When you work out hard, but fat bulges refuse to go away, step up your game with CoolSculpting! Love handles or double chin will be melted in no time!

Permanent reduction of diet and exercise resistant fat

Non-invasive, No downtime, No side effects

25% FDA proven fat reduction after 1 session

Entire body & face can be treated

Fast Facts:

  • About: Originally manufactured by Zeltiq aesthetics, CoolSculpting is an FDA cleared non-surgical aesthetic treatment that uses fat freezing technology to permanently eliminate stubborn pockets of fat.
  • Safety: CoolSculpting is clinically proven and FDA cleared as a safe treatment to reduce resistant fat bulges. It is a non-invasive alternative to traditional liposuction, as it requires no needles, no incisions, and minimal to no downtime.
  • Convenience: One CoolSculpting session can be performed in as little as 35 to 70 minutes to reduce small amounts of fat resistant to other weight-loss attempts such as diet and exercise. There is no post-procedural recovery time and patients are able to drive home unassisted immediately after their treatment.
  • Cost: CoolSculpting prices range $500 – $1200 per applicator, with 1-4 sessions to achieve optimal results, where 1-4 applicators are utilized per 1 session.
  • Efficacy: If performed by an experienced medical professional and with a proper treatment plan, CoolSculpting is clinically proven to be a highly effective method to selectively eliminate stubborn pockets of fat. Since its FDA approval in 2010, CoolSculpting treatments have increased by 823% with millions of patients successfully treated.

Why do I still have fat despite diet and exercise?

Decades of research have proven that the combination of proper diet and exercise reduce fat and keep the body lean, healthy, and good looking.

Unfortunately, the following underlying factors can prevent even the healthiest individuals from reaching their specific goals and prevent them from losing unwanted fat:

  • Genetics
  • Hormonal imbalances
  • Chronic health conditions
  • Aging process
  • Lifestyle choices
  • Decreased metabolism

Women in particular tend to store more fat around their hips and lower abdomen, which can be challenging to reduce, even with a perfectly structured diet and exercise plan. In addition, there is no natural way to target where you lose fat, meaning that even with your best efforts, you may never be able to naturally eliminate those particularly stubborn areas of fat accumulation.

Coolsculpting treatment at Skinly Aesthetics

What are the options for focal fat reduction?

Targeted fat loss can be accomplished using a variety of methods including surgical and non-surgical cosmetic procedures.

  • Liposuction – a surgical procedure in which fat is physically suctioned out of the problem body areas under anesthesia using a cannula or similar surgical device.
  • Kybella – a minimally invasive fat reduction treatment involving the injection of deoxycholic acid, a solution which breaks down fat cells in unattractive areas.
  • CoolSculpting – a completely non-invasive procedure using controlled cooling technology to eliminate small pouches of hard to reach fat.
Coolsculpting stomach before after

What is the difference between CoolSculpting and liposuction?

Both CoolSculpting and Liposuction are cosmetic treatments used for fat reduction. While they do accomplish the same goal, the two treatments differ substantially. The differences are outlined below:

  1. CoolSculpting

CoolSculpting is a non-surgical procedure that involves the use of a vacuum applicator to eliminate fat using cryolipolysis.

  • Non surgical and completely non invasive
    • No incisions or puncturing of the skin.
  • No anesthesia needed
  • Gradual results
    • Positive results may be observed within 1 – 4 months post-treatment as the body continues flushing out dead fat cells.
  • No loose skin after treatment
    • Due to gradual results, the skin is able to adjust and “snap back” to the body’s new and improved form.
  • No downtime
    • May return to normal activities immediately after treatment.
  • Minimal risks and side effects (listed below)
  • No risk of infection
  1. Liposuction

Liposuction is an invasive surgical procedure that involves physical removal of fat using a large metal cannula under general anesthesia.

  • Surgical and invasive
  • Anesthesia necessary
  • Immediate results
  • Skin may sag after treatment due to sudden removal of fat
  • Considerable downtime up to 2 – 4 (several) weeks of combination of bed rest and limited activity
  • Risks and side effects include tissue swelling, bruising, fat embolism, and infection.
Coolsculpting back fat - before and after

How does CoolSculpting work?

