CoolSculpting, cryolipolysis, is a non invasive technique to contour areas of the body. Liposuction is a procedure to permanently remove fat cells while accurately sculpting the body.

CoolSculpting or Liposuction

coolsculpting or laser liposuction

CoolSculpting vs Liposuction – The Procedure

CoolSculpting – The area to be treated is marked. Then a transparent gel pad is placed to protect the skin, and the applicator head is put into position. A vacuum is turned on. Once the bulge is sucked into a cup, two cooling panels numb the area. The fat cell freezing takes about an hour. After an hour, the area is massaged to break up fat cells.

Liposuction – The area to be treated is marked. An anesthetic solution is injected into the area fat. A small cannula, tube, is inserted into the fat and with the assistance of a vacuum  the fat is removed, precisely sculpting the area.

CoolSculpting vs Liposuction – The Results


  • a noninvasive technology
  • no or minimal down time
  • less dramatic results compared with liposuction. Only 20-25% of fat reduction
  • risks of pain or paradoxical increase in fat
  • treatable body part areas is limited by fit of application head
  • bulges must be pinchable to fit into cup


  • Surgical procedure
  • 1-2 day down time
  • More aggressive and complete fat reduction
  • Better contouring
  • More immediate results
  • The possibility of simultaneous surgical procedures

A recent study reviewed the effectiveness of cool sculpting of the saddlebag area. Forty women had one of their saddlebags treated and one untreated. According to the authors “at the conclusion of the study, 7 of the 40 subjects received optional equalization treatment to the control thigh. Thirty subjects declined equalization treatment.

If the treatment was so effective why would 75% of the patients not want to cool sculpt their other thigh for symmetry?

About Dr. Matt Galumbeck

With over 20 years of clinical experience and having performed over 5,000 cosmetic surgery procedures, Dr. Matthew Galumbeck has the experience and skills to deliver outstanding cosmetic surgery outcomes.

A native of Virginia Beach, Matthew Galumbeck, MD received his undergraduate degree from the College of William and Mary, and his medical degree from Duke University. He trained in general surgery at Case Western Reserve University, and in plastic surgery at Eastern Virginia Medical School. Further study includes advanced training in body contouring in Paris.

View All Posts