CoolSculpting is a branded form of fat reduction method called cryolipolysis. It has Food and Drug Administration (FDA) approval.
As with other forms of cryolipolysis, it uses freezing temperatures to break down fat cells. Fat cells are more affected by cold temperatures than other cells. This means that the cold does not damage other cells, such as the skin or underlying tissue.
During the procedure, the practitioner vacuums the skin above the area of fatty tissue into an applicator that cools the fat cells. The cold temperatures numb the site, and some people report feeling a cooling sensation.
Most CoolSculpting procedures take around 35–60 minutes, depending on the area a person wishes to target. There is no downtime because there is no damage to the skin or tissue.