CoolSculpting

No matter how healthy we eat or how much we exercise, there always seems to be that one area of fat or a fat bulge that never seems to go away, making us feel self-conscious. CoolSculpting has become the most popular way to target these stubborn areas at the NYC dermatology office of Dr. Michele Green. CoolSculpting is a non-invasive, non-surgical fat reduction treatment that is FDA-approved for permanently removing stubborn fat bulges from various parts of the body. Common areas treated with CoolSculpting include the double chin, abdomen, love handles, inner and outer thighs, lower thighs, back and bra fat, banana roll, and upper arms. CoolSculpting uses cryolipolysis, a process that freezes fat cells, destroying them and resulting in up to a 25% reduction of unwanted fat cells in a treatment area during a single session.

Before CoolSculpting was FDA-approved, liposuction was the only cosmetic procedure available for removing excess fat. However, liposuction is an invasive procedure associated with significant risks and downtime. CoolSculpting for fat reduction has no downtime and provides impressive body contouring results. That’s why CoolSculpting has become one of the most popular cosmetic procedures at Dr. Michele Green’s private, boutique dermatology office in New York City. While CoolSculpting is not a weight loss device, it’s a game-changer for those with fat bulges that don’t respond to a healthy lifestyle and diet. Ideal candidates are at or near their target weight. During this fat-freezing procedure, specialized applicators deliver cold temperatures to the targeted area, destroying fat cells while leaving the surrounding skin unharmed. The fat cells destroyed by CoolSculpting are gradually eliminated through the body’s natural metabolic process. The final results, observed after approximately four months, are not just temporary changes but permanent, giving you the confidence of a slimmer, more contoured body.

CoolSculpting is most effective when you consult with an experienced healthcare professional, such as board-certified dermatologist Dr. Michele Green in New York City. Dr. Green was among the first providers in NYC to offer CoolSculpting for non-surgical fat reduction and has used it for over 14 years to achieve optimal body contouring results. An internationally recognized, board-certified cosmetic dermatologist, Dr. Michele Green has more than 25 years of experience in delivering advanced non-invasive cosmetic procedures and skin care, including CoolSculpting. She is often recognized as one of New York’s top physicians by Castle Connolly, Super Doctors, New York Magazine, and The New York Times for her dedication to her patients and her expertise. If you want more information about CoolSculpting, schedule a body sculpting consultation with Dr. Green, where she will work with you to create a personalized treatment plan that addresses your specific concerns and aesthetic goals.

What is CoolSculpting?

CoolSculpting is a popular non-surgical fat reduction treatment that uses cryolipolysis, or “fat freezing,” to permanently eliminate stubborn fat cells in specific areas of the body. It is the ideal choice for patients who are at or near their target weight and have pockets of fat that don’t respond to diet or exercise. The patented cooling technology delivers intense cold temperatures to targeted body areas, affecting only the fat cells while protecting the surrounding tissue and skin. The damaged fat cells are then naturally removed by the body over time, helping the skin stay tight in the treated area. A single CoolSculpting session can reduce stubborn fat by up to 25% in the treated areas. CoolSculpting effectively removes unwanted fat bulges from areas such as the upper arms, double chin, banana roll, abdomen, knees, and bra area.

CoolSculpting has revolutionized cosmetic dermatology. This non-surgical fat reduction method allows for the removal of unwanted fat from stubborn areas with minimal downtime and discomfort. Many patients opt for CoolSculpting over invasive procedures like liposuction, which can be painful, costly, associated with many side effects, and require lengthy recovery periods. CoolSculpting is non-invasive, does not require anesthesia, and results in zero downtime with few potential side effects. Dr. Michele Green was among the first cosmetic dermatologists in NYC to adopt CoolSculpting into her boutique practice over twelve years ago, providing her patients with the contoured look they desire.

What does CoolSculpting do?

CoolSculpting is a non-invasive cosmetic treatment that reduces stubborn fat by freezing fat cells in targeted areas through a process called cryolipolysis. It can effectively treat common problem areas, such as love handles, double chin, upper arms, abdomen, and inner and outer thighs, reducing unwanted fat bulges and contouring the body. Importantly, CoolSculpting is not a weight loss procedure; instead, it targets fat that does not respond to diet or exercise. Various applicators, available in different shapes and sizes, ensure a perfect fit for the targeted area. Most of these applicators use vacuum technology to target fat cells and deliver controlled cooling directly. Since fat cells freeze at a higher temperature than the skin and surrounding tissue, CoolSculpting technology selectively affects only the targeted fat cells. This treatment can permanently reduce up to 25% of fat cells in the treated area, helping to contour your body and achieve your aesthetic goals. It is a simple procedure with no downtime, allowing patients to return to their daily activities immediately.

