Coolsculpting Explained: How Much Weight Can You Lose and How It Works

Established in 2008, Derrow Dermatology is committed to providing the highest standard of dermatological care in a convenient, state-of-the-art setting to patients of all ages.

Coolsculpting has emerged as a revolutionary non-surgical fat reduction treatment, capturing the attention of individuals seeking to refine their body contours without the need for invasive procedures. At Derrow Dermatology, we pride ourselves on offering cutting-edge treatments like Coolsculpting, tailored to meet the unique needs of our patients in Central Florida.

This article aims to demystify Coolsculpting by exploring its mechanisms, effectiveness, and potential weight loss outcomes. Unlike typical weight loss methods that target overall body fat, Coolsculpting focuses on eliminating stubborn fat pockets that resist diet and exercise. Join us as we delve into how this innovative procedure works and what results you can expect, providing you with a comprehensive understanding of whether Coolsculpting is the right solution for your aesthetic goals.


What is Coolsculpting?

Coolsculpting, also known as cryolipolysis, is a non-invasive cosmetic procedure designed to eliminate stubborn fat cells through controlled cooling. Developed by Harvard scientists, Coolsculpting was inspired by the observation that children who frequently consumed popsicles developed dimples due to fat loss in their cheeks—a phenomenon termed “popsicle panniculitis.” This insight led to the realization that cold can selectively target fat cells without damaging surrounding tissues.

The Coolsculpting device works by suctioning the targeted fat area into an applicator that cools the fat cells to a temperature that triggers apoptosis, or cell death. Over the following weeks and months, the body naturally processes and eliminates these dead fat cells through the lymphatic system. This gradual process ensures a natural-looking reduction in fat bulges, without the need for surgery, anesthesia, or extensive downtime.

Unlike traditional weight loss methods that shrink fat cells, Coolsculpting reduces the number of fat cells in treated areas by up to 20-25% per session. This makes it particularly effective for contouring specific areas like the abdomen, flanks, thighs, and under the chin, where fat tends to be more resistant to diet and exercise. The procedure’s precision and safety profile have earned it FDA clearance, making it a trusted option for non-surgical fat reduction.

Coolsculpting’s appeal lies not only in its effectiveness but also in its convenience. Sessions typically last about an hour, during which patients can relax, read, or even work on their laptops. The non-invasive nature of Coolsculpting means that patients can return to their normal activities immediately after treatment, making it an attractive option for those with busy lifestyles.

How Coolsculpting Works

The Science Behind Coolsculpting

Coolsculpting operates on the principle of cryolipolysis, where controlled cooling is used to freeze and eliminate fat cells. This process exploits the fact that fat cells are more susceptible to cold temperatures than surrounding tissues. Here’s a breakdown of how Coolsculpting works:

  1. Targeting Fat Cells: A Coolsculpting applicator is placed on the treatment area, delivering controlled cooling to target fat cells beneath the skin without harming the skin itself.
  2. Cryolipolysis: The targeted fat cells are cooled to a temperature that triggers their natural death (apoptosis). This temperature is carefully controlled to ensure only fat cells are affected.
  3. Crystallization of Fat Cells: As the fat cells are exposed to the cold, they crystallize and die. This process occurs without damaging surrounding tissues such as skin, muscles, and nerves.
  4. Gradual Elimination: Over the next few weeks to months, the body naturally processes and eliminates the dead fat cells through the lymphatic system.
  5. Long-lasting Results: Once the fat cells are eliminated, they do not regenerate, leading to a long-lasting reduction in fat in the treated areas.

Key Points:

  • Non-Invasive: No surgery or needles are involved, making it a convenient option for many patients.
  • Minimal Downtime: Most patients can return to their normal activities immediately after treatment.
  • Targeted Fat Reduction: Ideal for treating stubborn fat pockets that are resistant to diet and exercise.


The Coolsculpting Treatment Process

  • Initial Consultation

The Coolsculpting journey begins with a comprehensive consultation at Derrow Dermatology. During this session, a qualified specialist assesses the patient’s aesthetic goals and determines whether Coolsculpting is the appropriate treatment. The specialist will discuss the patient’s medical history, examine the areas of concern, and develop a personalized treatment plan tailored to the patient’s needs.

  • Treatment Session

On the day of the treatment, the patient is comfortably positioned, and a gel pad is applied to protect the skin. The Coolsculpting applicator is then placed on the target area, and controlled cooling is initiated. Patients may feel intense cold initially, but this sensation typically subsides within a few minutes as the area becomes numb. Each treatment session lasts about 35 to 60 minutes, depending on the size and number of areas being treated.

