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What Is Better: SmartLipo or CoolSculpting?

Conveniently located to serve San Antonio and surrounding communities.

Millions of Americans are frustrated with the appearance of stubborn body fat. Luckily, modern technology has given us a wealth of options for ridding ourselves of stubborn body fat. In addition to offering plastic surgery options like breast augmentation in San Antonio, at the Plastic and Cosmetic Center of South Texas in San Antonio, TX, we offer two popular body-sculpting options: Smart Liposuction and CoolSculpting in San Antonio. SmartLipo vs. CoolSculpting: which is better for you?

Before we can help you decide between SmartLipo vs. CoolSculpting, we first have to examine how each one works. They are very different treatments, each with its own pros and cons.

What Is SmartLipo and How Does It Work?

Smart Liposuction, also known as laser liposuction, is an FDA-approved minimally invasive liposuction procedure that works a bit like a gentler version of traditional liposuction. Where liposuction uses vacuum suction to remove fat, SmartLipo uses heat to melt fat before it’s siphoned out.

SmartLipo treatment starts with a local anesthetic, and once the area of treatment is numb, a tiny incision is made. A fiber optic laser is inserted into the incision; this laser liquefies the fat, ensuring it can be easily removed. After that, a small tube called a cannula is used to suck the fat out from under the skin.

This technique allows for hyper-targeted fat reduction, and the heat even has a beneficial side effect: it stimulates the production of collagen. Collagen is the compound that keeps skin firm, so unlike with traditional liposuction, there are no worries about sagging skin post-treatment.

At the Plastic and Cosmetic Center of South Texas, we offer SmartLipo in the form of a treatment called TightLase.

What Is CoolSculpting?

While SmartLipo uses heat to melt fat, CoolSculpting goes in the opposite direction and uses cold. Fat cells freeze at a slightly higher temperature than the skin and muscle that surrounds them, which means that with careful application of cold temperatures, we can literally freeze away stubborn body fat.

CoolSculpting is an FDA-approved non-invasive treatment that uses a specialized device to apply cold temperatures to the treatment area. An applicator is placed on the targeted area. At the start of the treatment, you’re likely to feel cold temperatures and a sucking or pulling sensation. The area is soon numbed, though, and for the rest of the treatment, you’ll feel very little. There is no anesthesia involved, local or otherwise, and when the treatment is done, you can go right back to your daily routine.

We also offer CoolSculpting treatments at the Plastic and Cosmetic Center of South Texas.

Smart Lipo vs. CoolSculpting

Between these two treatments, which is more effective? Which better suits your cosmetic goals and your lifestyle? In this section, we’ll break down the key elements of each body-sculpting treatment to help you pick your winner in the battle of SmartLipo vs. CoolSculpting.


Both treatments are highly effective. One Coolsculpting treatment can remove up to 23% of the fat from the targeted area, effectively reshaping it. SmartLipo can remove even more fat—up to five liters, depending on the amount of fat present and the size of the area being treated. SmartLipo can actually remove enough fat for a noticeable reduction in weight, though it should be noted that weight loss is not the primary reason anyone should undergo a SmartLipo treatment.

When it comes to the speed of results, SmartLipo again bests CoolSculpting. Patients can expect to see results from SmartLipo in as little as a week, while CoolSculpting can take three weeks for results to begin to become visible and three to four months before the final results take shape. This is because while SmartLipo removes fat outright, CoolSculpting just freezes and kills the fat cells and leaves the body to break down and metabolize them. This process takes time.

Duration of Results

The results of both SmartLipo and CoolSculpting are intended to be permanent. This is due to how fat cells work in the human body. Rather than creating new fat cells when we gain weight or destroying them when we lose weight, the body just stores more or less fat in its existing fat cells. In fact, the number of fat cells in our bodies stays more or less the same once we exit adolescence. It’s challenging to destroy fat cells through diet and exercise alone; this is one of the main reasons why some pockets of body fat are so tough to get rid of.

Because the body almost never creates new fat cells in adulthood, killing and/or removing them with SmartLipo or CoolSculpting gets rid of them for good. The only reason why results might not be permanent is that these treatments inevitably leave some fat cells behind. In the event of weight gain, those remaining cells will expand, resulting in the reappearance of body fat. This won’t be a concern if you live a healthy lifestyle.

Duration of Treatment

Smart Lipo treatments take an average of one hour per targeted area, depending on both the amount of fat present and the size of the targeted area itself. It can take longer if there is a large volume of fat in the targeted area, for example. CoolSculpting takes anywhere from 35 minutes to one hour per targeted area, again depending on where that targeted area is.