How does CoolSculpting work?

There are two main types of fat in the body: visceral fat and subcutaneous fat. Visceral fat is the fat layer just beneath the skin, while visceral fat is stored deeper around internal organs, acting as a protective layer. Subcutaneous fat is the pinchable, more stubborn fat, whereas visceral fat is more hidden but necessary for protecting organs. Although visceral fat is essential, excess amounts can be harmful because it is metabolically active and releases substances that may lead to inflammation and insulin resistance, increasing the risk of type 2 diabetes, heart disease, and other health problems. To effectively reduce visceral fat, a combination of diet and exercise is necessary.

The CoolSculpting treatment targets stubborn subcutaneous fat that resists diet and exercise. It is an FDA-cleared cosmetic procedure designed for fat reduction and body shaping. It is not a weight loss device and not meant to treat obesity. The process works through cryolipolysis, using patented cooling technology to permanently destroy up to 25% of unwanted fat cells in the treated area. Cold is applied with specially designed CoolSculpting applicators, damaging fat cells while leaving surrounding tissues unharmed. This method is effective because fat cells freeze at higher temperatures than nearby tissue. The damage prompts an inflammatory response, and fat cells are eventually destroyed and removed by macrophages over two to three months. Full results typically appear about 90 days after treatment, though some initial improvements may be visible as early as 45 days.

Who is a good candidate for CoolSculpting treatment?

A suitable candidate for CoolSculpting treatment is an adult, either male or female, who is at least 18 years old, close to their ideal weight, and struggling with stubborn fat areas that don’t respond to diet and exercise. Candidates should also be in good physical and mental health and have realistic expectations about their results. CoolSculpting is not a weight-loss procedure; ideally, candidates should be within twenty pounds of their ideal body weight. Additionally, CoolSculpting should not be performed on pregnant or breastfeeding individuals. During your consultation with Dr. Green at her private dermatology office on Manhattan’s Upper East Side, she will physically evaluate the treatment area to see if you are a good candidate for this treatment, and you will receive the CoolSculpting applicators that will help achieve the best body contouring results. A consultation with Dr. Green will also give you the opportunity to explore other options available to reach your aesthetic goals.

What is the process for the CoolSculpting body contouring?

The first step in the CoolSculpting procedure is to consult with Dr. Green at her private dermatology office in NYC. During this initial consultation, Dr. Green will review your medical history, physically examine the fat bulges to identify treatment areas, and select the most suitable applicators for your body contouring needs. The type and number of recommended applicators will be explained, and an appointment for the treatment will be scheduled. When you arrive for your CoolSculpting session, pretreatment photographs will be taken before placing the gel pad and applicator on the targeted area. The length of your CoolSculpting session depends on the size and number of areas being treated. Longer sessions can be divided over several days or scheduled for a single day.

During the first 5 to 10 minutes of treatment, it’s common to feel tugging, pulling, pinching, or intense cold in the treatment area. The cold temperature effectively numbs the targeted area, making the rest of the CoolSculpting procedure quite comfortable. Depending on the applicator used, treatment typically lasts between 35 and 75 minutes. During the procedure, you can read, listen to music, or take a nap. While everything necessary will be provided, feel free to bring additional comforts of home, such as movies, pillows, or reading material. Once the applicator is removed, the trained healthcare professional performing your CoolSculpting will give a two-minute massage to help further break down the treated fat cells. No downtime is required because this fat-freezing procedure is completely non-invasive. This allows you to return to your normal activities immediately afterward. Common side effects may include temporary redness, tingling, cramping, numbness, itching, tenderness, and bruising, which usually resolve within a few weeks.

Results from a CoolSculpting treatment typically become visible after about 90 days, with patients experiencing up to a 25% reduction in fat cells in the treated area. Dr. Green often invites her patients to return for a follow-up at this time to take after photos and assess whether additional treatment is needed. The fat reduction is permanent, provided no additional weight is gained afterward. If a second CoolSculpting session is necessary for optimal results, it is recommended to schedule it 1-4 months after the initial treatment.

Which areas of the body is CoolSculpting used for Body Contouring?