  • During the Procedure

While the applicator works, patients can relax, read, work on their laptop, or even take a nap. The non-invasive nature of Coolsculpting ensures a comfortable experience without the need for anesthesia or pain medication. The specialist will monitor the procedure to ensure optimal results and patient comfort.

  • Post-Treatment Care

After the applicator is removed, the treated area is massaged for a few minutes to help break down the fat cells and enhance the effectiveness of the treatment. Patients may experience temporary redness, swelling, or tenderness in the treated area, but these side effects typically resolve within a few days.

  • Recovery and Follow-Up

There is minimal downtime associated with Coolsculpting, allowing patients to resume their normal activities immediately. Follow-up appointments are scheduled to monitor progress and determine if additional sessions are needed to achieve the desired results.

The Coolsculpting treatment process is designed to be straightforward and convenient, offering a seamless experience from consultation to post-treatment care.


Coolsculpting Effectiveness

Coolsculpting has been extensively studied and clinically proven to be an effective method for reducing fat in targeted areas. According to a study published in the journal “Dermatologic Surgery,” patients experienced an average fat layer reduction of 20-25% in the treated areas after just one session. This non-invasive procedure has demonstrated consistent results in both clinical trials and real-world applications, making it a reliable option for those seeking fat reduction.

Real-World Outcomes

Patients typically begin to see changes as soon as three weeks after their treatment, with the most dramatic results visible after two to three months. The body continues to flush out fat cells for up to six months post-treatment, ensuring gradual and natural-looking improvements. Many patients report satisfaction with the contour and smoothness of their treated areas, noting significant reductions in stubborn fat deposits that were resistant to diet and exercise.

Long-Term Benefits

The longevity of Coolsculpting results is one of its standout features. Since the fat cells are permanently destroyed and naturally eliminated by the body, the results are long-lasting as long as the patient maintains a stable weight and healthy lifestyle. Unlike other temporary fat reduction methods, Coolsculpting offers a durable solution for body contouring.


How Much Weight Can You Lose with Coolsculpting?

Understanding Fat Reduction vs. Weight Loss

It’s important to differentiate between fat reduction and weight loss when discussing Coolsculpting. Coolsculpting is designed to reduce fat in specific areas, not to cause overall weight loss. The procedure targets and eliminates fat cells in problem areas, leading to a reduction in size and improved contour, rather than a significant decrease in body weight.

Typical Results

Patients can expect to see a 20-25% reduction in fat in the treated areas after a single Coolsculpting session. This percentage may vary depending on the individual’s body composition and the area being treated. For example, a person targeting fat reduction in their abdomen might notice a decrease in the size of their waistline, but this does not necessarily translate to a significant drop in pounds on the scale.

Realistic Expectations

Coolsculpting is best suited for individuals who are near their ideal body weight but struggle with localized fat deposits that are resistant to diet and exercise. It is not a solution for obesity or a substitute for a healthy lifestyle. Patients are encouraged to maintain their weight through a balanced diet and regular exercise to preserve the results of their Coolsculpting treatment.


Is Coolsculpting Right for You?

Ideal Candidates

Coolsculpting is an excellent option for individuals who are close to their ideal body weight but struggle with stubborn fat deposits that do not respond to diet and exercise. Ideal candidates typically have noticeable bulges in specific areas such as the abdomen, flanks, thighs, upper arms, and under the chin. It is suitable for both men and women who desire a more sculpted and contoured body profile without undergoing invasive procedures.

Considerations for Treatment

Before deciding on Coolsculpting, it is essential to have a thorough consultation with a qualified specialist. During this consultation, the specialist will assess your body type, discuss your aesthetic goals, and determine whether Coolsculpting is the appropriate treatment for you. Factors such as skin elasticity, the amount of fat in the target area, and overall health will be considered to ensure the best possible outcomes.



Coolsculpting offers a non-invasive, effective solution for reducing stubborn fat pockets and achieving a more contoured body shape. With its ability to target specific areas and provide long-lasting results, it has become a popular choice for many.

If you’re considering Coolsculpting to enhance your body contours, we invite you to schedule a consultation with Derrow Dermatology. Our expert team is ready to help you achieve your aesthetic goals with personalized care. Contact us today to learn more and book your appointment.