knowing the whole story and alternatives and how many treatments and cost, along with the risks, can a patient wisely choose what is best for them.

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

Coolsculpting vs lipo

Great question!

If you prefer non-surgical, non-invasive procedures and don't mind waiting to see
results, then definitely go for coolsculpting. Any surgery carries risks associated with anesthesia, infection, and bleeding.  Coolsculpting is much safer, non-invasive, and doesn't carry the risks associated with coolsculpting. For others, they want the more immediate gratification, don't mind the risks of surgery and prefer lipo. Coolsculpting may also be cheaper and you can stretch tretments over time, which carries more financial flexibility as well.

Hope this helps!

Shamim Shakibai, MD
Los Angeles Physician
5.0 out of 5 stars 3 reviews

Smart Lipo vs Cool Sculpting

If you consider that CoolSculpting will reduce fat to the area treated 20-25%, even if someone does 2 treatments...clients with more fat to be removed may opt for SmartLipo. While CoolSculpting is non-invasive, Smart Lipo is more invasive in that it involves a surgical procedure to melt and then remove the fat. We offer Smart Lipo with no general anesthesia, only local anesthetic is needed and you can go right home and recover for a day or two. Patients who want more fat removed in 1 treatment may consider SmartLipo over CoolSculpting. 

Lipo versus coolsculpting

You will always get faster results with liposuction.  One liposuction procedure can remove 70-90% of the fat in the region treated.  On the other hand, coolsculpting gets rid of up to 20% in each area per treatment.  I do dualsculpting (two coolsculpting machines used simultaneously) in my office and have used it for my own body.  It is a wonderful treatment for someone who does not want the sedation, anesthesia and downtime of liposuction or who doesn't have enough fat for liposuction.  Multiple areas can be treated on one day or you can spread out the regions treated over weeks or months.  We 'treat to transform'.  Your worst areas can be treated again until you get the results you want and there is no interruption in your daily activities.  So choose liposuction if you want your results with one treatment and don't mind some level of invasiveness.  Choose coolsculpting if you have the patience to see your results improve with additional noninvasive treatments over time without any downtime.  With either, the fat that is gone (sucked out or frozen) is gone for good.

I hope that answer helps.  Best wishes.

Heidi A. Waldorf, MD
New York Dermatologist
5.0 out of 5 stars 10 reviews

Coolsculpting Provides Improvement in Body Contour That lasts!

Hello and thank-you for your question

Our office offers both Laser Lipolysis (Slim Lipo, Smart Lipo), which are a more invasive surgical procedure involving liposuction and the non-invasive alternative Coolsculpting. Laser Assisted Liposcution are more suited for larger fat amounts of fat reduction of multiple ares. CoolSculpting is a great, FDA-approved treatment for fat reduction of the abdomen and flanks. This technology can is best suited a means to produce reduction in inches when the issue is a few extra pounds. Coolsculpting relies on Cryolipolysis due to the fact that fat cells are more sensitive to cold than are other tissues. We utilize the new Cool Advantage applicators which are much more comfortable and reduce treatment time to 35 minutes.  We currently have 4 Coolsculpting machines and can offer "Dual Sculpting" which further reduces the treatment time.  It can be used safely for off-label treatment of the upper arms, inner/outer thighs, bra-strap area, chin, and above the knees. The advanced cooling technology selectively targets and eliminates fat cells gently and gradually without affecting the surrounding tissue. Patients in our office have seen an average fat reduction of 20-25% with each treatment. Depending on the patient's body composition and outcome goals, it generally takes more than one treatment to achieve optimal results. A second treatment is general scheduled 30 to 45 days after the initial treatment. It takes about 2-3 months to get a general idea of the final results. The results are long-lasting as long as you maintain a stable healthy lifestyle. I recommend scheduling a consultation with a Board Certified Plastic Surgeon well versed in all options for body contouring to determine if you an ideal candidate for CoolSculpting or laser lipolysis.


Best regards,

Andrew T. Lyos, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 57 reviews

SculpSure Benefits

I suggest you consult a board certified facial plastic surgeon to receive the highest quality knowledge, treatment, care and skill available. A consultation provides you the opportunity to relay your concerns and desired outcome to the surgeon while the surgeon can assess your health profile and discuss his/her pertinent advice.

In addition, a meeting with your doctor will allow you to build a rapport and decide among treatments.

In general, SculpSure is a better fat-melting procedure than CoolSculpting and Slim Lipo in head-to-head clinical studies.

CoolSculpting takes 60-90 minutes,
SculpSure takes 25 minutes,
CoolSculpting can be painful,
SculpSure is painless,
CoolSculpting can have prolonged numbness,
SculpSure has no numbness.

SculpSure is the only FDA-approved laser to provide the quickest treatment (25-minutes) and easiest recovery (none). Patients complete the treatment and walk out of our office ready to resume their ordinary activities.

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 103 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.