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Despite our best efforts to maintain a healthy diet and exercise daily, stubborn fat deposits remain behind. Common problem areas include the “double chin,” love handles, abdomen, and inner and outer thighs. These stubborn fats can negatively impact your self-esteem and may even prevent you from wearing your favorite swimsuit. Luckily, there is a revolutionary, non-invasive procedure, CoolSculpting treatment, that reduces fat cells without surgery. This easy, painless, and quick procedure is the most popular non-invasive fat reduction and body sculpting treatment in New York City and Los Angeles, and for a good reason. Before the FDA approval for noninvasive fat reduction devices like CoolSculpting, the only method available aside from lifestyle changes was liposuction, which can be painful, risky, and require a lot of downtime. CoolSculpting allows us to eliminate stubborn fat without undergoing invasive and painful surgical procedures with considerable risk and downtime.

Dr. Michele Green is an award-winning cosmetic dermatologist and has helped thousands of patients achieve their body contouring goals in her private New York City office. As a leading provider of CoolSculpting®, Dr. Green has repeatedly been voted one of the best CoolSculpting providers in NYC. She has been a leader in the field of cosmetic dermatology and non-invasive cosmetic procedures for over 25 years and has the expertise to provide you with outstanding results. Dr. Green was one of the first dermatologists to provide CoolSculpting in the Upper East Side of Manhattan. She has successfully treated patients with this unique technology for over a dozen years.

Whether it be fat bulges on your abdomen, love handles, bra fat, neck, arms, or inner and outer thighs, CoolSculpting has a unique applicator that is especially adapted for each area and treatment plan. The CoolSculpting procedure is not a weight loss device. Coolsculpting is a unique body contouring procedure with no recovery time or discomfort and can permanently remove a fat bulge by 25% in just one 35-minute treatment. Dr. Green has been voted as one of the best dermatologists in NYC by Castle Connolly, The New York Times, and New York Magazine. If you are looking for the best non-invasive permanent body contouring, Coolsculpting through cryolipolysis may be the best procedure for you.

What is CoolSculpting?

CoolSculpting is a popular noninvasive fat reduction treatment that utilizes cryolipolysis, or “fat freezing,” to permanently destroy stubborn fat cells in a targeted body area. CoolSculpting uses patented cooling technology to deliver controlled cooling to specific areas of the body, affecting only the fat cells and ensuring no harm occurs to the surrounding tissue or the skin. A single CoolSculpting treatment will result in a 25% reduction of stubborn fat in the treated areas.

Who is a good candidate for CoolSculpting treatment?

The best candidate for CoolSculpting is a healthy adult at their ideal weight who is struggling with stubborn fat bulges that will not resolve with diet and exercise. CoolSculpting was first designed to treat abdominal fat but has since evolved to treat other areas of the body, such as flanks, double chin (submental fat), arms, bra fat, and inner and outer thighs. CoolSculpting allows the destroyed fat cells to be gradually metabolized and excreted through the lymphatic system. Because the fat removal process is a gradual one, there is no risk of skin laxity with CoolSculpting as there is with liposuction.

How does CoolSculpting work?

CoolSculpting is an FDA-approved treatment designed for fat reduction in stubborn problem areas for healthy patients. CoolSculpting is not a weight loss device or a treatment for obesity or being overweight. The ideal candidate for CoolSculpting is a patient who has reached their targeted ideal weight but still has specific bulges which need treatment. It is not a weight loss device. CoolSculpting reduces the fat cells in any treatment area by 25 percent without any side effects. This fat-freezing process was initially designed to treat the abdominal area but has since extended its use to treat multiple areas of the body. Some of the most common areas of treatment of unwanted fat are the submental area (double chin), love handles, upper arms, inner thighs, outer thighs, bra fat, flanks, back, and abdominal areas.

CoolSculpting uses patented cooling technology to deliver targeted and controlled cooling to specific areas of your body, affecting only fat cells and ensuring no harm occurs to any surrounding tissue or cells. Fat cells freeze at higher temperatures than the surrounding tissue. Known as cryolipolysis, this process causes the fat bulges to be “frozen” and the body to excrete these fat cells through its natural metabolic process. CoolSculpting causes these fat cells to be slowly metabolized by the lymphatic system, and for this reason, there is no increased skin laxity associated with this treatment. The ultimate cosmetic results are a leaner, tighter body, known as non-invasive CoolSculpting body contouring.

CoolSculpting has revolutionized cosmetic dermatology through this amazing non-invasive fat-freezing technology and its non-surgical body fat removal. The CoolSculpting solution offers numerous advantages over conventional plastic surgery, such as liposuction, as it requires no needles or incisions. Because the treatments are gentle and entirely non-invasive, no anesthesia is needed, which means zero downtime or recovery. It also means that your CoolSculpting treatment does not carry the risks or side effects that are commonly associated with surgical procedures. Dr. Michele Green was one of the first cosmetic dermatologists in NYC to incorporate CoolSculpting in her boutique New York practice more than ten years ago and has produced outstanding cosmetic results ever since.

What does CoolSculpting treatment do?