• Submental area (“double chin”)
• Abdomen
• Flanks (love handles)
• Inner, outer, and distal thighs
• Back and bra fat
• Buttock (banana roll)
• Male breast tissue (gynecomastia)
• Upper arms

The Main CoolSculpting Applicators:

The office of Dr. Michele Green has the latest CoolSculpting applicators, including:

• CoolMini
• CoolAdvantage
• CoolFit
• CoolCurve
• CoolSmooth
• CoolCore
• CoolAdvantage Plus

Each CoolSculpting applicator is uniquely designed for fat removal in a different body area. Some applicators are larger and designed with suction, while others are smooth and do not have suction.

Before & After Treatment in neck area with CoolMini After one treatment (4 months)

CoolMini™

The CoolMini is a small applicator designed to fit the size, shape, and curvature needed to treat small fat bulges that can develop in the submental area, above the knee, and in the bra region. The treatment with the CoolMini takes only 45 minutes. Even with a healthy diet and regular exercise, the double chin can be stubborn fat, often due to genetics. One to two CoolMini applications may be required to treat the submental area. Several months after treatment, if a small amount of fat remains in the submental area, Kybella injections can be used to further reduce the fat and improve the jawline.

CoolAdvantage™

The CoolAdvantage applicator completes in 35 minutes, making it faster than the original one-hour treatment. It is one of the most versatile applicators, offering three different types: CoolFit, CoolCurve, and CoolCore. The CoolAdvantage can be enhanced with one of three attachment heads to target fat cells more effectively. It covers a larger surface area at a lower temperature and provides a quicker treatment. It is suitable for various body areas, including the abdomen, flanks, love handles, waist, hips, banana roll, upper arms, and inner thighs.

CoolFit™

The CoolFit applicator targets the inner thighs and upper arms. Each area takes 35 minutes to treat. The CoolFit applicator is completely painless with no recovery time required. After four months, you’ll see the full cosmetic results of your treatment. For larger fat deposits on the upper arms or inner thighs, repeating treatment with CoolSculpting is recommended after one month.

CoolCore™

The CoolCore treats and targets the flanks and love handles. This curved applicator requires 35 minutes to treat each area. Many patients have CoolSculpting on both the flanks and abdomen in a single session. The CoolCore applicator is often used in a “diamond-shaped” pattern to address multiple fat bulges in the abdominal area. It can also treat bra fat.

CoolCurve™

The CoolCurve closely resembles the CoolCore applicator but features a larger curve. It targets love handles or flanks to create an “hourglass” shape. Each session lasts 35 minutes.

CoolAdvantage Plus™

The CoolAdvantage Plus applicator takes 45 minutes and mainly targets a large abdominal area. It is larger than the CoolAdvantage, making it ideal for treating bigger fat pockets on the abdomen. Many patients need two CoolSculpting treatments to address a large fat pocket in the lower abdomen. Repeating CoolSculpting in the same area is possible one month after the first treatment.

CoolSmooth™

The CoolSmooth™ is a unique applicator designed for treating the outer thighs and abdomen. Each thigh requires 75 minutes, and the CoolSmooth applicator does not use suction. For optimal results, a larger treatment area with more significant fat bulges usually needs two CoolSculpting sessions.

CoolPetite™

The CoolPetite takes 35 minutes and is used for small areas where the CoolAdvantage applicator doesn’t fit. It can be used on small areas such as back fat, flanks, stomach, inner knees, and a small banana roll.

CoolSculpting patient, lower abdomen, 10 months post treatment

Areas for CoolSculpting treatment:

The arms:

CoolSculpting effectively reduces fat on the upper arms. The CoolFit attachment easily targets fat in this area. Patients typically need at least one applicator per side, with treatment for both sides lasting about 75 minutes. After the procedure, patients can immediately resume daily activities and will see results within two to three months. Many people with unwanted fat in the upper arms also experience skin laxity. Loose skin combined with stubborn fat can cause self-consciousness for many. To achieve firmer, leaner upper arms, many of Dr. Green’s patients use both CoolSculpting and Thermage as part of their body contouring plans. Thermage uses radiofrequency energy to boost collagen production in the skin. As collagen increases, the skin tightens and firms up, resulting in smooth skin in the treated area. Thermage offers long-lasting results, with many patients enjoying tighter skin for up to two years. To maintain these results, patients often schedule yearly maintenance sessions.