An area where fat often accumulates on the body that goes hand in hand with CoolSculpting back fat is bra fat. Back fat around the bra area is often difficult to get rid of, and usually protrudes more than other pouches of fat on the body, because it is pushed out by the pressure of the bra strap itself. This is an issue that many women struggle with, that can lead to discomfort, feelings of insecurity, and switching to ‘not so sexy’ bras to stay comfortable. There are even bras that cover underarm and back fat, because it is such a prevalent issue amongst women, even those who are generally quite lean based on their body fat percentage.

CoolSculpting is a minimally invasive cosmetic procedure that selectively eliminates stubborn fat through cryolipolysis; cryo, meaning cold, lipo, meaning fat, and lysis meaning dissolution or loosening. The treatment utilizes patented cooling technology to deliver targeted and controlled cooling to lingering pouches of fat.

 The following series of steps make up a single CoolSculpting session:

  • A vacuum applicator is placed on the area of concern to suction in the skin with underlying adipose tissue;
  • The machine lowers the temperature of the suctioned fat to -11° Celsius, which is the freezing point of fatty tissue without damage to the skin or surrounding tissues;
  • Within 35-45 minutes the fat cells in the targeted area are frozen and turn into hard crystals, without harming blood vessels, nerves or muscles that surround the treatment area;
  • The newly frozen fat cells undergo the process of pre-programmed, aseptic cell death known as apoptosis;
  • It takes the body 1 – 3 months to metabolize the dead fat cells, painlessly flushing them from the body and resulting in 25% less fat in the treated area;
  • Patients may require anywhere from 1 – 4 sessions to achieve their desired results.
Coolsculpting Upper Back or bra fat

What is the science behind CoolSculpting?

The low temperature (-11°C) induces aseptic (non inflammatory) apoptosis, also known as programmed cell death. The dead adipocytes (treated fat cells) are then consumed by macrophages, and secreted by the body through the liver and spleen.

Because this treatment triggers apoptosis, the cells simply die, without bursting the contents of the cell. This prevents swelling and inflammation, which is otherwise often observed in other fat elimination treatments.

Who is a good candidate for CoolSculpting?

The ideal candidate for CoolSculpting is an overall healthy patient who has reached target weight through lifestyle modifications, but still has unattractive and pesky fat bulges interfering with ideal self-image.

A good candidate for CoolSculpting meets the following criteria:

  • Has a BMI of 19 – 25
  • Is within 25 – 30 lb of their ideal body weight
  • Body fat percentage is below 32%
  • Has persistent pinchable pouches of subcutaneous loose fatty tissue despite following a healthy lifestyle
  • Overall healthy
  • Can’t afford surgical complications & downtime to interfere with professional and personal life
  • Can wait a few months for results to show

The following conditions may disqualify you from getting CoolSculpting procedure:

  • Cryoglobulinemia or paroxysmal cold hemoglobinuria (sensitivity to cold temperatures);
  • Cold urticaria (a condition that causes hives when the skin gets cold);
  • Cold agglutinin disease (rare autoimmune disorder causing premature destruction of red blood cells)
  • Impaired peripheral circulation in the area to be treated;
  • Neuropathic disorders;
  • Impaired skin sensation;
  • Bleeding disorders or concomitant use of blood thinners;
  • A hernia or history of hernia in the treatment site;
  • Skin conditions, such as eczema, dermatitis, or rashes;
  • Pregnancy.

Also keep in mind that CoolSculpting is not a weight loss solution and does not target visceral fat (the fat surrounding your inner organs).

  • Is CoolSculpting safe for diabetics?
    • CoolSculpting is non-invasive and does not require medications or anesthesia, making it safe for diabetics. However, if you have impaired circulation in the treatment area that may preclude you from getting the procedure done.
  • Is CoolSculpting safe when pregnant?
    • It is not recommended for pregnant patients to do CoolSculpting, however, the treatment is safe and effective for excess postpartum weight, and will not affect fertility in the future.
Coolsculpting thighs fat before after

How do I prepare for my CoolSculpting treatment?

CoolSculpting does not require much preparation, though there are a few things you can do to optimize your results and make your session time more comfortable.

