Zeltiq for Inner and Outer Thighs?

Ive heard that for outer thighs is not so effective and there are generaly not so good results. Is that true? Thank you for your answer

Doctor Answers 16

Zeltiq CoolSculpting for other areas such as thighs

Zeltiq chilling of the fat via CoolSculpting had been FDA cleared for the abdomen and love handles.  Physicians have been using this for other areas but all data is not collected and impossible to comment on general results. Once the company manufacturers more custom sized applicators for other body sites such as the thighs, data will be more readily obtained. For now it is between the physician and patient to determine their candidacy for other sites and to understand its advantages, disadvantages, risks, etc.


Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

CoolSculpting for thighs

The areas which can be treated with CoolSculpting are limited by the both the contour of the applicator and malleability of the fat bulge  First of all,  the applicator must fit properly onto the surface of the skin so that a vacuum can be established and then the fat must be able to be pulled up inside the applicator.  This is necessary to allow the fat to be exposed to the cooling plates.  Outer thighs rarely fit these requirements whereas inner thighs can sometimes be treated.  Looking forward, there are reports that the Zeltiq corporation is in the process of developing additional applicators that would allow treatment of areas such as the thighs, arms and neck.

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

Zeltiq for Outer Thighs

The distribution of excess fatty tissue on the outer thighs is very common in women. It is often referred to as the "violin deformity" as the curvatures of the violin mirror that of the female outer thighs and hips. Tumescent liposculpture using a microcannular technique has been used to improve these contours. Zeltiq can also be effective for treating excess fatty tissue in the outer thighs; however, the fatty tissue must be pliable enough to be able to be drawn into the Zeltiq applicator and have adequate contact with the cooling plates. If the tissue is pliable enough to be drawn into the applicator, then Zeltiq can be helpful. Many women have dense fatty tissue in the outer thighs which are unable to be grasped adequately by the Zeltiq applicator. In these instances, tumescent liposculpture using a microcannular technique can be very useful or you could consider awaiting further applicators from Zeltiq which are in currently in development.

Wishing you all the best,

Jennifer Peterson, MD

Jennifer Peterson, MD
Houston Dermatologist
4.5 out of 5 stars 15 reviews

Zeltiq for the legs

CoolSculpting works best on patients who have localized areas of fat that can be pinched between your fingers. In my experience inner thighs seem to respond better than the outer thighs, however I have seen the procedure be effective if treating the traditional saddle bags. I would recommend a consult with your physician to determine if it is an viable option for your legs.

Rosalyn George, MD
Wilmington Dermatologic Surgeon
4.4 out of 5 stars 11 reviews

CoolSculpting by Zeltiq for Inner and Outer Thighs

CoolSculpting has FDA approval for fat reduction since 2010. CoolSculpting freezes the fat cells. Fat cells are more susceptible to damage by freezing than the other cells, (nerve, vessel, bone, etc.), around them. The fat cells die via a process called apoptosis, (programmed cell death). The number of fat cells are therefore reduced. This happens over a period of time, so the body is not overwhelmed with dead fat cells. The body will take these cells up, process them and excrete them, just as any other cell. The remnants are filtered through the liver, and then excreted eventually via stool. CoolSculpting now has an applicator for thighs.  CoolSculpting had been used in this area with good results. See an experienced CoolSculpting practice, they will determine if you are a candidate.  Best to see a Board Certified Plastic Surgeon.  They will be able to tell you of the different options, (CoolSculpting, Liposuction, Direct excision, etc.).


Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 16 reviews

Coolsculpting thighs

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 need more treatments.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 52 reviews

Coolsculpting for Inner and Outer Thighs

From the date that you posted, zeltiq has now received FDA approval for both the inner and outer thighs. While patient selection is key, the procedure can be performed safely and with great success. Consult with a board certified plastic surgeon who has both surgical options and coolsculpting to determine the best treatment plan for you.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 36 reviews

Coolsmooth for thighs

While tighter areas like the outer thighs were originally not a good treatment area for Coolsculpting, the new Coolsmooth applicator-available in the spring of 2014-now allows Coolsculpting to be performed on areas that were previously difficult to treat.  The Coolsmooth applicator bypasses the vacuum and suction apparatus of the original applicators and uses straps to keep a flat treatment plate in contact with the skin.  Individuals with tighter fat on the abdomen and outer thighs that could not be treated before, can now be treated.  Results are similar to other applicators, although treatments with the Coolsmooth applicator take longer to complete.

Cool Smooth

The Cool Smooth applicator is approved and it was designed to treat the outer thighs.  It has to be put on appropriately with straps to hold it in place.

CoolSculpting for inner and outer thighs

Thank you for your question.

Yes, coolsculpting can work well on the inner/ outer thighs.... but it is very patient specific.  You must have an area of fat that is pliable and appropriate for the handpiece - a consultation and evaluation are key to determine if you are a good candidate.  Each treatment with coolsculpting reduces the fat in that area by 20-25%.  Normally, patients have 2 - 3 treatments.

There is talk about a new handpiece that wraps around the leg giving a better result (may be coming in the near future).

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.