David B. Reath, MD
Knoxville, TN (865) 450-9253

5 Areas CoolSculpting Works Better Than Liposuction


Woman receiving CoolSculpting in Knoxville, TN

When I began my training in plastic surgery, liposuction was just being introduced. Since that time, almost 35 years ago, we have seen significant improvements in how liposuction is performed. Recently, we have seen the emergence of non-surgical fat reduction. Of all the different technologies that have been developed as substitutes for liposuction, CoolSculpting is the most effective. At my Knoxville, TN, practice, it is by far the most popular.

Now that we have over eight years of experience with CoolSculpting, our staff and our patients can attest to its effectiveness. While liposuction remains the gold standard against which all other methods of fat removal or reduction must be measured, there are some areas of the body where CoolSculpting is now my “go-to” procedure recommendation.

Liposuction vs. CoolSculpting

Surgical liposuction does have the advantage of being of a single procedure (one and done) where a larger volume of fat can be removed. However, it has the disadvantage of being an operation with anesthesia and recovery time. CoolSculpting, on the other hand, does not require surgery and has almost no downtime. This is balanced by the fact that it is a less aggressive method of fat removal and may require several treatments to achieve the same results.

Liposuction and CoolSculpting are equally effective for many parts of the body. Some of these areas are:

  • The abdomen
  • Hip rolls, love handles, muffin tops
  • Outer (lateral) thighs

On the other hand, there are some parts of the body where I think CoolSculpting can be better than liposuction. In these areas, there is a lesser amount of fat removal needed, and the shape of the area being treated is ideal for the CoolSculpting or CoolMini applicator.

Ideal CoolSculpting Areas

  • The armpit puffs (axillary fat). This area can be challenging to treat with liposuction, but the CoolMini applicator is a perfect fit. Usually, there is only a moderate amount of fat to be removed, so CoolSculpting is the winner.Experienced CoolSculptor Natasha in Knoxville, TN
  • The upper, inner thighs. Again, the shape here is right for CoolSculpting. The other consideration is that this is an area where there can be some skin looseness, and a gradual, less aggressive method of fat removal may do better than liposuction.
  • The banana roll, or fat on the upper thigh beneath the buttock. This can be a challenging area to treat with liposuction due to skin looseness that can develop afterward. The resulting roll of the skin can only be corrected by skin excision. CoolSculpting is less likely to run into this issue because it offers a more gradual method of fat removal and may better preserve some of the connective tissue within this area of fat.
  • Bra-line fat of the mid-back. CoolSculpting all the way.
  • The neck to treat a double chin. Although CoolSculpting and liposuction are equally effective here, we are certainly doing more CoolSculpting here than liposuction since the CoolMini applicator arrived. The other day Natasha came into my office with her latest before and after photo saying, “I love treating chins!” I expect this will continue.

There are two areas where we do not yet have enough experience with CoolSculpting to know if it is better than or equivalent to liposuction, so the jury’s still out. These are:

  • The upper arms
  • The inner aspect of the knee

Choosing Your Treatment

Whether or not one method of fat removal or reduction is better than another, it’s great that we have both options available. I frequently see people for liposuction for whom I feel that CoolSculpting may be a better option. On the other hand, someone may come in requesting CoolSculpting or liposuction, when what they need is a tummy tuck or a neck lift. That’s the subject for a different blog.

New methods of fat reduction will undoubtedly come on the market in the future, and we will continue to evaluate them to see if they are right for our patients. For us to bring them into our practice, they will need to be at least equivalent to the effective options we have available now.

If you’re interested in learning more about liposuction or CoolSculpting at our Knoxville, TN, practice, please contact us online or call (865) 450-9253.

All the best,

Dr David B. Reath blog signature




David B. Reath, MD

Note: This blog has been updated.

The new 40-page eBook A Very Cool Guide To Coolsculpting is a must-read. It’s a free download.


Download CoolSculpting eBook

Other Helpful CoolSculpting Resources:

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