Before your CoolSculpting procedure, you should make sure that:

  • You satisfied all criteria for CoolSculpting;
  • Have not eaten a full meal to comfortably withstand high degree of suction especially in the abdominal region;
  • Can remain still for prolonged periods of time;
  • You wear comfortable clothes during your session;
  • Take additional comforts of home with you to your treatment, such as a book, a movie, music, or your laptop for work, to help pass time. Many patients simply take a nap until the treatment has ended.
Coolsculpting thighs fat before after

What is the CoolSculpting procedure like?

CoolSculpting is a simple procedure that does not require the pre-planning of an invasive surgery. Prior to your CoolSculpting treatment, the following steps will be performed:

Consultation:

During your consultation, you will have the opportunity to speak with Dr. Schwarzburg or his assistant to discuss details about your procedure including:

  • Overall treatment goals
  • Treatment areas
  • Your questions and concerns
  • Your medical history to confirm whether you are a good fit for the treatment

Pretreatment photos will be taken to compare your results at your follow up appointment, 1 – 2 months after your initial visit. This will help determine whether more treatments are needed to achieve your desired outcome.

Your physician will also fit various CoolSculpting applicators of different sizes to your areas of concern to determine which ones will be appropriate for use during your treatment.

Once a confirmed candidate, you will move forward with scheduling your procedure.

Before your scheduled appointment, you will be advised to wear comfortable clothing, as the treatment requires at least 35 – 70 minutes of sitting, or laying down. (Additional preparation guidelines listed above).

Procedure:

During your procedure, the current treatment paradigms include following steps to successfully accomplish your desired results:

  • The treatment site is sanitized using an alcohol wipe to to ensure that the area is clean;
  • A protective membrane, also called a “gel pad” is carefully placed on the treatment area to protect the skin from cold-related skin burns;
  • Once prepped with the protective membrane, the applicator is placed on the area to be treated;
  • Once the suction is turned on, the freezing process begins, and the temperature gradually drops down to -11° Celsius, which is the freezing point of the underlying fat;
  • During the freezing process, you may experience minimal discomfort including some tugging, pulling, and cooling sensation, and skin then becomes numb, once the fat is frozen;
  • The cycle is complete after 35-45 minutes and the applicator is removed;
  • Once the applicator is removed, your provider will perform a manual massage of the treated area to further break down crystalized fat cells. This may result in additional bruising and discomfort, but improves the efficacy of the treatment by 25%;
  • After a final sanitation using alcohol, you will be sent home and may resume with any normal activities that you can tolerate immediately. You can take NSAIDs such as ibuprofen to minimize any unpleasant sensations;
  • Coolsculpting results will be seen within 1 – 3 months, at which point you will come into the clinic for a follow-up appointment to determine whether more treatments will be needed.
Coolsculpting cellulite treatment

What is the aftercare for CoolSculpting?

After your CoolSculpting procedure there is no medical or social downtime. Prescription medications are not needed following your session, though there are steps that can be taken post-procedure to lower your chances of discomfort.

  • Acetaminophen (Tylenol) or a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen will help relieve tenderness in the treated area;
  • Meditation and breathing exercises;
  • Non strenuous exercise, such as yoga or pilates;
  • Warm compresses on the treatment site to reduce any procedural bruising 48 hours after the procedure;
  • Massage therapy in the treated area

Does CoolSculpting hurt?

CoolSculpting is not painful and does not require any form of anesthesia. During the treatment some patients have reported:

  • Intense cold sensations during the first few minutes
  • Tingling
  • Mild pinching
  • Stinging
  • Aching
  • Cramping
  • Tugging and pulling
  • Numbness

Once the applicator is removed, the treatment area is massaged, which aids in breaking down crystalized fat cells, and further contributes to maximum fat reduction after CoolSculpting treatment. Vigorous massaging last for 1-2 minutes and can be uncomfortable.

How long is the CoolSculpting procedure?

Each CoolSculpting applicator can take 35 to 45 minutes to run its course. Thus, the CoolSculpting procedure itself can take 70 minutes to several hours depending on a variety of factors:

  • The treatment area
    • Some areas, such as the double chin, require 2 – 3 applicators, meaning that the total session can take  anywhere from 45 minutes to 2 hours;
    • Other areas, such as the back, may take longer, as up to 6 applicators may be needed to achieve optimal outcomes;
  • The number of treatment areas per session;
  • The number of applicators;
  • The time it takes to replace the applicators during each session
    • This can add an additional 5 – 10 minutes in between applicators.