CoolSculpting is a noninvasive cosmetic treatment that works to reduce stubborn fat by freezing away fat cells in targeted areas through a process called cryolipolysis. CoolSculpting can treat common stubborn areas like the love handles, double chin, arms, abdomen, and inner and outer thighs to reduce the bulging appearance and contour the body. It is important to note that CoolSculpting is not a weight loss procedure, but it will decrease the appearance of fat bulges. The vacuum applicator can deliver controlled cooling to the fat cells. Because fat cells freeze at a higher temperature than the skin and surrounding tissue, CoolSculpting technology only affects the targeted fat cells. This treatment permanently reduces up to 25% of fat cells in the treated area to contour your body and meet your aesthetic goals. It is a quick, easy, and painless treatment that is a perfect “lunchtime” procedure for those with busy lives.

What is the consultation for CoolSculpting like?

Once you call and schedule your consultation with Dr. Michele Green in her New York City office, she will discuss the unique cooling technology behind CoolSculpting with you. During your consultation, pre-treatment photographs of the desired treatment areas will be taken to track your progress. An honest, thorough assessment will be made, and a treatment plan will be discussed with you at length. A copy of your treatment plan will be given to you with both the time needed for each treatment area and the corresponding cost. You can then schedule your CoolSculpting procedure to have the fat removal done at a time that is comfortable for you, and you can return home to work or the gym, directly after your treatment, with no recovery time.

DM Before and After Coolsculpting CoolAdvantage CoolCurve Front MGWatermark 1

Male CoolSculpting treatment on body

How long does CoolSculpting take?

The duration of CoolSculpting sessions varies depending on the type and number of applicators used. The treatment times range from 35 to 75 minutes per applicator, with the additional time needed for marking the area, preparing the treatment site, and the two-minute massage that is performed afterward. You can also choose to treat all areas in one visit, like the chin and abdomen, or you can treat one area at a time. CoolSculpting is popular because it requires zero downtime, meaning you can return to work or the gym immediately after your treatment. The accessibility of this treatment allows you to tailor your CoolSculpting treatment sessions to coincide with your busy schedule. Because CoolSculpting is easy and painless, many patients read a book, watch a movie, catch up on work, or take a nap during the treatment session.

Does CoolSculpting work?

Yes! CoolSculpting is a very effective fat-reduction method and has become the gold standard for non-invasive body contouring. CoolSculpting is a nonsurgical method of treating fat cells beneath the skin and has been used since it was FDA-cleared in 2010 throughout the world. Since 2010, the total number of CoolSculpting treatments has increased by 823 percent. Due to the clinical efficacy of cryolipolysis or fat freezing, the treated fat cells in a given area decrease by 25 percent. Repeat treatment of the same area shows even greater results with up to a 40 percent decrease in fat cells. Within weeks of treatment, dead fat cells are excreted from the body, and the amazing CoolSculpting results can be fully realized after four months. Since its first introduction in 2010, the number of applicators and areas of treatments has increased to treat stubborn fat, from the abdomen and flanks to bra fat, knees, neck, arms, and inner and outer thighs. To realize the best cosmetic results from your CoolSculpting treatment, it is important to consult an expert in CoolSculpting, like Dr. Michele Green in NYC. Dr. Green has been treating patients with CoolSculpting, in her private New York office since CoolSculpting was first introduced.

Are there contraindications to CoolSculpting?

CoolSculpting treatment is not for everyone. CoolSculpting is a safe FDA-cleared treatment to reduce stubborn fat bulges. You should not have the CoolSculpting procedure if you suffer from cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria. If you are pregnant or breastfeeding, you are also not a candidate for CoolSculpting. If you have a history of hernias, recent surgery, and scars in the desired treatment area, it is best to avoid CoolSculpting.

Is CoolSculpting FDA-approved?

Yes! The U.S. Food and Drug Administration (FDA) first approved CoolSculpting in 2010 to treat fat bulges on the flanks (love handles). In 2012, the FDA approved CoolSculpting for the abdomen. ZELTIQ Aesthetics, now acquired by Allergan, introduced newer applicators catered to other areas of the body, and a new model to treat the thighs was FDA-approved in 2015. Currently, CoolSculpting is approved by the FDA for nine areas of the body. This includes under the chin, under the jawline, upper arms, back fat, bra fat, flanks (love handles), abdomen, thighs (inner, outer, and distal), and under the buttocks (banana roll).

What to do after CoolSculpting

There are no particular instructions after CoolSculpting, except continuing and maintaining a healthy and active lifestyle. Although CoolSculpting permanently removes up to 25% of fat cells in the treated area, the results will not be maintained if there is significant weight gain after the treatment. The body eliminates the fat cells gradually for up to 6 months after the treatment, so you will not see immediate, dramatic results. You can resume your daily activities, such as working and exercising. Some people may experience minor tenderness in the treated area, similar to muscle soreness after working out, but you can resume normal activities immediately after treatment.

Which areas of the body does CoolSculpting treat?

  • Submental area (“double chin”)
  • Abdominal area
  • Flanks
  • Inner thighs
  • Outer thighs
  • Back and bra fat
  • Knee fat
  • Buttock fat (banana roll)
  • Male breast tissue (gynecomastia)
  • Upper arms
  • Axillae (armpit fat)

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

Which are the main CoolSculpting Applicators?

