Does the Large Cool Sculpting Applicator Give Better Results?

waist area...above waste and slightly below

Doctor Answers 10

Different applicators for Zeltiq's CoolSculpting

The applicator that fits the area best to be treated is the applicator that works the best in CoolSculpting. A larger applicator than the one selected by the provider may not get the best vacuum seal on the area which would prevent a good intake of fatty tissue and not provide the best result.  The applicator that is bigger is designed for a larger area and treats the fat with the same density of energy / freezing so that you are treating a larger area but the individual component areas are treated with the same amount of freezing energy per area as the small applicators. Often a large applicator can fit on the lower abdomen and only a smaller applicator on the upper. In my NYC practice, I prefer to see my patients in consultation for Zeltiq and mark the areas with the appropriate templates prior to any treatment.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

CoolSculpting Applicator for best results

The Coolmax (larger) applicator is more for debulking and the coolcore/coolcurve are more for sculpting. If the body area of concern can be secured in the larger applicator, that would probably be ideal. 

It would be difficult to have two large applicators on the body simultaneously, but we will often use a large applicator in one area and a smaller applicator in another area and then switch sides

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 120 reviews

CoolSculpting Applicator

The applicator used depends on the size of the area being treated. The larger the area, the larger the applicator. Your doctor will examine the area to be treated and determine which applicator will give the best results.

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

Large Applicator Usage With Cool Sculpting

Dear Bronco,


The large applicator is used with the large areas to be treated (mainly abdominal areas). The rule of thumb is that the applicator has to achieve a perfect seal hence the perfect suction around the area to be "cooled" so the best results are obtained.

Thank you for your inquiry and the best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 197 reviews

Larger device treats a larger area

The larger device is designed to cover about 2.5 x the area of the smaller device. For larger abdomens it simplifies treatment by covering the entire area in one hour. However, the large device does not fit everywhere. The applicator has to fit for the treatment to be performed.

Eric Chang, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 10 reviews

Does size matter in Coolsculpting?

Most likely not. The applicator size that fits the area to be treated the best is the best choice. Also patient selection and evaluation with pinch of the skin by the practitioner will dictate best candidates. In our practice we are selective about who is a candidate and who is not. Many are not. Those that are get excellent results.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Does the large CoolSculpting applicator work better?

There are three different sized applicators, which are available for use with the CoolSculpting device.  Generally, the choice of applicator will be determined by the size and contour of the bulge.  The 2 smaller applicators are most commonly used on the love handles and back and the large one is used for the abdomen.  One can sometimes use the small applicator in areas where the large one is used but the large applicator cannot always be used in areas where the small applicator are more appropriate.  So to answer your question one can use the small applicator in areas where the large applicator might be more appropriate but as a result one will not be treating as large of an area and hence less fat reduction will occur.

Ted Brezel, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

The Large CoolSculpting Applicator

The large applicator is used in most cases for the abdomen because it is a larger area to cover. The smaller applicators are used for the flanks, arms, buttock crease and so on; meaning places that are smaller in circumference. So, the applicators are designed to fit the areas they are best suited for. That way you will be getting the best result possible from each applicator. 

                                                                                         All the best "Dr. Joe" Gryskiewicz

Joe Gryskiewicz, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 278 reviews

Coolsculpting Applicator Size?

Thank you for your question.

Coolsculpting is used for isolated pockets of fat that are resistant to diet and exercise.  This is a non-invasive procedure with no down time that results in 20-25% reduction of the fat in the area treated.

The size of the applicator is determined by how large the area of concern is.  The larger applicator does not necessarily  work better than the smaller applicator.   Careful physical examination Is necessary to determine which applicator would work best for your case.

 Best wishes.


Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

CoolSculpting large applicator often better

It has been my experience that the large applicator works better but this may be because it is typically applied on the lower abdomen where the fat is less fibrous (ie thick feeling when you squeeze it) than say the flanks or hips where the smaller applicator is used. So it may be an area issue rather than an applicator issue. But I do get excited when we can fit a large CoolSculpting applicator head on an abdomen because the results will be fantastic!

Elizabeth F. Rostan, MD
Charlotte Dermatologist
4.2 out of 5 stars 19 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.