NON-INVASIVE CONTOURING SCIENCE

The Science Behind
CoolSculpting®

Fat freezing is a revolutionary, non-invasive fat reduction technique. Also called CoolSculpting®, it utilizes a process known as cryolipolysis to eliminate fat without surgery or downtime. While this may sound too good to be true, the science is sound.

Reviewed by Dr. Angela Merlo •Medical Director, Best Reflections Aesthetic Center•Last Reviewed: September 2026

The History of Cryolipolysis

The History of Cryolipolysis

Two Harvard scientists, Dieter Manstein, MD, and R. Rox Anderson, MD, observed a phenomenon known as popsicle panniculitis — reduced cheek fat among children who frequently sucked on popsicles. Dr. Manstein explained the science behind CoolSculpting® in Allure magazine:

"Fat freezes at a higher temperature than water. Think of butter and water in the refrigerator — one is solid, the other remains liquid."

Based on this discovery, researchers determined that exposing stubborn fat to carefully controlled cooling temperatures could freeze fat cells without harming the surrounding skin. Skin tissue consists primarily of water, which freezes at a much lower temperature than fat cells.

CoolSculpting applicator

CoolSculpting target area

Cryolipolysis works by targeting stubborn fat deposits while leaving surrounding tissues unharmed. In the scientific paper, "Cryolipolysis for Non-Invasive Body Contouring: Clinical Efficacy and Patient Satisfaction," researcher Nils Krueger, MD, explains that:

"...fat cells are more susceptible to cooling than other skin cells...precise application of cold temperatures triggers apoptosis (cell death), which invokes an inflammatory response and leads to gradual digestion by surrounding macrophages."

The controlled fat-freezing process used during CoolSculpting® treatment can result in significant fat reduction. Krueger's study reported an average 20% reduction in fat after a single treatment session. Because the treated fat cells are destroyed and naturally eliminated by the body, they do not regenerate, making CoolSculpting® a long-term fat reduction solution for appropriate candidates.

→ Cryolipolysis for Non-Invasive Body Contouring: Clinical Efficacy and Patient Satisfaction

Next Step

Find Out if CoolSculpting® Is Right for You

If you're considering non-surgical body contouring, schedule a consultation to determine whether CoolSculpting® is an appropriate treatment option for your goals.

CoolSculpting treatment room at Best Reflections

Evidence-Based Results

Scientific Literature Supports Cryolipolysis

The FDA has cleared CoolSculpting® for reducing visible fat in approved treatment areas. Its safety and effectiveness are also supported by numerous peer-reviewed clinical studies.

Study 1

Safety, Tolerance, and Patient Satisfaction with Non-Invasive Cryolipolysis

One such study, "Safety, Tolerance, and Patient Satisfaction with Non-Invasive Cryolipolysis," published in Dermatologic Surgery, followed more than 500 CoolSculpting® patients.

Researchers reported:

  • No significant side effects or adverse events
  • 89% of patients reported a positive perception of treatment duration
  • 96% reported only minimal to tolerable discomfort

The study concluded:

"With proper patient selection, cryolipolysis is a safe, well-tolerated, and effective treatment method for reduction of subcutaneous fat."

→ Safety, Tolerance, and Patient Satisfaction with Non-Invasive Cryolipolysis

Study 2

Cryolipolysis for Non-Invasive Body Contouring

Another peer-reviewed study, "Cryolipolysis for Non-Invasive Body Contouring," published in Clinical, Cosmetic and Investigational Dermatology, further supports the treatment's safety profile.

Researchers concluded:

  • Cryolipolysis has been proven to be a very safe method of body contouring
  • Accomplished with only minimal discomfort.

The study concluded:

"Cryolipolysis is considered to be both safe and efficient with a high patient satisfaction rate."

The review also found that cryolipolysis is both safe and effective, with consistently high patient satisfaction rates.

→ Cryolipolysis for Non-Invasive Body Contouring

Dr. Angela Merlo, board-certified physician

PAGE MEDICAL REVIEWER

Dr. Angela Merlo

Board-Certified Physician | Medical Director, Best Reflections

Dr. Angela Merlo is an award-winning, board-certified physician with extensive clinical experience in non-surgical body contouring, aesthetics, and gastroenterology. She personally oversees all medical protocols at Best Reflections med spa, ensuring clinical integrity, high safety standards, and scientifically verified outcomes for every patient.

✔ All clinical research on this page has been reviewed and approved by Dr. Merlo.

See Your Best Reflection

Schedule your consultation today with Dr. Angela Merlo in Princeton, NJ.

Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.