Bra fat:

Stubborn fat around the bra area often shows up under the arms, making people self-conscious when wearing a bra or a fitted T-shirt. CoolSculpting treatment removes these fat pockets without any downtime. Unwanted fat removal in the bra area is one of the most popular CoolSculpting treatments at Dr. Green’s dermatology office in New York. Whether caused by genetics, hormones, metabolism, or lack of exercise, CoolSculpting effectively targets the stubborn fat cells in this area. Dr. Green may use the CoolMini, CoolPetite, or CoolAdvantage applicator to target bra and back fat. An in-person CoolSculpting consultation is necessary to determine which applicator will best meet your needs for fat reduction. In addition to CoolSculpting, when Dr. Green assesses the area, she may suggest Kybella as an effective treatment option to be used alongside CoolSculpting.

Inner and Outer Thighs:

CoolSculpting works well on multiple body areas, including the inner and outer thighs. The CoolFit and CoolSmooth applicators are designed to treat these areas without requiring downtime. The CoolFit applicator for the inner thighs takes 35 minutes per side, while the CoolSmooth applicator for the outer thighs needs 75 minutes per side. If you have a larger fat bump on either the inner or outer thighs, Dr. Green suggests repeating the CoolSculpting session in one month for better results.

Submental (chin fat):

CoolSculpting effectively reduces stubborn fat in the submental area, commonly known as the double chin. The appearance of a double chin is often genetic, making it difficult to eliminate through exercise and a healthy diet. Dr. Green uses the CoolMini applicator to treat the double chin, which is ideal for smaller treatment areas. With a series of two 45-minute CoolSculpting sessions, up to 40% of the submental fat in the region can be removed. Dr. Green often combines CoolSculpting and Kybella to address submental fat. After CoolSculpting reduces the fat, she administers Kybella injections to target any remaining fat, helping patients achieve the contoured jawline they want.

Stomach fat:

CoolSculpting is FDA-approved for use on the abdomen to freeze away stubborn fat pockets and aid in full-body contouring. When applied to the stomach, CoolSculpting can decrease fat bulges by up to 25% with each session. To target the stomach, Dr. Green often uses CoolAdvantage Plus to address a muffin top or CoolCore to form a “diamond shape” along the abdomen. Some patients might also benefit from CoolSmooth for more diffuse fat across the area. Treatment durations will vary based on the number and type of applicators recommended for each patient.

Is CoolSculpting FDA-approved?

Yes! The U.S. Food and Drug Administration (FDA) approved CoolSculpting in 2010 to target fat bulges on the flanks (love handles). In 2012, the FDA approved CoolSculpting for use on the abdomen. ZELTIQ Aesthetics, acquired by Allergan, has since introduced newer applicators designed for other body areas. Currently, the FDA has approved CoolSculpting for nine body regions, including under the double chin, upper arms, back fat, bra fat, love handles, abdomen, thighs (inner, outer, and distal), and under the buttocks (banana roll).

How long does it take to see CoolSculpting results?

The results of CoolSculpting typically become visible after 90 days from the initial treatment. While the treatment begins immediately as the CoolSculpting applicator starts to freeze fat cells, it takes your body a few months to naturally eliminate these dead cells through its lymphatic system. Patients might notice a reduction in fat as early as six to eight weeks after the procedure, with the most noticeable results often appearing between two and three months. However, your body will continue to break down fat cells for up to six months following the treatment. Dr. Green generally recommends a follow-up visit around 3 months later to evaluate the area and determine whether another session might be necessary to achieve your desired look.

What are the side effects of CoolSculpting?

CoolSculpting is a safe and effective treatment that reduces excess fat at the treatment site through a process called cryolipolysis. Most side effects associated with CoolSculpting are mild and typically resolve on their own within 5-10 days. These side effects include numbness, swelling, firmness, tingling, redness, bruising, stinging, and soreness. Immediately after the treatment, patients may experience some discomfort as the skin is “thawed” following the procedure; this discomfort usually subsides within a few hours. Patients with a history of cold agglutinin disease and cryoglobulinemia should not undergo CoolSculpting. In very rare cases, there is a risk of developing paradoxical adipose hyperplasia (PAH), a condition where fat tissue unexpectedly increases in the treatment area after the procedure. PAH gained public attention when model Linda Evangelista experienced the condition and recently settled her case against CoolSculpting. While the exact mechanism behind PAH is not fully understood, fewer than 1% of all patients who undergo CoolSculpting will experience paradoxical adipose hyperplasia.

Does CoolSculpting really work?

