CoolSculpting fat freeze. My skin was cold but not red enough. Does that mean my skin wasn't sucked by the machine properly?

I got my first coolsculpting done on lower skin was cold but not red enough like Ive seen on videos. .does that mean my skin wasn't sucked by the machine properly...

Doctor Answers 5

Redness not Indicator of Treatment Efficacy

The redness of the skin following treatment does not correlate with treatment efficacy.  One of the great things about the CoolSculpting device is the many checks and balances built into the machine.  If the device senses the applicator was not applied properly or with proper suction, a warning indicator is triggered and the treatment stops.  Everyone's tissue reacts differently to treatment.  Some people are very red and have bruising, while other people have very little redness or bruising.  As long as the tissue was cold after treatment, you can expect results. 

Naples Plastic Surgeon
4.8 out of 5 stars 65 reviews

Post Coolsculpting Skin reaction not reflective of final fat pad reduction

Post-treatment skin reaction/redness is not truly reflective of final clinical fat pad reduction. There are several variables such as Coolsculpting energy delivered, amount of superficial skin vasculature in area treated. Most Coolsculpting centers adopted the original aggressive protocol of using maximum Coolsculpting energy of 80J/cm2. We have learned from our extensive experience with Coolsculpting technology that utilizing slightly less energy than the maximum have led to equal amount of fat pad reduction with less skin reaction/redness and much less post-treatment discomfort.

William Ting, MD
Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews

Skin cold but not red after CoolSculpting to abdomen

If the skin was cold, then you should have been sufficiently treated.  The color of the skin can vary tremendously after the treatment, so just because it was not red does not mean that it was not effective.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Skin color does not reflect coolsculpt effectiveness

The redness of the skin by no means reflects the effectiveness of the coolsculpting treatment.   If the machine does not have good suction it will alarm and stop the treatment.  I have seen a wide variety of skin color changes immediately following the coolsculpt treatment.  The important thing is was the underlying fat pulled up like a stick of butter, cold and hard requiring massage to get it to lie fat?  If you had this "stick of butter" shape prior to massage that is a much better indicator as to the effectiveness of the freezing of the fat cells than skin color.  

Melinda Haws, MD
Nashville Plastic Surgeon
4.8 out of 5 stars 44 reviews

Immediately After Treatment

Immediately after a treatment, you can expect common side effects such as redness and firmness in the treated area. There can also be transient blanching and mild bruising. You can also experience some tingling and stinging. However, everyone is different, and not everyone will react the same to the treatment or experience the same symptoms. Your skin not being red enough does not mean that the tissue wasn't sucked by the machine properly. During the treatment, the tissue is being pulled and isolated from the muscle and blood supply, therefore it is completely understandable for the area to not be as red.

Michael L. Workman, MD
Portland Plastic Surgeon
4.7 out of 5 stars 36 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.