The critical advantage of the CoolSculpting procedure is that it requires no downtime, meaning that the session itself is the only time that will be spent on the treatment.

What areas can be treated with CoolSculpting?

CoolSculpting works on several areas of the face and body which many patients have a genetic proclivity to, including:

  • Double chin
    • Submandibular fat (under the jawline)
    • Submental fat (under the chin)
  • Abdominal fat
    • Anterior lower & upper abdomen
  • Back
    • Bra bulge
    • Lower back
    • Flanks, love handles and muffin tops
  • Arms
    • Upper arms
    • Axillae (armpit fat)
  • Thighs
    • Inner thighs
    • Outer thighs
    • Banana rolls (underneath the buttocks)
  • Gynecomastia
    • Common condition amongst men causing them to store fat around the chest, resulting in “man boobs”

In order to treat the listed areas, an applicator must first be precisely measured to confirm that it is the appropriate size.

What are the different types of CoolSculpting applicators?

There are several types and sizes of CoolSculpting applicators, each of which appropriately fit different areas of treatment.

  • Cool-Advantage applicator
    • This is the average applicator, typically used on areas such as the lower abdomen, love handles, and arms.
  • Cool-Plus applicator
    • This is a larger applicator, used on patients with more substantial pockets of fat, typically in the lower pelvic area or lower abdomen.
  • Cool-Mini
    • This is the smallest applicator, used in areas such as the chin and jawline, or tiny pockets of fat in leaner patients.

Does CoolSculpting get rid of cellulite?

While CoolSculpting can help with cellulite, it will not eliminate it. Cellulite is a mixture of fat, cellular debris and other toxic waste trapped in fatty tissue. To break down cellulite you will need:

  • Maintain a healthy diet and exercise routine;
  • Get a focused cellulite treatment, such as QWO cellulite injectable, to break down fibrous septae, which are responsible for the classic dimpling associated with this unflattering condition.

What are the risks and side effects associated with CoolSculpting?

Multiple studies demonstrated few transient risks & side effects associated with cryolipolysis treatment. However, while the risks and typical side effects associated with CoolSculpting are limited, there is a possibility of following side effects:

Common fat freezing side effects:

  • Bruising, which occurs due to the suction pressure involved during the treatment;
  • Redness secondary to capillary dilatation;
  • Blanching secondary to blood vessel constriction;
  • Mild swelling, which subsides within 1 – 3 days post-treatment;
  • Skin numbness, tingling sensation and tenderness, which all subside within 2 days to 2 weeks post-treatment;
  • Firmness in the treated area secondary to transient lymphatic congestion;

Rare side effects, complications and risks:

  • Cold induced skin burns
    • May occur when the skin is too sensitive in which case the machine will detect that the temperature of the skin has dropped too low, and automatically shut down preventing a frostbite from occurring;
  • Postinflammatory hyperpigmentation
    • Darkening of skin, which can be treated using depigmentation cream or laser treatments, such as Fraxel laser.
  • Paradoxical adipose hyperplasia
    • Overgrowth of fatty tissue is incredibly rare (0.1% of CoolSculpting cases). The cause of this phenomenon is unknown, but experts have hypothesized that it may occur if an area has been treated more than once before the recommended waiting time (4 – 6 weeks)

What is the downtime after CoolSculpting?

A CoolSculpting fat freezing procedure does not involve any social or medical downtime. After your treatment, you can immediately resume normal activities. The treated areas may remain sore and uncomfortable up to 2 weeks, but this minor nuisance is easily managed with NSAIDs such as ibuprofen.

When will I see my CoolSculpting results?

You will start to see results within 1 – 3 months after the initial treatment. Patients may require anywhere from 1 to 4 sessions of CoolSculpting to reach their desired appearance. This depends on:

  • How much fat is present at the original starting point;
  • If the patients current diet and exercise regimen is maintained, improved, or neglected;
  • The patient’s general response to cryolipolysis treatment.