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

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

Each CoolSculpting applicator is uniquely designed for fat removal in a different area of the body.  Some applicators are larger and are designed with suction, while others are smooth with no suction at all. Some patients prefer dual-sculpting, which is having two sides treated simultaneously with two simultaneous applicators, as for the outer thighs.


The CoolMini is a small applicator and is used to treat small fat bulges where a larger-size applicator cannot fit.  The CoolMini applicator is the ideal size, shape, and curvature to fit into the small area under the neck and treat the submental fat. Despite diet and exercise, the area under the chin is a particularly stubborn area of fat, with many patients having a genetic proclivity to a “double chin.” Before the advent of CoolSculpting, the only way to treat the “double chin” was through liposuction. Most patients no longer want invasive liposuction and can accomplish these same results thanks to advances in non-surgical alternatives, such as CoolSculpting and Kybella injections. The CoolMini applicator was designed to freeze the fat under the chin to get rid of a “double chin”. One to two applicators of the CoolMini may be needed to treat this submental area, depending on how much fat is present.

Several months after treatment with the CoolMini, if there is a small amount of fat that remains in the submental area, Kybella injections can be used to reduce the remaining fat and contour the jawline. The CoolMini and Kybella injections work synergistically to deliver the ultimately contoured jawline. In addition, Kybella injections can tighten the skin under the chin, which is in direct opposition to liposuction, which leaves loose, sagging skin. In addition, the CoolMini applicator can also be used to treat small areas of fat by the knee, in front and behind the underarm area, and bra fat. Ninety percent of patients who do CoolSculpting for bra fat utilize CoolMini for treatment to reduce this stubborn fat bulge. The treatment time for the CoolMini applicator is just 45 minutes, with repeat treatment for the neck as early as four weeks after the procedure if needed. The full results of the CoolMini treatment will be realized within four months. When two treatments are done within one month, these two CoolMini treatments can reduce submental fullness by up to 40 percent within 3 to 4 months.


The CoolAdvantage applicator takes just 35 minutes and is faster than the original one-hour applicator.  It consists of 3 different applicators, the CoolFit, CoolCurve, and CoolCore. The CoolAdvantage applicator treats a larger surface area, at a lower temperature, with a faster treatment time. The CoolAdvantage treats multiple body areas, including the abdomen, flanks, love handles, waist, hips, banana roll, upper arms, and inner thighs.


The CoolFit applicator treats the inner thighs and upper arms. Each arm or inner thigh takes 35 minutes to treat each area to completion. The CoolFit applicator is entirely painless with no downtime. After four months, you will observe the complete cosmetic results of your treatment. For larger areas of fat on the upper arms or inner thighs, repeat treatment with CoolSculpting is recommended after one month.


The CoolCore treats the flank area. It is a curved applicator that takes 35 minutes to treat each flank. Many patients combine CoolSculpting of the flanks with CoolSculpting for the abdomen. For patients treating the abdomen, who need a “diamond-shaped” treatment, to treat various fat bulges in the abdomen and not one solid area, Dr. Green utilizes the CoolCore applicator at four to six different areas of the abdomen for a full transformation. The CoolCore can also be used for an area of bra fat.


The CoolCurve is similar to the CoolCore applicator except that it has a larger curve. The CoolCurve treats the love handles or flanks to produce an “hourglass” figure. Each treatment of the CoolCurve is completed in 35 minutes.

CoolAdvantage Plus™

The CoolAdvantage Plus takes 45 minutes to treat a large abdominal area primarily. CoolSculpting can be used to treat a stomach area of any size. Many patients need two treatments for a large abdomen. The CoolAdavtange Plua applicator is commonly used to treat the “muffin top” of the stomach. Repeat treatment can be done in one month if there is a sizable area of the abdomen. However, it is important to remember that CoolSculpting is not a weight loss device, and you should be within 25 to 30 pounds of your ideal weight for the best cosmetic results.


The CoolSmooth™ is a unique applicator designed to treat the outer thighs. Each session for the outer thigh takes 75 minutes. The CoolSmooth applicator is unique in that it requires no suction. There are no side effects from this fat-freezing treatment. A large outer thigh with a bigger fat bulge will require two treatments of CoolSculpting to have the best results.


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

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CoolSculpting patient, lower abdomen, 10 months post treatment

What is CoolSculpting Elite?

CoolSculpting Elite is one of the newest applicators in the CoolSculpting collection. Released in 2021, CoolSculpting Elite applies all-new dual applicator technology to treat two areas simultaneously. The handpiece is also larger, meaning that treatment time decreases, allowing for a faster treatment session with equivalent fat reduction effects. The CoolSculpting Elite has been FDA-cleared to treat the submental region under the chin, the submandibular region under the jawline, abdomen, banana roll, upper arm, bra fat, and thighs. With the dual applicator, CoolSculpting Elite is ideal for treating the inner and outer thighs, as both legs can be treated simultaneously.

What is the recovery time for CoolSculpting?

One of the best things about the CoolSculpting procedure is that there is no downtime and almost no recovery time! You can return to the gym, school, or normal daily activities on the same day as the treatment. Depending on which applicator is used, there may be some bruising if the applicator requires suction. Usually, there is no bruising. Some patients have some soreness or numbness from the procedure, which resolves independently in a few weeks. Since there is typically no recovery time, CoolSculpting is the ideal procedure to get done during your “lunchtime” or any day of the week.

