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Does CoolSculpting Also Freeze Muscle?

The CoolSculpting applicators are designed to target fat and do not damage skin or muscle. The fat is more sensitive to the cooler temperature of the applicator, and that is why the treatment works so well to specifically destroy fat cells. The muscle layer sits below the fat layer, so it is not affected by the cold temperature.

Clinical Context

A common misunderstanding is that the cooling applicator can't distinguish fat from muscle underneath it, so people worry their muscle tissue gets damaged too. In practice, fat cells break down at temperatures that muscle, skin, and nerves simply tolerate without injury. That's why candidacy depends on having a distinct, pinchable layer of fat rather than tissue that's mostly muscle or loose skin. Prior liposuction and skin laxity can also affect fit, which is why an in-person evaluation matters more than any single measurement.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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