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 15

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 36 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

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
4.7 out of 5 stars 11 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
5.0 out of 5 stars 44 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).

Zeltiq for the thighs


The inner and outer thighs are difficult areas to treat.  We have had some great results but patients need to be selected carefully.  Not everyone is a good candidate.  Just because we can get the suction to attach to the skin does not mean we can draw up enough fat into the chamber to give an effective result.  The fat needs to be able to be grabbed and quite pliable to fit into the chamber.  If it's firm, it will not draw up, though it will attach.  A face to face consult with someone who has done a lot of procedures is best.

Good luck~

Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 121 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.