Does CoolSculpting hurt?

For the first five minutes during the procedure, there is some discomfort until the skin is “frozen”. After the treated area is “frozen”, there is no discomfort during the entire treatment. Most patients watch a movie, work on their laptops, or take a nap during the procedure. Immediately after the treatment, when the applicator is removed, there is some tenderness as the treatment area is “thawed”.  This soreness goes away from 1 day to 2 weeks. A rare side effect of pain has been associated with some patients after CoolSculpting, which can be treated with oral medications such as Neurontin, and also resolves within a few weeks.

Does CoolSculpting tighten skin?

CoolSculpting does not tighten the skin, but treatments are available to address skin laxity, such as Thermage. The benefit of CoolSculpting is that it does not contribute to skin laxity, such as liposuction. After CoolSculpting, the destroyed fat cells are naturally processed and removed from the body through the lymphatic system. This is a gradual process that occurs over months, so your skin can retract along with the treated area. Unlike liposuction, which is a sudden decrease in the fat associated commonly with significant skin laxity as a common side effect, there is no skin laxity resulting from the CoolSculpting procedure.

If you are concerned with skin laxity, Thermage FLX is a great option for you. Thermage FLX is a noninvasive skin tightening technology that uses radiofrequency (RF) technology to heat the deeper layer of the skin. This heat stimulates collagen synthesis to reduce skin laxity and tighten the skin. Skin laxity occurs naturally with age, as our body’s rate of collagen synthesis gradually decreases over time. Thermage FLX works to stimulate the production of collagen to treat and prevent visible signs of aging, such as fine lines, wrinkles, uneven skin texture, and skin laxity. This technology can treat skin laxity on the face and the neck, arms, knees, thighs, abdomen, chest, and buttocks. Many patients combine Thermage FLX with CoolSculpting to give you the best cosmetic results.

How much does CoolSculpting cost?

The cost of CoolSculpting depends on both the number of treatments needed and how many sessions are required to reach your desired goals. The price of CoolSculpting treatments also depends on the type of applicator needed for the targeted areas. Depending on the size of the applicator needed, the session could be 35 minutes to 75 minutes, with the larger applicators generally costing more than the smaller ones. For optimal results, Dr. Green may recommend a repeat session in a given area 4 to 12 weeks after your initial treatment. Most patients who are looking for more dramatic results have several areas treated on the same day, which may require three to four hours of treatment in one given session. Generally, the cost of cosmetic treatments like CoolSculpting varies depending on the geographical area. CoolSculpting prices in New York City may differ from prices in Los Angeles.

What is the difference between CoolSculpting and Liposuction?

CoolSculpting and liposuction are both methods of fat reduction. Liposuction is an invasive surgical procedure that produces skin laxity through the sudden removal of fat, under anesthesia, with a cannula. There is considerable downtime, pain, and potential side effects from liposuction. CoolSculpting is a non-invasive method of fat cell destruction, which relies on fat-freezing technology called cryolipolysis. CoolSculpting is the first FDA-cleared non-surgical treatment for stubborn pockets of fat on the body. There is almost no downtime from CoolSculpting, no skin laxity formation, and minimal side effects from the procedure.

Although the results from liposuction are seen rather quickly, there is a considerable amount of recovery time from liposuction. CoolSculpting takes several months to see the full cosmetic effects, but there is no recovery time, incisions, pain, or anesthesia. Most patients prefer CoolSculpting over liposuction since this fat reduction method can be performed during your lunch hour for virtually any body area.

How much is CoolSculpting for the chin?

CoolSculpting for the chin costs $1,000 per area. If someone has a larger double chin, then often both sides of the neck are treated, costing $1,000 per side, to have the best cosmetic results. It is best to call Dr. Green’s office to check for pricing since specials are often run specifically for CoolSculpting. Each treatment of the CoolMini applicator takes 45 minutes, so both sides of the neck with treatment, marking, and massage will take close to two hours to complete. The stubborn fat area under the chin is a cosmetic concern for many patients. Thanks to the unique fat-freezing results of CoolSculpting, within 3 to 4 months, the double chin will be reduced without any downtime or discomfort.

Over two-thirds of Americans are unhappy with their “double chin,” according to Allergan Cosmetics. A “double chin” affects one’s profile and jawline and detracts from the beauty of one’s face. The CoolMini applicator is perfectly designed to remove this excess fat from below the chin and leave your neck contoured and rejuvenated. CoolSculpting is an amazingly effective treatment for the submental area. As long as a patient maintains a healthy lifestyle and does not gain weight, the long-term results from CoolSculpting are permanent.

Does CoolSculpting work on the arms?

Yes! CoolSculpting works extremely well on the upper arms. If you want to reduce the fat in the upper arms, CoolSculpting will make your arms slimmer and leaner. If there is any previous skin laxity involved before CoolSculpting, Dr. Green combines Thermage for skin tightening to help produce new collagen and tighten lax skin. Another excellent procedure to combine with CoolSculpting for the arms is Sculptra Cosmetics. Sculptra injections will stimulate new collagen production and replace lost volume in the upper arms, thereby tightening the skin. Dr. Green is an expert in NYC in noninvasive fat removal and will combine the best cosmetic treatments to rejuvenate your arms.