Number of Treatments Required

Most people will only require one Smart Lipo treatment to achieve their desired results in their targeted area. Of course, if you plan to target multiple areas, you might need more than one treatment to do so. CoolSculpting, on the other hand, can require multiple treatments to achieve the best results. Because it can remove up to 23% of fat in an area per treatment, you might require two or three treatments total to see a 50% fat reduction.

Post-Treatment Downtime

As mentioned above, CoolSculpting usually requires zero downtime for recovery. You can get your treatment and go right back to your day with no one the wiser. You may experience some tingling as the treated area thaws out, but that’s about it.

Since SmartLipo is a minimally invasive treatment with incisions, it requires some downtime. Experts usually recommend two to four days of rest and downtime post-treatment, and patients should wait for three weeks before resuming any strenuous activities like lifting weights.

How Much Does Smart Lipo Cost vs. CoolSculpting?

If you are looking to compare the cost of Smart Lipo vs. CoolSculpting, there are a few things you need to consider. The cost of Smart Lipo varies based on a number of factors, but you can typically expect to pay between $2,500 to $4,500 per targeted area. Smaller areas of the body like the thighs and chin cost less, while larger areas like the lower and upper stomach cost more.

Individual CoolSculpting treatments are usually a little less expensive, but their cost also depends on the size of the targeted area and the applicator used to treat it. Treatment with a smaller applicator can cost as little as $750, while the largest applicators can cost around $1,500.

The smaller applicators, as you might expect, are used on smaller areas like the upper arms or chin, while the larger applicators are used on larger areas like the abdomen. Because many people require multiple CoolSculpting treatments, the total cost averages between $2,000 and $4,000, depending on the area being treated.

So, when comparing CoolSculpting vs. Smart Lipo costs, it will depend on your treatment needs.

Who Are These Treatments For?

Most people in good health are candidates for both treatments. The ideal candidate for both is someone who is in good overall shape but has a spot or two of stubborn body fat that they want to get rid of. People who are overweight and want to lose weight are not candidates. It must be noted that these are aesthetic treatments and not suitable solutions for weight loss. If you want to lose weight, you should speak to your doctor and formulate a diet and exercise plan that works for you.

There are a few other conditions that rule people out from undergoing these treatments.


SmartLipo might not be the best body contouring solution for you if you:

  • Have recently had surgery
  • Take anticoagulants
  • Have a pacemaker or defibrillator
  • Have heart disease or a heart condition
  • Have insulin-dependent diabetes

There are other conditions that may prevent someone from undergoing this treatment. If you have questions, speak to us to learn more.


CoolSculpting might not be the best option for you if you:

  • Have a current or past hernia in the targeted area of treatment
  • Have lymphoma or another lymphatic disorder
  • Have a neuropathic condition, such as diabetic neuropathy
  • Have a clotting disorder
  • Have a skin condition such as eczema or psoriasis in the targeted area

Just like with SmartLipo, there are other conditions that may prevent someone from being a good candidate for CoolSculpting. If you’re wondering if it’s right for you, contact us to find out.

SmartLipo vs. CoolSculpting: Which Is Right for You?

Both SmartLipo and CoolSculpting are FDA-approved and proven to be safe, effective ways of treating stubborn body fat that won’t respond to diet and exercise. For people who lead a healthy lifestyle, both treatments offer a permanent solution to this frustrating fat, either by destroying the fat cells or removing them from the body entirely. There are some key differences, however, that can help you decide which is the better overall body-contouring solution for you.

Downtime After Fat Removal

CoolSculpting’s lack of downtime for recovery is one of its key selling points. If you’d rather have a one-hour treatment and go back to your normal day, CoolSculpting might win out over SmartLipo, which requires at least two days’ rest and three weeks of refraining from strenuous activities.

If, on the other hand, you’d rather take a couple days’ worth of downtime away from work than have multiple CoolSculpting treatments, SmartLipo might be a better solution. SmartLipo’s ability to remove more fat in one sitting gives it the edge over CoolSculpting in this way.

SmartLipo vs. CoolSculpting Cost

The average cost for both treatments is roughly similar, as reviewed above. If, however, you want to target a smaller area like the chin and remove just a small amount of fat, CoolSculpting might be cheaper. If you want to target a larger area and remove more fat, SmartLipo might be more cost-effective. The best option for you will always depend upon the goals you want to achieve.

Call Us Today!

SmartLipo and CoolSculpting are both great options when it comes to melting away a belly bulge or a double chin. If you’re still undecided, call us at the Plastic and Cosmetic Center of South Texas in San Antonio, TX, today! We can schedule your initial consultation and help you decide which of these two highly effective treatments is right for you.

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