How long do CoolSculpting results last?

Your CoolSculpting results will last indefinitely. Once the treated fat cells are killed off and metabolized, they will not return. However, CoolSculpting does not prevent you from gaining new weight in the future, meaning that excessive caloric intake and lack of exercise can result in new adipose cells and further weight gain.

Is CoolSculpting permanent?

The dead fat cells destroyed during your CoolSculpting treatment are permanently eliminated. However, this does not prevent you from developing new fat cells.

Does fat return after CoolSculpting?

A CoolSculpting fat freezing procedure causes the temperature of the targeted adipocytes (fat cells) to drop to their freezing point, which is -11° C. This results in aseptic apoptosis, or cell death, followed by the metabolization of the dead fat cells. While the fat is permanently removed during this process and will not return, CoolSculpting will not stop your body from generating new adipose tissue.

What will my CoolSculpting before and after results look like?

The unflattering areas of fat accumulation on your body before your treatment, will be eliminated by 25% after your first CoolSculpting session. With each consecutive treatment, your results will improve by additional 25%, until you have reached your optimal outcome of a leaner and more sculpted body. More dramatic results will be seen once the right number of sessions is performed.

Does CoolSculpting tighten the skin?

CoolSculpting will not tighten your skin like other treatments, such as Fraxel or a PDO thread lift. However, unlike other treatments for fat reduction, such as traditional liposuction, CoolSculpting will not leave you with loose skin, as the results are gradual and allow your skin to adjust accordingly.

Will I have sagging skin after CoolSculpting?

After CoolSculpting, you will not have sagging skin. Because the results take 1 – 4 months to fully settle, the process is gradual. This allows your skin to adjust to the changes, unlike other treatments such as liposuction; this fat reduction treatment leads to loose skin.

Do you lose weight after CoolSculpting?

CoolSculpting is not a weight loss device and is not intended for patients who are obese or overweight. However, you will lose inches around your treated area.

How much does CoolSculpting cost?

The cost of CoolSculpting in major metropolitan cities like New York typically ranges $500 to $1200 per applicator. The majority of treatment sites require a minimum of two applicators per single session, and many patients undergo up to four sessions to accomplish their desired result. The total CoolSculpting cost can also depend on the following:

  • Size of the treatment area
    • One target area may require up to 4 applicators depending on its size.
  • Number of applicators needed
    • The number of applicators vary depending on how many areas you would like to be treated.
  • Type of applicator used
    • Each applicator is priced differently. CoolPlus and CoolMini are usually slightly higher in price than CoolAdvantage applicators.
  • How many sessions
    • In some cases, package deals are offered to patients who purchase multiple sessions.
  • Geographical location of your provider
    • Cosmetic treatments are often pricier in larger cities, than more rural areas.
  • Level of expertise of your provider
    • A board certified plastic surgeon with extensive knowledge of the human anatomy and body will deliver best outcomes and this should never be sacrificied.

Does CoolSculpting work?

Yes, CoolSculpting is approved by the food and drug administration (FDA) and clinically proven by peer reviewed studies to be a safe and effective non-invasive treatment for the permanent elimination of fat. Each session is expected to eliminate 25% of subcutaneous fat in the treated area.

CoolSculpting works best on patients who:

  • Are an overall healthy adult
  • Are within 25 – 30 lb of their ideal weight
  • Want to get rid of small collections of stubborn fat
  • Are able to sustain a healthy diet and exercise regimen to sustain maintain their lasting results

CoolSculpting is less effective on patients who:

  • Have underlying health conditions (listed above)
  • Are obese or overweight
  • Don’t make necessary changes to their lifestyle in order to maintain their results

Is CoolSculpting safe?

CoolSculpting is FDA cleared as a safe and effective treatment to eliminate fat. However, the treatment is not for everyone and should be avoided by patients who:

  • Have underlying health conditions (listed under risks, side effects, and contraindications)
  • Are pregnant

What procedures complement CoolSculpting?

Depending on your desired result, CoolSculpting can be combined with a variety of treatments for the face and body.