Does CoolSculpting treat bra fat?

CoolSculpting for bra fat is an excellent treatment. A bra bulge is a very common problem, particularly for women as they age or gain weight. This bra fat is an accumulation of fat cells which increase its distribution around the upper back, armpit, and bra area. In addition, lack of exercise or muscle strengthening in these areas can make bra fat more noticeable. Dr. Green treats many women in her NYC office for bra fat and back fat with CoolSculpting.

Stubborn fat in the bra area can appear under the arms and make someone self-conscious wearing a bra or a t-shirt. CoolSculpting treatment removes these fat cells in one simple treatment. Depending on the size of the back fat or bra fat, Dr. Green may utilize the CoolMini, CoolPetite, or CoolAdvantage applicator. An in-person consultation and examination is the only way to assess which applicator would fit best for fat reduction treatment.

Removing the bra fat is one of the most popular areas of CoolSculpting treatment in Dr. Green’s New York office. Whether it be the result of genetics, hormones, metabolism, or lack of exercise, CoolSculpting is extremely effective in treating the stubborn fat cells in this area. Many women have the bra fat treated in conjunction with slimming the upper arms with CoolSculpting for painless and effective non-invasive body contouring.

Does CoolSculpting work for back fat?

CoolSculpting works extremely well for back fat. In the past, there was no non-invasive treatment for back fat. Thanks to cryolipolysis, it is now possible to freeze fat cells in the back fat area and remove stubborn fat through a single CoolSculpting treatment without any downtime. Depending on the size of the back fat, more than one type of CoolSculpting applicator may be used for different individuals. An in-person consultation with Dr. Green is the best way to see which applicator is best for your specific treatment area. Treatment of back fat can be combined with fat reduction treatment of the arms, bra area, or any other area during the same day. A treatment plan will be organized to maximize the removal of unwanted fat during one single day. After three to four months, you will be able to appreciate the full CoolSculpting results.

EB 16w coolsculpting allergan 1000

Before and after – 16 weeks, buttock, hip and leg area

Does CoolSculpting work for the inner and outer thighs?

CoolSculpting treatment works on many areas of the body, including the inner and outer thighs. The CoolFit applicator and CoolSmooth applicator are specially designed to treat the inner and outer thighs, respectively. Despite diet and exercise, the thigh area is one cosmetic area that is difficult to reduce. CoolSculpting is designed to remove unwanted fat from the thighs without any recovery time. The CoolFit for the inner thighs takes 35 minutes on each side to reduce fat in this treatment area. The outer thighs use the CoolSmooth applicator, which takes 75 minutes for completion to freeze this unwanted fat. If you have a large fat bulge in the inner or outer thighs, Dr. Green recommends repeating treatment in one month to have the best CoolSculpting results in four months.

Does CoolSculpting work for the double chin?

CoolSculpting is highly effective at addressing stubborn pockets of fat under the chin and jawline, also known as the submental area and submandibular area, respectively. Often, it can be very difficult to get rid of the dreaded “double chin” even with regular exercise and a healthy diet. Some patients are genetically predisposed to a higher accumulation of submental fat, and therefore the best way to eliminate that fat pocket is through a cosmetic procedure, such as CoolSculpting. For under the chin, Dr. Green will use the CoolMini applicator, which is ideal for smaller areas. With a series of two 45-minute treatment sessions, as much as 40% of the submental fat in the region can be eliminated.

Are there any side effects to the CoolSculpting procedure?

Common side effects during the CoolSculpting procedure include deep pulling, tugging, pinching, numbness, or discomfort. Following the procedure, typical side effects include temporary numbness, redness, swelling, bruising, firmness, tingling, stinging, and soreness in the treated area. There is an extremely rare side effect of paradoxical adipose hyperplasia after cryolipolysis, which has also been observed.

Who can perform CoolSculpting?

CoolSculpting is a cosmetic fat reduction treatment that is best performed by an expert, board-certified dermatologist, such as Dr. Michele Green. With over 25 years of experience in the field of dermatology, Dr. Green is an artist when it comes to body contouring in all areas of the body. Whether you are looking to treat the arms, inner and outer thighs, abdomen, banana roll, or under the chin, Dr. Green takes each patient’s unique aesthetic goals into account when creating each personalized treatment plan. Adept at pairing multiple treatments for the ideal results, Dr. Green can expertly recommend the series of treatments that will work best to meet your needs.

Why choose between a MedSpa or a dermatology office for your CoolSculpting?

When choosing an office to have your CoolSculpting procedure done, there are some important considerations to keep in mind. First, you should research and google the physician or practice that is offering CoolSculpting. You should see how long they have been practicing and their experience with CoolSculpting treatments. You should know if the physician will be doing the CoolSculpting consultation or not.

At our office, all of the CoolSculpting consultations are done by Dr. Green, and all of the CoolSculpting procedures are supervised by Dr. Michele Green in her NYC office. Many MedSpas, CoolSculpting centers, and clinics in New York do not have a physician at the practice. You will not have your consultation with a board-certified dermatologist or plastic surgeon. They offer “free consultations,” but they are rarely with an experienced physician. In addition, you should research the facility to see if they are trained and certified in CoolSculpting. The training of the physician and staff is very important in knowing their experience in CoolSculpting and impacting your ultimate cosmetic results.

