Advice Centre Comparing SculpSure SculpSure vs Coolsculpting Fat Freezing Treatment

SculpSure vs Coolsculpting Fat Freezing Treatment

Compare* SculpSure to Coolsculpting by:

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What is SculpSure and what is Coolsculpting?


Uses lasers to denature fat cells away under the skin. No suction needed, just an applicator that sits on the skin.

SculpSure is medically known as non-invasive laser lipolysis.

Click here to find out more about what SculpSure is and how it works.


Freezes fat to eliminate the cells. CoolSculpting uses suction pads to suck and then freeze the fat so that the cells denature.

CoolSculpting is medically known as non-invasive cryogenic lipolysis.

Differences in treatments (scroll down for similarities):

Length of time that treatment takes:



25 minutes for multiple areas

SculpSure takes 25 minutes to treat one area and multiple areas can be treated at once because of the set-up of the machine.

For example, both flanks can be treated in the 25 minute session.

50 minutes for one area

Coolsculpting takes 50 minutes to treat one area and you cannot treat multiple areas at once.

For example, if you wanted to treat both flanks it would take 100 minutes – two separate 50 minute treatments.

Number of treatments needed:

For both SculpSure and Coolsculpting, the number of sessions needed will be decided by your clinician during a consultation. Every person’s body is different and every patient’s desired outcomes are different. Your clinician will develop a bespoke plan tailored to your needs, meaning the number of sessions needed does vary from patient to patient. However, there are some general trends in the number of sessions most patients have:



1-2 sessions to complete treatment

One session of SculpSure usually suffices. This is because multiple areas can be treated at once. If you want to treat your flanks and your stomach, this can be done at the same time.

With Coolsculpting you would have to go for repeated treatments.

Normally 2-4 sessions depending on preference & suitability

The number of Coolsculpting treatments needed is up to the patient – some are happy with one session, though the majority of people go for a second treatment and sometimes a third and fourth treatment.

The maximum number is based on how many suckable fat areas there are and how uncomfortable the patient finds it.

Uncomfortable sensations



Sensation of deep warmth with potential of mild, short-term soreness

During treatment you will initially feel a cooling sensation, followed by a deep warmth and/or tingling. You will be able to continue with your ordinary day after the treatment, though some patients describe mild soreness that does not interfere with their day-to-day activities.

Some patients need pain medication afterwards

Some patients describe needing neuropathic pain medications after Coolsculpting. Coolsculpting also numbs the area treated and sometimes this numbness can persist.

Marks on the body



No marks

SculpSure uses laser heads to treat your body and that means there are no visible marks left on your body.

Possibility of suction marks

Coolsculpting uses suction pads to remove fat. Some patients report “shark-bite” style marks on their body after treatment. Watch the video at the top to see what this can look like.

Immediate aftercare



Get up and go treatment

No immediate rest or recovery procedures are needed for SculpSure.

Post-treatment massage needed, then can return to normal routine

Coolsculpting requires a massage of the area after treatment. Once this is completed the patient can get back to daily life.




Little to no side-effects

No long-term side effects. No bruising. Patients may have some short-term swelling and mild to moderate tenderness.

More reported side-effects including bruising for some patients and delayed onset discomfort.

Following the procedure, typical side effects include temporary redness, swelling, blanching, bruising, firmness, tingling, stinging, tenderness, cramping, aching, itching, or skin sensitivity. These effects generally resolve within days or weeks.

More serious side-effects include delayed onset pain which often needs prescription medication and nerve damage. Recent research has indicated that Paradoxical Adipose Hyperplasia may also be a side effect.

What is Paradoxical Adipose Hyperplasia?

Paradoxical Adipose Hyperplasia occurs when fat cells proliferate after cryogenic lipolysis (coolsculpting). Rather than reducing fat, patients experience a swelled area because more abnormal fat cells start to grow.

Paradoxical Adipose Hyperplasia is currently considered a rare side-effect of coolsculpting, however a recent scientific journal paper has stated that “the number of confirmed cases of PAH may be underreported due to a lack of published cases in medical literature, and/or patents feeling more self-consciosu after ‘unintentional fat gain’.” The abstract for the paper is available here.


Both treatments are non-invasive meaning they are not surgery and no cut will be made into your body. You will not need anaesthetic. Machines are applied to the outside of your skin to treat the fat underneath.
SculpSure and Coolsculpting are FDA approved treatments. This means they are certified safe and effective.


Both Coolsculpting and SculpSure offer similar results.

  • SculpSure – destroys up to 24% of fat cells in 25 minutes
  • Coolsculpting – destroys between 20-25% of fat cells in 50 minutes

It takes approximately 3 to 6 months to begin seeing the results of both treatments. SculpSure results can be seen as soon as six weeks with optimal results normally occurring at 12 weeks. One recent study demonstrates the change in fat thickness via ultrasound after SculpSure. The patient loses 2 cm of thickness over 6 months:

Click here to view Before and After photos

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*Decorato et al, Lasers Surgery & Medicine. 2017; 49: 480-489 study.

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