Is Zeltiq As Effective on Arms As Other Parts of the Body?

Doctor Answers 7

Can CoolSculpting be done on the arms?

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The issue is that the applicators  currently available do not fit the arms well so treating this area usually is not possible. CoolSculpting treatments require the use of one of three available hand pieces. The desired treatment area must have the proper contour and the fat must be pliable enough so the fat can be pulled up inside the applicator. Rumor has I that the company that manufactures the CoolSculpting device is developing additional hand pieces, which would allow treatment of additional areas such as the arms and thighs. It as of yet they are not available.  

Long Island Dermatologic Surgeon

Coolsculpting for the arms

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Coolsculpting on the arms is an off label indication since it is approved for the flanks. Also, the applicators typically do not fit well on the arms. Proper patient selection is critical and we do not perform Coolsculpting on the arms in our practice.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

Zeltiq - effective for slimming arms in the right patient

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Remember that Zeltiq gets rid of fat, but it won't do much to tighten the skin.  Therefore, Zeltiq is very effective at sculpting the arms if:

  • there is pinchable fat that will fit into the zeltiq template/probe AND
  • the arm skin has good elasticity

Patients with lax arm skin should consider these options: 

  • Brachioplasty (surgical removal of fat and skin from the arm) or
  • laser liposuction (the heat from the last results in some tightening) 

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CoolSculpting effective for arms

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Zeltiq, the makers of CoolSculpt have released an applicator that can be used on the upper arms. We have seen good results with this applicator.  Every patient is different, so best to get a consult from a certified, experienced CoolSculpt office. It is a very nice non-surgical option, especially for those who cannot have post surgical downtime. We also do liposuction, and brachioplasty, (arm-lifts). There are benefits and downsides to each procedure. Best to see a board certified plastic surgeon who does these procedures and together you will make a plan that is right for you.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

CoolSculpting Not For Arms

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Thank you for your question. CoolSculpting is FDA-cleared for the flanks (love handles) and abdomen and is proven to be a safe and effective treatment. Unfortunately, at this time it is not cleared for use on the arms.

CoolSculpting on the arms

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Thank you for your question.

At this time, treating the arms would be off-label and physicians have found it difficult to fit the current applicators to the arm area (there is talk that Zeltiq is making a new applicator for the arm area).  The best way to know if to have an examination and see if you have excess tissue (not just skin) that would go into the applicator to get a good result.  Physical examination is the best way to go.

Best Wishes!

CoolSculpting by Zeltiq can treat the upper arms in some patients as an off-label use

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Although the company has not yet distributed applicators that are designed for the upper arms specifically, the small applicators currently used for the love handles and stomach can be used as an off-label indication for other parts of the body if the physician determines that it is appropriate. The arms however would have to have an excess of fat rather than just loose skin for it to work.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 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.