35-44 year old Female. CoolSculpting upper abdomen, lower abdomen, 3 months

What to expect during your CoolSculpting treatment

During your treatment session in our New York City-based location, Dr. Green will place a gel pad and a specialized applicator to deliver cooling to the fat cells in the targeted area. This process – also known as cryolipolysis, chills the fat cells and stimulates the natural metabolism of these cells. Your own body then excretes the fat.

Treatment time depends on the size of the area being treated. Dr. Green can give you an estimate of your appointment time at your initial consultation. Longer sessions can be broken up over several days or can be scheduled all together in one sitting. With the newest CoolSculpting applicators, treatment cycles are 35 minutes long, cutting treatment time by almost half.

Most patients experience only minimal discomfort during this procedure. During your treatment, you can read a book, listen to music or simply take a nap. While everything necessary will be provided, you are welcome to bring any additional comforts of home, such as movies, music, pillows, or reading material.

This technology enables precise, controlled delivery of the cooling that affects only fat cells in your body, ensuring that no surrounding tissue or cells are affected or damaged. Other common methods for treating fat cells, like lasers, ultrasound, and radiofrequency, can impact other cells, posing a greater risk to you. Additionally, because CoolSculpting is a non-invasive procedure, there is no risk of infection, complications from anesthesia, or other side effects associated with surgery.

The CoolSculpting procedure contours the body by safely and effectively freezing unwanted fat. Unlike the liposuction process, fat is not re-distributed to other body parts, and the skin will not be loose after the procedure. The unwanted fat is gradually dissolved, unlike liposuction, so there is no risk of skin laxity from CoolSculpting. Since this non-surgical fat reduction procedure is non-invasive, there is no recovery time required following your treatment. Patients may resume normal activities immediately and even exercise right after their procedure. Mild redness in the treated area can last several minutes up to two weeks, and some people may see bruising. Within the first two weeks, you may experience tingling, tenderness, cramping, itching, or some soreness. You may feel a temporary dulling sensation in the treated area for up to eight weeks, although most patients experience only mild side effects, if any.

CoolSculpting results are visible within 3 to 4 months after treatment. After CoolSculpting treats fat cells in your body, they will not reappear if healthy exercise and lifestyle are maintained. The procedure may be repeated in the same area within one to four months.

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Before & After Photos: CoolSculpting Treatment – 8 weeks, thighs

How fast does CoolSculpting work?

The results of your fat freezing will appear gradually as the body metabolizes and excretes the treated fat cells. Some patients notice the results in a few weeks after their treatment, and others continue seeing improvement for up to four months. At that time, Dr. Green recommends a follow-up appointment to determine if a second session is needed.

Is CoolSculpting safe?

Yes! CoolSculpting is a safe procedure that is FDA-approved to treat stubborn fat in nine different areas using cryolipolysis. Approval by the FDA means that the treatment has undergone many clinical trials to test its safety and efficacy. The risks associated with CoolSculpting are few and rare. Common mild side effects include redness in the treated area, bruising, mild swelling, and soreness which are all temporary and resolve independently. The numbness in the treated area can last up to a few weeks after the treatment, which is normal and expected. There is a slight risk of developing nerve pain after the CoolSculpting procedure, which was more common with the older CoolMax applicator. If nerve pain occurs, it is temporary and will resolve within one month. It can also be remediated with medications like Neurontin.

What is PAH from CoolSculpting?

Paradoxical adipose hyperplasia (PAH) is a very rare potential side effect of CoolSculpting that causes fat cells to grow instead of shrink. If PAH occurs, it often manifests approximately three to six months post-treatment and causes a bulging appearance to the treatment area with skin that is firm to the touch. Researchers are unsure of what precisely causes certain patients to have this reaction to the CoolSculpting treatment. However, studies have shown that the incidence of PAH after the CoolSculpting procedure is very rare – approximately 0.05-0.39% of patients will experience this condition. Should paradoxical adipose hyperplasia occur, patients can seek liposuction treatment to reverse the effects.

Is CoolSculpting effective?

Yes, CoolSculpting is extremely effective in treating fat bulges that do not go away with a regular healthy diet and exercise. Clinical studies have shown an average reduction of 20% of fat cells in the treated area, and the procedure was especially effective in patients with lower body mass. It is important to note that CoolSculpting is not a method for weight loss but to reduce the appearance of stubborn fat bulges. It is highly recommended to continue a healthy and active lifestyle to maintain the best results after CoolSculpting.

How long does CoolSculpting last?

The effects of CoolSculpting are permanent as long as you don’t gain weight after the procedure.  CoolSculpting is not a weight loss device. CoolSculpting is a fat-reduction treatment for a targeted area. Each treatment of CoolSculpting causes a 25 percent decrease in fat in a given area. Repeat treatments of CoolSculpting in the same area are not necessary as long as you maintain a healthy diet and exercise. Dr. Green has had outstanding results with CoolSculpting in her New York City office and finds CoolSculpting a permanent solution as long as patients do not gain the weight back after treatment.

Am I a good candidate for CoolSculpting?