Yes! CoolSculpting permanently reduces up to 25% of unwanted fat cells in the treated area in a single session. Repeating the procedure on the same area can lead to a 40% decrease in fat cell count. As a non-surgical fat reduction method, CoolSculpting uses cryolipolysis to target stubborn fat. The cold destroys fat cells, which are then naturally excreted by the body, without harming the surrounding skin and tissue. The FDA cleared this cosmetic procedure in 2010, and it can target fat pockets in areas like the upper arms, abdomen, double chin, bra area, back, love handles, inner and outer thighs, and knees. For best results, it’s recommended to consult with an experienced healthcare professional, such as board-certified dermatologist Dr. Michele Green in New York City. Dr. Green was among the first to offer CoolSculpting for non-surgical fat reduction and has used it for over 14 years to achieve ideal body contouring results.

How much does CoolSculpting cost?

The total cost of CoolSculpting treatment varies depending on the patient. Factors that influence the price include the number of treatment areas, the number of applicators needed, and the sessions required to reach your body contouring goals. Treating multiple areas requires more applicators to target different fat pockets, and larger applicators typically cost more than smaller ones. For the best results, Dr. Green might recommend repeating a CoolSculpting session in a specific area 4 to 12 weeks after the initial treatment. Additionally, the cost of cosmetic procedures like CoolSculpting can differ by location. For example, prices in New York City may be different from those in Los Angeles. During your body contouring consultation with Dr. Green at her private dermatology office in NYC, she will work with you to develop a personalized treatment plan. At this consultation, the final cost of your CoolSculpting treatment will be determined.

CoolSculpting vs. Liposuction

CoolSculpting and liposuction are two distinct fat reduction methods. Liposuction is an invasive surgical procedure performed by a plastic surgeon. It can be costly and painful, requiring significant downtime and carrying many potential side effects. In contrast, CoolSculpting is a non-surgical fat reduction treatment that utilizes cryolipolysis, a fat-freezing technology. It is the first non-surgical cosmetic procedure to receive FDA approval for permanently removing fat pockets. With CoolSculpting, there is no downtime, minimal discomfort, and few side effects. While liposuction results are often visible quickly, it involves a lengthy recovery and can sometimes cause loose skin in the treated area. Conversely, CoolSculpting results emerge over several months without downtime, incisions, pain, anesthesia, or risk of loose skin. For this reason, many patients prefer CoolSculpting over liposuction, as it can be performed during a lunch break on nearly any area of the body.

Sono Bello Plastic Surgery vs. CoolSculpting

Sono Bello is a cosmetic company that offers cosmetic surgery, including liposuction. The most popular procedure at Sono Bello is the TriSculpt. TriSculpt combines tumescent liposuction, power-assisted liposuction (PAL), and laser liposuction to remove fat and potentially tighten skin. While TriSculpt is less invasive than other liposuction techniques, it still requires some downtime, incisions, and may result in loose skin. Although liposuction can remove a substantial amount of fat from a specific area, it can also be costly and uncomfortable. In contrast, CoolSculpting is a non-invasive treatment that permanently reduces fat pockets with no downtime, minimal discomfort, and few side effects. Many patients prefer CoolSculpting’s gradual approach, which reduces fat over time and lowers the risk of loose skin.

EMSculpt vs. CoolSculpting

EMsculpt is a non-invasive body contouring procedure that uses high-intensity focused electromagnetic (HIFEM) technology to build muscle and reduce fat. It is often used on the abdomen, buttocks, and arms to improve muscle tone and eliminate fat. EMSculpt requires multiple treatments, along with maintenance sessions, to maintain a consistently toned appearance. CoolSculpting specifically targets stubborn fat pockets and can be applied to nine different body areas, including the submental region and bra fat, which EMSculpt cannot treat. Many patients see their desired results after just one or two CoolSculpting sessions, and these results are often permanent. The best treatment depends on the areas of fat and the patient’s aesthetic goals. Because of its versatility and permanent results, many patients prefer CoolSculpting.

CoolSculpting Frequently Asked Questions (FAQs)

Is CoolSculpting safe?

CoolSculpting is an FDA-approved cosmetic procedure that safely and effectively removes stubborn fat in nine different areas through cryolipolysis. FDA approval indicates that the treatment has successfully passed multiple clinical trials demonstrating its safety and effectiveness. The risks associated with CoolSculpting are very low, with common mild side effects such as redness in the treated area, bruising, slight swelling, and temporary soreness, all of which resolve on their own. Some residual numbness in the treated area can last for several weeks afterward, which is normal. To ensure safety and optimal results, it is best to have CoolSculpting performed by an experienced healthcare professional, like Dr. Michele Green. When consulting with Dr. Green about your treatment, she will review your medical history and examine the treatment area before creating a personalized plan to achieve the best results for you.

