Are There Any Adverse Affects for Treating the Inner Thighs/ Outer Thighs with Coolsculpting?

The inner and outer thighs are not a uniform procedure when it comes to coolsculpting. Do these areas come with more chances of adverse results? with the inner thighs, being closer to nerves etc. what are the cautions of this particular treatment? what can go wrong?

Doctor Answers 12

CoolSculpting by Zeltiq in NYC offers off-label sites for fat reduction

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Although the current FDA clearance allows the company to sell the device with an indication for stomach and love handles, the physician can discuss with the patient that if a currect applicator fits the outer or inner thigh, the device may provide good improvement with fat reduction.  In general, even with stomach and love handles, there are risks of bruising, nerve sensitivity, nerve numbness, skin tenderness, and there is no claim that it will help cellulite, in fact, there can be a chance that the CoolSculpting could make cellulite worse. Numbness, bruising that's temporary, sensitivity and surface irregularities can occur.


Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Coolsculpting of thighs

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Coolsculpting does work for thigh fat. The parent company has explained that there is a applicator soon to be released specifically for the thighs. The currentl applicators work on selected patients. This procedure is tolerated well but proper patient selection is critical.My suggestion for most patients has been to wait for the thigh applicators.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

CoolSmooth Works for Thighs

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Both the inner and outer thighs can now be treated with cryolipolysis – a patented technique from Zeltiq that “freezes” fat so that it is broken down by the body and eliminated over time. Zeltiq's CoolSculpting system has become so popular that they've recently introduced a number of new applicators, including the CoolMini for double chins and other small areas, and the CoolSmooth for thighs and flanks. 

It is perfectly safe to treat the thighs and flanks with CoolSculpting. I have obtained some fantastic results in these areas. If the candidate is well selected and the operator trained and experienced, there should be no side effects other than some temporary swelling, soreness, redness and/or bruising. Please consult a board-certified dermatologist to find out if you are a candidate for CoolSculpting.

Melda A. Isaac, MD
Washington DC Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

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Vaser pro Lipo is faster and more effective

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Hello and thanks for your question.

All treatments can have complications including pain even when a good physician is treating you.

Remember the Coolsculpt does not tighten skin (you may need Thermage or Ultra Former which give small improvements) but is a great treatment for these areas with the new handpieces. 

Vaser pro Lipo is faster and more effective and the ultrasound can stimulate skin tightening (although sometimes lifting surgery is needed, so be aware of this).

Wishing you all the best,

Dr Murray from Absolute Cosmetic Medicine

Coolsculpting of thighs

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Thank you for your question. CoolSculpting is a great treatment for the inner and outer thighs. I find it to be a better option than liposuction because the fat reduction is slower and allows more time for the skin to retract. However, the outer thighs tend to be more resistant and typically require more treatments. I recommend having a consultation with an expert to determine if you are a good candidate for treatment. Best of Luck!


Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

CoolSculpting Works on Inner and Outer Thighs

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CoolSculpting by Zeltiq now offers several different applicators that can safely and effectively treat a variety of different areas of the body, including inner and outer thighs. Depending on your fat composition, the inner and outer thighs might best be treated with the CoolSmooth applicator, which does not require the amount of fat to be “pinchable.”

While the thighs can be more challenging than the lower abdomen, I have had phenomenal results in this area with CoolSculpting. It is important to choose an experienced provider with an experienced team of medical assistants for proper marking and placement, which is a little trickier in this area. We also sometimes adjust the vacuum suction into the applicator for the inner thighs to avoid irregularities. You don't have to worry about serious nerve damage there – or in any area that CoolSculpting treats. The cryolipolysis technique will lower the temperature of fat sufficiently to freeze and destroy it, but will not have any major adverse effects on other tissues or nerves. It is common to have temporary numbness after CoolSculpting, but this resolves itself within weeks. Please see a board-certified dermatologist who has been certified by Zeltiq to perform CoolSculpting to find out if you are a candidate for this highly effective, nonsurgical fat-loss removal technique.  

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 20 reviews

Coolsculpting thighs

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Coolsculpting is a great option for the inner thighs.  I even like it more that liposuction sometimes because the fat reduction is slower and allows time for the skin to retract.  The outer thighs are more resistant and usually require more treatments.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Inner and Outer Thighs with Coolsculpting

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The inner and outer thighs each have a special applicator that uniformly treats these areas with excellent results.  In fact, these are the simplest areas to treat with excellent results.  Please consult a board certified dermatologist with expertise at coolsculpting for the best cosmetic results.

Inner Thighs/ Outer Thighs with Coolsculpting

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The FDA has approved coolsculpting for the inner and outer thighs, and the results can be excellent with proper technique. Patient selection is key. Consult with a board certified physician who can provide both surgical options and coolsculpting to determine the best option for you.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

CoolSculpting of the thighs

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I have treated these areas without incident, and with good results. Since the treated skin is lofted up and away from any underlying tissues, there should not be an issue with damage to anything under the skin and fat layer.

The pitential side effects are the same as with other areas.

Sheryl D. Clark, MD
New York Dermatologist
4.7 out of 5 stars 10 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.