The best candidates for CoolSculpting® are those who are already at or near their healthy body weight but find that they have a few stubborn pockets of excess fat (like the love handles) that just aren’t responding to diet or exercise. Candidates should also be in good overall physical and mental health and have realistic expectations about their results. CoolSculpting is not intended as a weight loss treatment. Up to 25% of subcutaneous fat in a targeted area can be eliminated with a CoolSculpting treatment session, and patients should have realistic expectations regarding the results that can be achieved. Patients should be close to their ideal BMI before undergoing the fat-freezing procedure.

Can I combine CoolSculpting® with other cosmetic procedures?

Yes! The benefit of CoolSculpting is that it has no downtime, so it can be combined with other cosmetic treatments. Some patients may benefit from combining CoolSculpting® with a secondary treatment like Thermage® for patients who also notice loose skin in the treatment area or to treat cellulite. For example, the CoolMini can be done on the submental area to decrease the appearance of a double chin, followed by Thermage on the jawline and neck to tighten the skin. Dr. Green works closely with every patient to ensure a customized treatment plan that will help meet your cosmetic goals.

AH 61 4 month Before and After Coolsculpting CoolFit LT Inner Arm MGWatermark 1

Before & After Photos: CoolSculpting Treatment – Arms

Can you do CoolSculpting at home?

No. Attempting CoolSculpting at home using ice or frozen goods is not recommended. Not only will it not be effective, but it can also potentially be dangerous. Applying ice or frozen materials on fat bulges at home will not be effective in getting rid of fat cells as the cold probably will not reach the subcutaneous fat, but it will most likely freeze your skin. This can lead to frostbite and permanent tissue damage that requires extensive medical treatments to remedy. CoolSculpting should be done in an office setting with a licensed healthcare professional at a dermatology or plastic surgery office. Cryolipolysis, the procedure done in CoolSculpting, should be performed using FDA-approved CoolSculpting equipment (like CoolSculpting Elite) to ensure the safety of the patient.

What should I expect during treatment?

The treatment session itself is relatively short, generally lasting 35 to 75 minutes, depending on the applicator used. Larger treatment areas require more time. Dr. Green will use the handheld device to position the target area between the two specially-made cooling panels. Once the cells have been sufficiently frozen, the session is completed, and you can return to your normal daily activities.

Will I need multiple sessions of the CoolSculpting Procedure?

Some patients may see improvement after just one appointment, while others need additional sessions for further fat reduction. The number of sessions needed depends on how much fat is in the treatment area.  Dr. Green will be able to assess the areas during your consultation and let you know how many sessions will be needed for the best cosmetic results.

Which areas respond best to CoolSculpting treatments?

Stubborn fat on the inner thighs, upper arms, love handles (the oblique areas of the stomach), the tummy, the bra area and back fat, and submental area (double chin) are targets for CoolSculpting. Any area with enough fatty tissue will respond well to the CoolSculpting procedure.

Are there any pre-existing conditions that affect CoolSculpting treatment?

Some patients experience neuropathy (numbness and tingling sensations) in the abdomen after CoolSculpting, but this lasts only during the recovery phase right after a treatment. There are several causes of neuropathies, and rarely are these caused by cold temperatures. However, as with any pre-existing medical condition, if you have questions or concerns about how a procedure may affect you, talk to Dr. Green during your consultation.

Does CoolSculpting work on arms, love handles, thighs, back, and bra fat?

Yes! Whether or not you weigh less, you’ll be thinner, your clothes will fit better, you’ll feel better, and you’ll look better. CoolSculpting was designed to work for the pockets of particularly stubborn fat in different areas of the body, including the upper arms, love handles, thighs, back, and bra area. There are different shapes and sizes available to use during the CoolSculpting procedure to guarantee that the targeted area is appropriately and effectively treated. During your CoolSculpting consultation, you will be fitted for the correct applicators to guarantee that your CoolSculpting treatment works to give you the best results.

Before & After Photos: CoolSculpting Treatment – 47 year old male, Flanks

Is CoolSculpting right for diabetics?

Because this is a non-invasive procedure that involves no medications or anesthesia, CoolSculpting is safe for diabetics. There are no incisions made in the skin, there is no surgical wound and no risk of infection or poor healing. You may experience slightly increased numbness in the treated areas, but most diabetic patients experience no additional discomfort or side effects.

Can CoolSculpting be used after pregnancy?

Pregnant patients are not generally candidates for CoolSculpting, but the procedure is safe and effective after pregnancy for that post-baby belly bump. It will not affect future pregnancies in any way. Three months after your pregnancy, you can consult Dr. Michele Green about Coolsculpting to help with your “mommy makeover.”

Is CoolSculpting permanent?

The results of CoolSculpting are permanent. However, if you gain weight, the remaining fat cells that are present will expand and negate the positive effects of your CoolSculpting procedure. Continuing a healthy lifestyle, diet, and exercise are essential to maintaining the positive effects of your CoolSculpting treatment.

Is CoolSculpting painful?

CoolSculpting is a procedure that involves minimal discomfort throughout the treatment and no downtime following the process. When the treatment first begins, and the applicator starts to freeze the treatment area, patients may experience some discomfort until the area is “frozen.” Then, the treatment area is numb for the duration of the procedure. As the area is thawed following the treatment, patients may experience a tenderness once the feeling is regained in the skin. However, this common side effect should resolve on its own within several hours of receiving the treatment.

Is CoolSculpting worth it?