Does CoolSculpting hurt?

The CoolSculpting procedure is not painful. However, some discomfort may occur during the first five minutes until the skin is “frozen.” Once the area is “frozen,” there is no discomfort for the rest of the treatment. Most patients watch a movie, work on their laptops, or take a nap during the procedure. Immediately afterward, there may be temporary discomfort and tenderness when the applicator is removed as the treatment area “thaws.” Rarely, lingering numbness may occur in the treatment area, but it typically resolves within a few weeks.

How long does swelling last after CoolSculpting?

Swelling after CoolSculpting usually lasts 2-3 weeks, but the length of time can vary based on factors like the number of treatments, the area treated, the size of the treatment zone, and individual sensitivity. Results are generally visible after 90 days, with a more noticeable reduction in the treated area.

Does CoolSculpting get rid of cellulite?

CoolSculpting primarily aims to reduce excess fat cells but does not specifically target cellulite. Cellulite is characterized by dimpled, lumpy skin and occurs when fibrous bands in the skin thicken, while fat builds up, creating tension between the skin and underlying muscle. As these bands tighten, they pull the skin downward, resulting in fat bulges and a dimpled appearance. Additionally, age-related collagen loss causes skin laxity, making cellulite more noticeable. Although cellulite cannot be completely eliminated, its appearance can be reduced with Thermage FLX treatment. Thermage is a skin-tightening procedure that uses radiofrequency energy to stimulate new collagen production and remodel existing collagen in the dermis. By promoting collagen growth, Thermage can restore lost collagen in targeted areas, resulting in tighter, smoother skin and a diminished look of cellulite. If you’re unsure whether you’re a good candidate for cellulite treatments, it’s best to schedule a consultation with Dr. Green at her NYC Upper East Side dermatology office.

Does CoolSculpting tighten skin?

CoolSculpting is a non-surgical cosmetic procedure that reduces fat but does not tighten skin. Because fat is gradually removed, it does not cause loose skin like liposuction does. After the procedure, the destroyed fat cells are naturally eliminated through the lymphatic system. This process takes months, unlike liposuction, which offers immediate fat reduction and may result in noticeable skin laxity as a side effect.

Skin laxity naturally occurs with age as our body’s rate of collagen production gradually decreases. If you’re worried about skin laxity, several non-invasive cosmetic procedures can help. Thermage is a non-invasive skin-tightening treatment that uses radiofrequency (RF) technology to heat the deeper skin layers. This heat boosts collagen production, leading to firmer, tighter, and smoother skin with no downtime. The technology can treat skin laxity on the face, neck, arms, knees, thighs, abdomen, chest, and buttocks. The Thermage FLX is the newest version of skin-tightening treatments, featuring a larger handpiece for faster procedures and advanced technology for more precise results. Many patients combine Thermage FLX with CoolSculpting for the best body contouring results.

How long does CoolSculpting take?

The duration of CoolSculpting treatment sessions varies depending on the type and number of applicators used. Treatment times generally range from 35 to 75 minutes per applicator, plus additional time for marking the treatment area, preparing the skin and equipment, and performing a two-minute massage afterward. Patients opting to treat multiple fat areas in one session can expect to spend more time in the office than those treating just one area. For example, many patients undergo CoolSculpting for their double chin and upper arms or their abdomen and love handles during the same appointment. CoolSculpting is very popular because it involves no downtime, allowing you to return to work, go to the gym, or resume daily activities immediately after treatment. Its convenience means you can tailor your treatment plan to fit your busy schedule. Since CoolSculpting is simple and painless, many patients use this time to read a book, watch a movie, catch up on work, or take a nap during the session. When you consult with Dr. Green at her private dermatology office on Manhattan’s Upper East Side, she works with you to create a personalized CoolSculpting plan. The length of your treatment will be reviewed during your initial consultation.

How long does CoolSculpting last?

The body contouring effects of CoolSculpting are permanent as long as no weight is gained after treatment. One session can reduce fat cells in the targeted area by up to 25%, and some patients choose to repeat their treatment for an additional 15% fat reduction. However, repeating CoolSculpting in the same area isn’t necessary if you maintain a healthy weight and live a healthy lifestyle, including regular exercise and a nutritious diet.

How fast does CoolSculpting work?

The initial body contouring results from CoolSculpting become visible about one month after the fat-freezing procedure, with full results developing over three to four months. It is recommended to wait at least one month between CoolSculpting sessions in the same area. Dr. Green often has her patients follow up with her after the final results are visible to determine if additional sessions are needed to achieve their aesthetic goals.

