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CoolSculpting®

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Even the fittest among us are often bothered by bulges of stubborn fat that stick around despite hours at the gym. CoolSculpting at Dr. Rocco C. Piazza's Austin practice is a body contouring option that's been cleared by the FDA to reduce these fat deposits without surgery – revealing a slimmer, more refined silhouette that you can enjoy indefinitely. You can target your midsection, thighs, or even a double chin with our range of treatment applicators.

At The Piazza Center, we believe that beautiful results are enhanced by leading a healthy lifestyle. Our aim is to help you achieve your cosmetic goals and desires. If you live in or around Austin and CoolSculpting interests you, request a consultation online, or call or office at (512) 551-1067.

Your CoolSculpting Procedure

At The Piazza Center, CoolSculpting is performed right here in our office, and it doesn't require anesthesia. Once you arrive and sign in, a member of our staff will lead you to a private treatment area, where you can make yourself comfortable. Many patients bring books, magazines, or their tablets to read, browse the Internet, or catch up on work during their treatments.

Once you're ready, Dr. Piazza or a qualified member of our medical team applies a cool gelpad to your skin to help regulate the temperature during treatment. Your practitioner then applies the CoolSculpting device to the treatment area. CoolSculpting is effective on the following parts of the body:

  • Abdomen (belly fat, belly pooch, love handles, muffin top)
  • Flanks (love handles, spare tire)
  • Thighs (saddle bags)
  • Under the chin (double chin)

There are different treatment applicators that we use for different areas. If you want to treat a "pinchable" bulge of fat, common on the abdomen and flanks, we choose the applicator that uses suction to draw up a bulging area of fatty tissue into a specially shaped treatment head. Using a patented technology called Cryolipolysis®, CoolSculpting targets and chills only fat cells, leaving the surrounding tissue unharmed. In order to be effective, the targeted fat must remain at a sustained low temperature. We tell patients to plan for about an hour per treatment area. During this time, you'll feel suction as your unwanted fat is pulled into the device and then a sensation of intense cold, which soon dissipates as the area becomes numb.

If you want to treat an area of "non-pinchable" fat, common on the outer thighs, we use the slightly different CoolSmooth™ applicator. The process is very similar, except there is no suction with this applicator. Instead, it has cooling plates that are placed flat against the skin. These treatments produce a similar numbing sensation and equally effective results, but they take 2 to 3 hours per area.

CoolMini for a Double Chin

For both men and women, getting rid of a double chin is a common aesthetic concern. The accumulation of fat just below the chin — called submental fat — is a stubborn nuisance that can detract from your overall attractiveness. People who want a stronger profile come to The Piazza Center, one of the first practices in Austin to offer the special CoolMini treatment applicator.

Designed to fit snugly beneath the chin, the applicator is cleared by the FDA to treat small areas of fat. Unlike other procedures targeting this area, such as liposuction or injections, the CoolMini is non-invasive and doesn't require downtime.

Treatments last about 1 hour. You may see the desired results after a single treatment, but some patients need 2 sessions.

CoolSculpting Before & After Photos

All photos courtesy of Zeltiq®

Coolmini Before and After Coolmini Before and After
BEFORE 12 WEEKS AFTER

*Keep in mind that each patient is unique and your results may vary.

Following your session, the treated area will appear red and swollen. This can typically be hidden under clothes and should resolve itself within a day or so. CoolSculpting doesn't require any downtime, and you should feel up to getting back to your regular activities, even including exercise, immediately.

Dr. Piazza Gets CoolSculpting, Part 1: How the Device Attaches

Watch as Dr. Piazza demonstrates the CoolSculpting treatment on his own midsection with the help of his Director of Patient Services, Samantha LeBlanc. See how the device attaches with suction at the start of the fat reduction session.


Dr. Piazza Gets CoolSculpting, Part 1: How the Device Attaches

Dr. Piazza Gets CoolSculpting, Part 2: How It Feels During Treatment

Dr. Piazza Gets CoolSculpting, Part 3: Massage After Treatment

Dr. Piazza Answers Common Questions

Is CoolSculpting an alternative to liposuction?

Not exactly. Although CoolSculpting and liposuction at my Austin practice both have the same objective – reducing excess fat – CoolSculpting isn't as versatile as liposuction. However, CoolSculpting is still an excellent option for men and women who want to reduce specific areas of fat without undergoing surgery. During your consultation, I carefully evaluate your areas of concern and help guide you to the decision that best matches your lifestyle, budget, and desired results.

Does CoolSculpting cause frostbite?

No. CoolSculpting uses a proprietary process called Cryolipolysis that ensures it targets only fat cells. Cryolipolysis was developed by Harvard researchers, and its safety and effectiveness are well-documented.1 Our fat cells are more vulnerable to cold than skin and muscle cells, which are completely undamaged by the low temperatures. The CoolSculpting device also comes equipped with several features to maintain a consistent temperature throughout each treatment, further maximizing its safety.

Do I need more than 1 treatment?

Although some patients may only require one CoolSculpting treatment, it is more common to undergo multiple sessions over a period of time. Our team will work closely with you to create a custom plan that addresses your exact needs.

Meet Dr. Piazza

Board-certified plastic surgeon Dr. Rocco C. Piazza looks forward to meeting with you to help you discover how you can achieve your cosmetic goals and desires.

About Dr. Piazza Request Your Consultation

Your CoolSculpting Results

The results of a CoolSculpting treatment aren't immediate. Instead, they develop gradually over the course of a few months. By 2 to 4 months, your final results should be apparent. CoolSculpting patients typically see a fat loss of about 20% to 25% in the treated area, which can make a world of difference in a pair of fitted jeans or a slim cocktail dress.

Before & After Photos

All photos courtesy of Zeltiq®

Coolsculpting Before and After Coolsculpting Before and After
BEFORE 90 Days AFTER
Coolsculpting Before and After Coolsculpting Before and After
BEFORE 90 Days AFTER
Coolsculpting Before and After Coolsculpting Before and After
BEFORE 90 Days AFTER

*Keep in mind that each patient is unique and your results may vary.

Once damaged fat cells are flushed out by your body, they won't return. However, your remaining fat cells can still enlarge in relation to your diet and exercise habits. Maintaining a healthy, active lifestyle is the best way to enjoy your CoolSculpting results for as long as possible.

To learn more about what the CoolSculpting process is like at our practice, read Kara's story in her own words.


1Avram M.M., Harry R.S., Cryolipolysis for subcutaneous fat layer reduction, Lasers Surg Med. 2009 Dec; 41(10):703-8.
http://www.ncbi.nlm.nih.gov/pubmed/20014262

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