For patients looking to decrease the size of stubborn pockets of fat, CoolSculpting is the ideal treatment. With each treatment session, CoolSculpting can reduce the amount of fat in the treatment area by 20-25%, slimming down many areas of the body for a wonderfully contoured look. The effects of the treatment are permanent so long as the patient maintains the current weight, making CoolSculpting a long-lasting way to reach a patient’s ideal body shape. Furthermore, CoolSculpting treatment requires no recovery time and has a limited risk of significant side effects, meaning it is a safer treatment than any surgical procedure, such as liposuction. Many patients hesitate to go under the knife for body contouring, and CoolSculpting, paired with other treatments available in Dr. Green’s office, such as Kybella and Thermage, offers a non-surgical, just as an effective alternative.

Do you lose weight with CoolSculpting?

You do not lose weight from CoolSculpting, as the CoolSculpting treatment is not a weight loss device. You do, however, lose inches from CoolSculpting and not pounds.

How cold is CoolSculpting?

CoolSculpting, as the name suggests, uses controlled cold temperature (about -11 degrees Celsius) to destroy stubborn fat cells. For the first 5-10 minutes, you will feel an intense cold sensation in the treatment area. Then, the area becomes numb, and you may feel some tugging sensation from the vacuum applicator for the remainder of the treatment session. The treated area will feel cold immediately after the treatment, but the skin will warm up, especially during the two-minute massage.

Does Health Insurance cover CoolSculpting?

No. CoolSculpting is a cosmetic procedure, and since it is not medically necessary, it is not covered by any private health insurance.

What is CoolTone®?

CoolTone® is a device made by the CoolSculpting company that utilizes Active Magnetic Pulse technology to induce muscle contractions to create a more toned, firmer, and stronger appearance. Magnetic muscle stimulation causes involuntary contractions to strengthen the muscle fibers in the targeted treatment area. It is FDA-approved to treat three areas, including the abdomen, glutes, and thighs. Typically, patients need four treatments over two weeks to achieve body contouring.

Who can perform the CoolSculpting Treatment?

Anyone that is certified in CoolSculpting can perform the treatment, and it does not have to be done by a physician. It is recommended, however, that you have your CoolSculpting consultation with a board-certified dermatologist. A dermatologist has the expertise and experience required to carefully customize your CoolSculpting treatment protocol so that it provides you with optimal results. Internationally renowned, board-certified dermatologist Dr. Michele Green is an expert in non-surgical body contouring treatments, including CoolSculpting for unwanted fat reduction. Many medical spas that may offer CoolSculpting do not offer other body contouring or fat reduction treatments and may not be knowledgeable regarding other treatment options. Dr. Green has over two and a half decades of experience providing some of the most discerning men and women worldwide with the best non-invasive treatment options available, including non-surgical fat reduction.

Is CoolSculpting Effective?

CoolSculpting is a safe and effective treatment that the FDA has approved for permanently reducing the amount of unwanted fat in a treatment area. FDA approval means that the treatment has undergone many clinical trials to test its safety and efficacy. Clinical studies have shown a reduction of 20% of fat cells in the treated area, and the procedure was especially effective in patients with lower body mass. It is important to note that CoolSculpting is not a method for weight loss but rather designed to reduce the appearance of stubborn fat bulges. It is highly recommended to continue a healthy and active lifestyle to maintain the best results after CoolSculpting. The results of CoolSculpting are permanent; however, if you gain weight, the remaining fat cells in the treatment area can potentially expand and negate the positive effects of your CoolSculpting procedure.

Who does CoolSculpting near me?

Dr. Michele Green’s private, boutique dermatology office is located in the Upper East Side neighborhood of Manhattan. Dr. Green was among the first dermatologists in New York City to offer CoolSculpting to remove unwanted fat. She has successfully treated her patients with the innovative CoolScultping treatment for over twelve years. Some of the most discerning men and women from around the world visit New York to be treated by Dr. Green, who is consistently identified as one of the best dermatologists in New York by Castle Connolly, Super Doctors, and New York Magazine.

How can I get started with CoolSculpting today?

If you are concerned with unwanted stubborn fat bulges and are seeking non-invasive body contouring solutions, Dr. Michele Green is here to help. Dr. Green has been utilizing CoolSculpting to treat stubborn fat in her private Upper East Side dermatology office for over ten years. From the abdomen, upper arms, and even the double chin, her patients have seen incredible fat reduction results with just one CoolSculpting treatment. At your consultation with Dr. Green, she will carefully listen to your concerns and conduct a thorough assessment to create a customized treatment plan to meet your aesthetic goals. From CoolSculpting to VelaShape, Kybella injections, and Thermage laser, Dr. Green will recommend a combination of treatments to achieve the ultimate noninvasive body contouring results.

Dr. Green is an internationally-renown expert in the field of cosmetic dermatology with over 25 years of experience in Botox, Sculptra, Juvederm, Restylane, CoolSculpting, Thermage, and more. She takes pride in the long-term relationships she builds with her patients. Her dedication is reflected by her consistently winning best dermatologist in New York City by Castle Connolly, New York Magazine, and Super Doctors. If you are interested in non-surgical fat reduction and want to learn more about CoolSculpting in New York City, contact us online, or call us at 212-535-3088 to schedule a consultation.

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