How many CoolSculpting treatment sessions do I need?

CoolSculpting is a non-surgical fat reduction treatment that can eliminate up to 25% of stubborn fat cells in a treated area during one session. Many patients achieve their desired body contouring results after just one treatment and maintain those results through healthy lifestyle choices. Some patients choose to repeat the CoolSculpting procedure in the same area to reduce fat by up to 40%. The total number of sessions needed depends on the initial amount of unwanted fat and an individual’s overall body goals. When you consult with Dr. Green at her boutique dermatology office in NYC, she will evaluate the treatment area to help determine how many CoolSculpting sessions you may need for optimal results and plan a follow-up session to see if any additional CoolSculpting treatment is necessary.

How long does it take for CoolSculpting to work?

CoolSculpting instantly begins working during the treatment as fat cells are frozen at the start; however, noticeable results develop gradually over two to four months. The freezing process destroys fat cells immediately, but it takes time for your body’s natural lymphatic system to remove the treated cells. While CoolSculpting provides long-lasting results, it’s important to remember that the process is slow and not immediate, with full results usually seen after 120 days.

What is PAH from CoolSculpting?

Paradoxical adipose hyperplasia (PAH) is a rare side effect of CoolSculpting that causes fat cells to grow instead of shrinking. Usually, PAH appears about three to six months after the procedure as a firm, bulging area at the treatment site. Although the exact cause of PAH is not fully understood, studies indicate that the risk of developing PAH after CoolSculpting is low, affecting approximately 0.05-0.39% of patients. If PAH occurs, liposuction can be used to reverse it. Liposuction is a surgical fat removal procedure performed by a plastic surgeon to extract the excess fat tissue.

Can I combine CoolSculpting with other cosmetic procedures?

Yes! One of the benefits of CoolSculpting is that there’s no downtime, making it easy to combine with other cosmetic procedures. Two of the most popular treatments used alongside CoolSculpting at Dr. Green’s private dermatology office are Kybella and Thermage. Dr. Green often combines CoolSculpting and Kybella to target specific fat areas and achieve optimal body contouring results. After the CoolSculpting procedure has removed most of the excess fat, Dr. Green frequently uses Kybella injections to eliminate any remaining fat precisely. Kybella is an FDA-approved cosmetic injection designed to reduce fat in the treated area, improve the contour of the jawline and neck, and enhance the overall appearance of the submental region. Made of a synthetic form of deoxycholic acid, Kybella mimics a naturally occurring body substance that helps break down dietary fat. Once injected, Kybella permanently destroys the targeted fat cells in the treatment area. To achieve the best overall cosmetic outcome, patients typically need two to four treatment sessions, each spaced about one month apart.

Many patients who experience pockets of fat also face loose, sagging skin. The new Thermage FLX is an innovative treatment for collagen regeneration that uses advanced radiofrequency (RF) technology to reverse visible signs of aging, including loose skin, on the face, jowls, neck, abdomen, arms, and legs. This treatment uses radiofrequency energy to stimulate the production of new collagen, a protein that provides the skin with a firm foundation and a youthful look. Thermage FLX features the same cutting-edge technology as previous Thermage lasers, along with significant improvements across various treatment aspects. Thermage FLX is among the most popular non-invasive skin-tightening laser treatments at Dr. Michele Green’s NYC office. People looking to improve skin laxity without invasive plastic surgery can rely on Thermage. Like CoolSculpting, Thermage requires no downtime. When you consult with Dr. Green, she will work with you to create a personalized treatment plan that includes the non-invasive cosmetic procedures best suited to your specific concerns and goals.

Can you do CoolSculpting at home?

No. Attempting to do CoolSculpting at home is not recommended. Using ice or frozen materials on stubborn fat areas won’t remove fat, as cold only affects the skin and fat cells; it may just freeze your skin, which is neither effective nor safe. Serious side effects like frostbite and permanent skin and tissue damage can happen if people try to do CoolSculpting themselves. Cryolipolysis should only be performed with FDA-approved CoolSculpting devices by trained and licensed professionals to ensure safety and proper results. For the best outcomes, a qualified healthcare professional, such as Dr. Green in NYC, should perform the procedure. Dr. Green was among the first dermatologists in New York to offer CoolSculpting, using it for over a decade to help patients achieve their ideal body contours.

Are CoolSculpting results permanent?

