What Are the Most Effective Coolsculpting Devices?

Which coolsculpting machines can produce results comparable to a traditional liposuction? Is there a specific brand one should be looking for?

Doctor Answers 8

CoolSculpting by Zeltiq is the originator of fat reduction by freezing

No device can shrink fat away without surgery as much as liposuction can do in one treatment. Some patients prefer not to have surgery and others may not have the down time.  In those circumstances, Zeltiq 's CoolSculpting is a great choice.  Non-invasive and no down-time. You may have several treatments, each lasting one hour per site during which you can read, watch a movie, or listen to music. Do not expect the same result as surgery; that won't occur.  it is average though that 20% of fat may be reduced after four months by the body's reaction to getting rid of the frozen (killed) fat cells.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

There's Only One CoolSclupting – and It's By Zeltiq

Zeltiq is the only company who offers the noninvasive, nonsurgical fat-loss technique known as CoolSculpting. Zeltiq's scientists developed cryolipolysis(TM) – a patented process that lowers the temperature of fat sufficiently to trigger cell death, otherwise known as apoptosis without injuring adjacent skin cells. The destroyed fat cells are then eliminated from the body over the next few months through the lymphatic system, eventually being excreted through the urine.

Zeltiq's CoolSculpting removes up to 20% to 30% of fat cells from a treated area during one session. Most patients tolerate the CoolSculpting procedure well, and experience only mild sensations such as coolness or numbness. Side effects may include swelling and bruising that can last a few days to two weeks. Results are comparable to liposuction, but most patients need more than one session to achieve results similar to tumescent liposculpture.

CoolSculpting has been so successful that Zeltiq has added a number of new applicators to their system that can treat a variety of areas, including under the chin, back fat, arm fat, and flanks. The CoolSmooth applicator is able to treat areas that have a thin layer of fat that is not “pinchable.” DualSculpting, which we offer at our center, allows us to treat two parts of the body at once. CoolAdvantage is an applicator that works almost twice as fast as regular CoolSculpting.

I have heard reports of knockoff, copycat companies out there, but as far as I know they are not FDA approved and do not have results backed by scientific evidence. Don't take a chance on getting suboptimal results from a copycat or significant injury to other tissues. It is just too risky. Please find a board-certified dermatologist who has been certified by Zeltiq as a CoolSculpting practitioner.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 17 reviews

Zeltiq makes the CoolSculpt machine

Zeltiq is the company that makes the CoolSculpt machine.  The literature will state that there is about a 20 to 25 percent reduction in fat. We have seen this to be true in our office. We typically recommend more than one cycle per individual area. Every patient is different, so best to get a consult from a certified, experienced CoolSculpt office. It is a very nice non-surgical option, especially for those who cannot have post surgical downtime.  We also do liposuction.  There are benefits and downsides to each procedure.  Best to see a board certified plastic surgeon who does both and together you will make a plan that is right for you.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

CoolSculpting by Zeltiq

There is only one CoolSculpting device and it is manufactured by Zeltiq. While it is a great non surgical treatment for fat reduction, it is not as powerful as traditional liposuction. As a non invasive treatment, CoolSculpting works well at targeting stubborn pockets of fat in patients who are close to their ideal weight. There is no downtime, which is a great advantage as well. It is best to obtain a consultation to see if you are a candidate for this treatment.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 49 reviews

CoolSculpting Device

Thank you for your question. There is only one company FDA-cleared to perform this procedure - Zeltiq. There are not different machines or brands that perform CoolSculpting. CoolSculpting results in a 20-25% reduction in fat, so while the results are good, they are not comparable to traditional liposuction.

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
4.8 out of 5 stars 107 reviews

Effective Cool Sculpting Devices?

Cool sculpting (Zeltiq)  is not as effective as liposuction surgery in removal of adipose tissue. Liposuction surgery can often eliminate diet and exercise resistant adipose tissue of a given area with one procedure.

However,  cool sculpting is a noninvasive ( with no downtime) technique of removal of isolated adipose tissue that results in 20-25% reduction of the fat in the area treated. Repeated treatments may be necessary/ helpful.
If   a patient presents  as a good candidate for liposuction surgery ( diet and exercise resistant adipose tissue with overlying good-quality skin elasticity),  then  liposuction surgery is probably the best way to go if the patient is interested in a single procedure.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,484 reviews

Which Coolsculpting is the best?


There is only one company that makes the device that is the 'real' Coolsculpting and that is Zeltiq.  The names are sometimes used interchangeably.  Coolsculpting is best used for specific stubborn areas of fat and, when used in the right patients, it can yield excellent results very similar to those of liposuction.  We offer liposuction as well as Coolsculpting in our practice and make recommendations on a case by case basis.  It's best to have an exam with someone who can advise you of your options and help you decide if traditional liposuction or Coolsculpting is best for you. Coolsculpting can be great for people with distinct stubborn areas of fat on the abdomen, love handles and bra fat just to name a few.

Good luck~

Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

There are NO fat freezing devices that can give results anywhere close to what liposuction can give.

As the devices get better over the next 5 yrs hopefully they will get better results but so far they are mainly used to take down 1/2 inch or so of fat or give minimal results if you have only a tiny spot you would like reduced.  None of the various devices for fat reduction give anything comparable to the great results from tumescent liposuction under local anesthesia  with the micro cannulas.  When you want something that is easy and you know you will see a difference, then tumescent liposuction is the way to go. For roughly the same amount of money, I would bet on a sure thing.  Sincerely,

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 42 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.