  • Face
    • Dermal filler – When used to eliminate stubborn submental and submandibular fat, CoolSculpting is often combined with Juvederm filler around the jawline and chin. Other fillers used around this area include Restylane and Radiesse.
    • Kybella Kybella is a minimally invasive injectable fat melting treatment, sometimes combined with CoolSculpting to target the submental fat with twice the force, leaving patients with no double chin and a chiseled jawline.
    • PDO thread lift – A PDO thread lift can be used after the fat around the jawline has been eliminated, in order to lift and tighten the lower face, for additional definition.
  • Body
    • CoolTone and EmSculpt Cooltone and EmSculpt are non-invasive treatments that use electromagnetic muscle stimulation to strengthen the muscles and create a more toned look. Both can be used in areas such as the abdomen, thighs, and arms.
    • QWO QWO is a minimally invasive injectable cellulite treatment which is frequently combined with body sculpting procedures such as CoolSculpting.
    • Sculptra Sculptra is a minimally invasive injectable dermal filler, most commonly used to shape and lift the buttocks. As a popular body contouring treatment, Sculpta is often combined with CoolSculpting to achieve that “hourglass” look, particularly when injected into the hip dips.
  • Skin tightening
    • Fraxel – CoolSculpting does not typically result in loose skin. However, some patients combine non-ablative skin tightening treatments, such as Fraxel laser, with CoolSculpting, to additionally tighten the treated area.
    • Secret RF Secret RF is a skin tightening treatment using radiofrequency energy to stimulate collagen production. It is commonly combined with CoolSculpting to offer additional tightening around the treated area.

What are the pros and cons of CoolSculpting?

  • Pros:
    • Minimally invasive & non surgical body contouring
    • No downtime required
    • Minimal risks and side effects
  • Cons:
    • Only eliminates 25% of subcutaneous fat per session
    • Results take up to 4 months to take full effect
    • Not suitable for overweight patients

Is CoolSculpting covered by insurance?

CoolSculpting is not a medically necessary treatment and is strictly cosmetic. Consequently, CoolSculpting is not covered by insurance.

What are some things to keep in mind?

  • CoolSculpting is not a weight loss treatment designed for obese patients;
  • CoolSculpting works best on patients who are dedicated to maintaining a healthy lifestyle that complements the results of the treatment;
  • Make sure that your provider is CoolSculpting certified;
  • Research your clinic of choice to confirm that:
    • They have good reviews
    • The office is clean
    • You will be treated by a board certified physician
    • The staff is friendly and considerate
    • A treatment plan is discussed with you beforehand

Takeaway

CoolSculpting is a non-invasive cosmetic procedure that uses cryolipolysis technology to kill off and permanently eliminate stubborn pockets of body fat. If planned properly and performed by a skilled and experienced board certified physician, CoolSculpting results will be observed within 1 – 4 months after the initial treatment. Keep in mind that some patients need up to four total sessions to achieve their desired result.

Always make sure that you are a good candidate for CoolSculpting by scheduling a consultation with your provider to discuss all the necessary details to accomplish your desired outcome.

How can I get started on CoolSculpting?

If you’ve been searching for the best medical spas for CoolSculpting in NYC, you have yet to visit Skinly Aesthetics Medical Spa, owned and run by board certified physician Dr. Schwarzburg, located on the Upper East Side of Manhattan and select locations spread out in Downtown New York, Midtown West, Chelsea, Soho and West Village.

Located only a few blocks away from New York’s iconic Central Park, Skinly Aesthetics is surrounded by Michelin star restaurants such as JoJo by Jean-George located directly across the street. Only 5 blocks away is the famous Bloomingdale’s department store on Lexington Avenue. Skinly Aesthetics has various shopping, beauty, and fashion stores right outside, including the notorious Fifth avenue shopping strip along with its exclusive shops and impressive architectural landmarks. Madison Avenue and its exclusive boutiques are only minutes away, offering our clients extensive shopping options. Clients with a passion for art often head to the Frick Collection in NYC after their CoolSculpting treatments for artistic inspiration and networking.

Find us at our pop up locations in New York’s Chelsea, Soho and West Village, as well as the Financial District NYC for exclusive treatments.

To get in touch with Dr. Schwarzburg and his team at Skinly Aesthetics be sure to get in touch by calling 212-774-4264 or email info@skinlyaesthetics.com