People who wonder whether if they should choose SculpSure or CoolSculpting to get rid of those last, stubborn areas of unwanted fat might be surprised to learn they work on the same principle.

The principle is that regular cells and fat cells are damaged and destroyed at different temperatures, and once fat cells are destroyed they don’t return, since everyone is born with a set number.

The difference between CoolSculpting and SculpSure is that the former uses cold temperatures, and the latter uses heat. Both are used on the flanks and belly and result in a more slender and youthful silhouette.

Whether one is best may boil down to whether the patient feels more comfortable with cold than they do with heat or vice versa.

About SculpSure

Fat cells are damaged at temperatures between 108 and 117 degrees Fahrenheit, which is lower than the temperatures that damage other types of tissue.

Because of this, SculpSure uses applicators to deliver this heat to the fat cells. At the same time the top layers of the skin, or epidermis are cooled, which keeps the patient comfortable as they relax in a treatment chair. After the fat cells are damaged, the body simply processes them the way it would other dead cells.

The heat of SculpSure is delivered via applicators, and the patient can use more than one at a time. A SculpSure session lasts a little less than half an hour. For some people, one treatment is all that’s needed to take care of the excess fat in a problem area, though some people will need to return for a few more treatments.

Another good thing about SculpSure is that it does not cause uneven pigmentation and is appropriate for all skin colors.

Recovery After SculpSure

Both CoolSculpting and SculpSure are outpatient procedures, so the patient can leave the aesthetician’s office soon after treatment.

There will be a bit of swelling, tenderness and bruising after both treatments, though this is less apparent with SculpSure. Swelling and tenderness should recede after a few days.


CoolSculpting was actually discovered by accident. Doctors noticed dimples developing in the faces of kids who ate popsicles. This led the doctors to discover that fat cells are killed when the temperature dips to 39 degrees Fahrenheit, thus setting up those dimples in the children.

Specifically, ice crystals form in the fat cells and cause them to rupture while the tissue around them is uninjured. Like the cells destroyed by SculpSure, the dead fat cells are simply absorbed and excreted by the body.

As with SculpSure, CoolSculpting is performed in the aesthetician’s office while the patient relaxes in a chair. One disadvantage it has as opposed to SculpSure is the applicators pull at the skin and feel cold until the area becomes numb.

The small discomfort may be one reason why a person would choose SculpSure over CoolSculpting. A CoolSculpting session also takes about an hour, which is longer than a session for SculpSure.

Afterwards the treated area needs to be massaged before the patient can leave. The area doesn’t have to be massaged when it comes to SculpSure.

As with SculpSure, there may be swelling, tenderness and some bruising after CoolSculpting, but again, this disappears after a few days.