Yes! The final cosmetic results from CoolSculpting are permanent as long as a patient does not gain weight after their treatment. If you gain weight afterward, the fat cells in the treated area will enlarge, and new fat cells may develop, which can undo the benefits of your CoolSculpting procedure. Maintaining a healthy lifestyle is essential for preserving the body contouring results of CoolSculpting.

Is CoolSculpting painful?

CoolSculpting is a non-invasive procedure that causes minimal discomfort and requires no downtime. During treatment, as the applicator begins to deliver cold temperatures to the treatment area, patients may feel discomfort until the area cools sufficiently. In the first 5-10 minutes, they might experience tugging, pinching, or intense cold. After this initial phase, the treatment area becomes numb for the rest of the procedure. Once the applicator is removed and the area starts to warm up, patients may notice side effects like residual numbness or tenderness, which usually resolve on their own over the next few days.

Do you lose weight with CoolSculpting?

CoolSculpting treatment is not designed for weight loss. It is a non-surgical fat reduction method that can remove up to 25% of the stubborn fat cells in the targeted area. Although it doesn’t promote weight loss, it can lead to a reduction in inches from the treated area.

Does insurance, Medicare, or FSA cover CoolSculpting?

No. Typically, health insurance companies do not cover cosmetic procedures like CoolSculpting. Although safe and effective, this treatment is considered cosmetic rather than a medical procedure. Therefore, medical insurance companies will not pay for it. The best way to find out about your coverage for different procedures is to contact your insurance provider.

Do celebrities get CoolSculpting?

Yes! Many celebrities have openly embraced CoolSculpting, including Khloe Kardashian, Jennifer Aniston, and Gwyneth Paltrow. They have enjoyed targeting specific pockets of fat that haven’t responded to diet and exercise, helping them achieve their desired body shape with ease. Celebrities value the convenience and minimal downtime that come with CoolSculpting. They also appreciate the stunning results that can be achieved without invasive plastic surgery.

Is CoolSculpting effective?

CoolSculpting is a safe and effective cosmetic procedure for non-surgical fat reduction that received FDA approval in 2010. This approval indicates that numerous clinical trials were conducted to verify its safety and effectiveness. Clinical studies have shown that CoolSculpting can eliminate up to 25% of fat cells in the treated area. While it helps reduce stubborn fat bulges, CoolSculpting is not designed for weight loss. The results of body contouring are permanent as long as there is no additional weight gain after the treatment. Maintaining a healthy and active lifestyle is essential. If you gain weight, the remaining fat cells in the treated area may expand, diminishing the benefits of your CoolSculpting treatment. Some patients opt for multiple treatments to improve their results.

Where can I get CoolSculpting?

The office of Dr. Michele Green is one of the premier dermatology offices in NYC for CoolSculpting treatment. CoolSculpting is an international brand and procedure available in many countries worldwide, approved by numerous international regulatory agencies. While the treatment was first approved by the FDA in 2010, it has since been approved for use in several countries across North and South America, as well as in Europe and Asia. Choosing a reputable, experienced provider for your CoolSculpting treatment is essential to minimize risks. It is recommended to consult with a board-certified dermatologist, like Dr. Michele Green in New York City, before starting treatment to ensure the safest and most effective results.

How can I get started with CoolSculpting today?

Thanks to CoolSculpting, removing stubborn fat bulges has never been simpler. This non-surgical fat reduction procedure uses cryolipolysis to permanently eliminate up to 25% of fat cells in the treated area, with minimal discomfort and no downtime. If you struggle with unwanted fat in common problem areas like the double chin, abdomen, love handles, inner thighs, outer thighs, distal thighs, back, bra fat, the banana roll, or upper arms, CoolSculpting could be the ideal non-surgical body contouring option for you. At her private dermatology practice in Manhattan’s Upper East Side, Dr. Green has used CoolSculpting for over ten years to help her patients achieve optimal body contouring results.

Dr. Michele Green is an internationally renowned expert in cosmetic dermatology, with over two and a half decades of experience offering the latest non-invasive cosmetic procedures, including non-surgical fat reduction and body contouring treatments such as CoolSculpting. She is consistently recognized as one of New York City’s top dermatologists by Castle Connolly, Super Doctors, and New York Magazine for her dedication to her patients and her expertise. When you consult with Dr. Green for your non-surgical fat reduction, she will work with you to develop a fully customized treatment plan that best addresses your specific concerns and desired body contours. If you are interested in non-surgical fat reduction and want to learn more about CoolSculpting in NYC, contact us online or at 212-535-3088 to schedule a consultation with Dr. Green.