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 22

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 33 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 16 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 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 54 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 95 reviews

Coolsculpting versus slimlipo.

Coolsculpting is a very effective way to reduce fatty tissue in small areas of concern. Laser lipolysis can mean different things depending on where you go. In our practice, I use laser assisted liposuction (Slimlipo) to help tighten the skin in addition to reducing the fat. In general, I find liposuction gives me more flexibility and capabilities to achieve my patient's goal, but I still have a great number of patients who opt for the non-invasive option. I recommend going to a plastic surgeon who offers Coolsculpting as well as other surgical options for you to compare. I was the first plastic surgeon in Houston to adopt Coolsculpting in their practice and still find it a very usual option for my patients. We even brought on more devices so we can shorten the treatment time for patients who opt for multiple treatment areas.

Cool Sculpting vs Laser Liposuction

Cool Sculpting to me is a very consistent technology with reproducible results.  For liposuction I did not choose laser liposuction as a procedure for any of my patients.

CoolSculpting vs Liposuction

The only way to determine whether or not you could benefit from CoolSculpting or Liposuction is through a consultation.  By visiting a plastic surgery practice that offers both CoolSculpting and liposuction, you may be able to get the best possible answer. CoolSculpting is not a replacement for liposuction, but for people with small, isolated areas of fat, CoolSculpting can be a wonderful treatment with great results and no down time.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 110 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.