Coolsculpting (Fat reduction)

CoolSculpting is an FDA-cleared non-invasive fat reducing technology designed to reduce those stubborn areas of extra fat! No needles, no anesthesia, and virtually no down time make CoolSculpting the fastest and easiest way to achieve permanent reduction of fat in the upper and lower belly, love handles, bra or back area, inner and outer thighs, and even excess breast fat in males. Through the process of cryolipolysis, CoolSculpting is able to freeze away fat from those stubborn areas with very natural-appearing results. Permanent fat reduction is achieved with just a single, in-office treatment session lasting 2-4 hours. Safe for all skin types, CoolSculpting represents a break through in fat reduction and an excellent alternative to liposuction for patients seeking a noninvasive, in-office procedure.

The Consultation

The consultation takes about 30 minutes and is performed by our Aesthetic Nurse, Katelyn McCormack, RN, BSN. Katelyn will discuss the procedure in detail and help identify appropriate problem areas that would benefit from CoolSculpting. During that time, we will create a treatment plan to yield the optimum results for your specific problem areas. With this information, you will learn exactly what to expect when you arrive for treatment. If time allows, the consultation and treatment can certainly be performed on the same day.

Katelyn will also perform a complete review of your medical and surgical history, including any existing health problems, medications, and allergies. Contraindications for Coolsculpting include cryoglobulinemia or paroxysmal cold hemoglobinuria.

Treatment areas

Love Handles (Flanks)
Upper Belly (upper abdomen)
Lower Belly (lower abdomen)
Back Fat, Bra Fat, Back Rolls
Inner Thighs
Outer Thighs
Excess Breast Fat in Males (gynecomastia)

The Procedure

On the day of the procedure, the patient arrives wearing comfortable clothes and may bring some sort of entertainment, such as a book, laptop, or iPad. Many patients even work remotely while being treated! The typical procedure lasts approximately 2-4 hours, depending on the number of areas being treated.

Pre-procedure “before” photographs are taken from several different angles. The patient’s weight is taken and the planned treatment areas are carefully measured and marked. The patient is then able to sit back and relax in our comfortable treatment room. Katelyn applies a thin gel pad to help protect the skin during treatment and the appropriate external applicator is applied. The patient will then feel a strong suction as the fat bulge is pulled a few inches into the applicator followed by a cooling sensation. Cooling plates bring the temperature of the fat under the skin to a temperature which begins the process of crystallizing the fat cells. The skin temperature is carefully monitored by the device, to ensure that there is no injury to the skin. This initial pull of the skin may cause slight discomfort, which subsides a few minutes into treatment when the area becomes numb. After 60 min, the applicator is removed and the area is massaged for 1-2 minutes. If multiple areas are being treated, the applicator is then moved to the next area and the process is repeated. When the treatment is complete, the patient may simply return to normal activity and let the fat start to disappear!


The recovery for CoolSculpting is smooth and painless for the majority of patients. Patients are able to basically return to all normal activities immediately after the procedure. Most patients can expect to have some tenderness, numbness and altered sensation for 1-2 weeks after the procedure. The treated area may feel sore when exercising, particularly activities that involve bouncing up and down, such as running. These symptoms are all temporary and will resolve on their own.

A small percentage of patients may experience a burning, neuropathic pain, particularly when treating the lower abdomen. If this occurs, the pain is temporary (4-6 days) and is quickly alleviated with the placement of ice packs or taking a prescription medication such as Neurontin.


Results start to appear approximately 4 weeks after the treatment and can continue to improve for up to 4 months. The typical patient can expect to see a 20-25% reduction in the total number of fat cells in the treated areas.

There is no specific diet, exercise, or supplement regimen required, though all of these methods of weight loss may complement the Coolsculpting results nicely. Additional cycles may be performed on the treated area(s) if patients desire even further fat reduction. “After” photos are taken at the follow-up visit, which takes place 3 months after the treatment session.

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