Can upper arm "flabby" fat be reduced or eliminated with Cool Sculpting?

Doctor Answers 12

Coolsculpting for "flabby" arms.

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Coolsculpting is an amazing procedure to reduce fat but by your description of the arms as "flabby" it looks that you have a problem with skin laxity. In this case a procedure called Thermage would be better option for you. I would consult with a dermatologist to see if you are a candidate for it.

Does CoolSculpting work on The Upper Arms?

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This is a great question.  And the answer is a resounding, YES! Of course it does depend on the individual client and the amount of volume they have in this area. Our results have been truly stunning when using CoolSculpting on the upper arms.  The best results are always found in areas where the fat being treated is more jiggly and fluffy.  Most patients who are interested in treating this area, have exactly this type of fat, and  it really gets dramatic results.  The new CoolAdvantage applicators only take 35 minutes to do this treatment, and it is more comfortable than ever.  I think it is just incredible that something non-invasive, like Coolsculpting can now give such astonishing results in a small amount of treatment time. 

Edward Stokes, MD
West Hollywood Physician

Some Flabby Arm Fat Responds to CoolSculpting

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It really depends on what you mean by flabby. If the flab is caused mostly by excessive fat, then I would say yes. I have had excellent results to permanently remove arm fat, even on myself! If the flab is caused partly by fat and partly by skin, combining CoolSculpting with ThermiTight might do the trick, as long as the skin is resilient. Thermi does an excellent job of contouring the body and tightening skin. If the flab is composed mostly of lax skin, then CoolSculpting will not work for you, but tightening devices such as Thermi Tight, Ulthera or Thermage would be more appropriate. Please consult a board-certified dermatologist with a number of devices who can pick and choose the best options to give you the best results for your type of arms.

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

Flabby arm fat and CoolSculpting

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Thank you for your question.  It is hard to say much without photos or an exam.  To answer your question, we have had a very good experience with CoolSculpting in this area.  It is a very nice way to get rid of the fat in that particular area of the body.  We have not had an issue with extra hanging skin afterward.  I would suggest that you see a Board Certified Plastic Surgeon as he/she can best speak if you are a candidate for CoolSculpting vs. Brachioplasty, (arm lift).

Cool sculpting is a highly effective method of fat reduction.

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Cool sculpting is a highly effective method of fat reduction.It is a non-invasive procedure with no down time and reduces the amount of subcutaneous fat taken up into the cool sculpt head by at least 20%. Some skin tightening can be achieved with the device as well. Results for each person will vary, but overall most people achieve the results they are looking for.

Coolsculpting arms

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CoolSculpting for the arms is an off label use.  This is FDA approved for fat reduction  of the abdomen and flanks, but many offices do offer treatment of the arms. My main concern with this, is that it is possible to get an uneven result because the applicator does not always cover the entire treatment area as needed. I usually prefer Exilis or SmartLipo for this area, since the results are more consistent and predictable. I hope this is helpful.

Can upper arm "flabby" fat be reduced or eliminated with Cool Sculpting?

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Yes, CoolSculpting can be used successfully for fat reduction in the arms. Generally about 25% of the fat will be reduced after 1 treatment. Subsequent treatments may be required to get the desired effect. If you have a large amount of loose skin, surgery may be a better option.

Upper Arm Fat

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This area can be addressed, of course, an exam is extremely important as well as a medical history.  The results expected would require at least 2 treatments and expect a 20-40% reduction in some cases.

CoolSculpting and Bat Wings

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CoolSculpting for use on the arms is an off label use.  It is FDA approved for fat reduction of the abdomen and flanks and as topical anesthetic.  We have been using CoolSculpting at our San Antonio office since March 2010 with great success on the arms.  I actually prefer it to liposuction in this area.


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Yes, the upper arm can be treated with CoolSculpting but it does depend on the amount of volume and the laxity of the skin to determine if you are a candidate or not. 

Coolsculpting is an excellent form of non-invasive  fat reduction for the right patient. Some applicators take 1 or 2 hours but the new advantage applicators take only 35 minutes and have significantly less risk for delayed onset pain (especially in the abdomen). Results are seen at 2 months and typically 1-3 treatments will be necessary on each area to achieve ideal results. The number of treatments depends on the amount of fat there and the patient's goals.  There is not downtime and the results can be impressive in the right patient.  We also use the Zimmer Z-wave for improved patient comfort and added results. The best candidates are those who are in pretty good shape with areas of stubborn fat that won't go away no matter what.

My best,

Sheila Nazarian, MD, MMM

Beverly Hills, Board Certified Plastic Surgeon

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.