The airwaves are once-again filled with promises of liposuction results without the surgery. “CoolSculpting is a non-surgical procedure that uses a controlled device to freeze and destroy fat. Fatty areas are gently pinched between the CoolSculpting applicator, which cools the area to a temperature that causes fat cells to crystallize and die”. Multiple treatments are needed and some improvement is usually seen. A recent survey of 1500 patients on RealSelf report a significant rate of “Not worth it” and “not sure it’s worth it” at 52% compared to 91% “worth it” of 2072 patients surveyed with surgical liposuction.
Here are my to five reasons to use Coolsculpting.
- Cost is irrelevant to you. The best fit for this treatment is for patient with abundant disposable income, who doesn’t mind a low benefit/cost ratio. Most patients in our community are exactly the opposite and are very interested to obtaining the best result for the amount of dollars spent.
- You are medically not fit enough to undergo a surgical procedure. If you are unable to tolerate an anesthetic then Coolsculpting is your best option if you desire some degree of improvement.
- You are not concerned about obtaining a significant result. Surgical liposuction remains the gold standard in shape modification. You cannot achieve the same results with nonsurgical treatments
- You do not have the time available to recover from surgical liposuction. Cool sculpting promises minimal recovery time. You may also have minimal results. (remember, satisfaction rates are nearly 40% lower)
- You do not desire immediate benefits. Coolsculpting’s website warns that results are delayed for 4-6 months.
You may be left with the impression that Coolsculpting is a mistake. I disagree, I believe that it is simply way too expensive. The manufacture of the device is selling the device with a very high price tag. This drives up the per treatment price. In the RealSelf survey he average price charged was ~$2500. Most patients had only a few treatments before cost was prohibitively too expensive to have more treatments. The satisfaction rate of 52% can be improved if the treatment sessions are perhaps doubled. However now the expenses are significantly more than surgical liposuction, and still the results are not as good (remember, satisfaction rates are nearly 40% lower).
In conclusion, we will continue to refer patients to other facilities, and we will not offer this treatment. I believe the result to be too minimal to justify the high expense.