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Sure Sculpt vs CoolSculpting

Sure Sculpt is how most people write SculpSure, and SculpSure is a laser that heats fat. It suits flat areas where there is nothing to pinch, and each session takes about 25 minutes. CoolSculpting is cold, and it needs something to grab. A cup suctions a fold of fat against a chilled plate for 35 to 45 minutes. If you can hold the area between two fingers, freezing has more research behind it. If the area is flat and firm, heat is the one that will fit.

At a glance

The differenceSculpSureCoolSculpting
What it doesHeats the fat layer with laser lightFreezes a pinched fold of fat
What it feels likeWaves of heat, then a cool breakA hard pull, then deep cold
CostPriced per session, sold as a coursePriced per cycle, and plans use several

SculpSure

SculpSure

CoolSculpting

A gloved hand holding a large white cooling applicator against a woman's abdomen as she lies on a treatment bed

Side by side

The differences that matter

9 comparison points

What it does

SculpSure

Heats the fat layer with laser light

Flat paddles rest on the skin and warm the fat underneath enough to damage the cells. A cooling plate protects the skin surface.

CoolSculpting

Freezes a pinched fold of fat

A cup draws tissue in and holds it cold. Fat cells are damaged by cold more easily than skin, nerve or muscle.

What shape of area it fits

SculpSure

Flat areas

The paddles sit flat and are strapped in place, so they work on a stomach or a back with little to grip.

CoolSculpting

Areas you can pinch

The vacuum needs tissue to draw into the cup. A flat, firm area gives it nothing to hold.

What it feels like

SculpSure

Waves of heat, then a cool break

The area warms up, then cools, over and over. Some people find the hot phase uncomfortable near the end.

CoolSculpting

A hard pull, then deep cold

The cold fades to numbness within about ten minutes. The massage at the end is the part people remember.

A session

SculpSure

About 25 minutes

Several paddles can be placed at once, so a wide area is covered in one go.

CoolSculpting

About 35 to 45 minutes per applicator

How many visits

SculpSure

Two or three per area

Usually about six weeks apart.

CoolSculpting

Usually two rounds per area

Spaced four to eight weeks apart.

The main downside

SculpSure

Firm lumps under the skin

Small tender nodules in the treated area are the common complaint. They settle on their own over weeks.

CoolSculpting

Fat can rarely grow instead

Paradoxical adipose hyperplasia: months later the treated area becomes firmer and larger rather than smaller. It affects about 0.22% of people, roughly 1 in 455, and liposuction corrects it.

Cost

SculpSure

Priced per session, sold as a course

CoolSculpting

Priced per cycle, and plans use several

The at-home or drugstore version

SculpSure

Heat pads do not reach the fat

A heat pad warms the skin surface. The clinic laser puts energy past the skin into the fat layer, at a temperature and for a time the skin could not tolerate on its own.

CoolSculpting

Freezer wraps are a different thing

A gel pack starts cold and warms up while you wear it. The clinic device holds one steady temperature for the whole session, and that is what damages the fat cell.

Who each suits

SculpSure

  • Best for — A flat stomach, back or flank with a thin layer you cannot grab.
  • The mindset — Short sessions, a course of two or three, no downtime.

CoolSculpting

  • Best for — A roll you can hold between two fingers, including under the chin and on the arms.
  • The mindset — One area, one problem, and the option with the longer track record.

Common questions

Questions Patients Ask

Is Sure Sculpt the same as SculpSure?

Yes. Sure Sculpt is a common way of writing SculpSure, a laser device that heats fat. There is no separate treatment by that name.

Which is better, SculpSure or CoolSculpting?

It depends on what you can pinch. CoolSculpting needs a fold to draw into its cup and has more research behind it. SculpSure uses flat paddles, so it fits areas with little to grab.

Does SculpSure hurt?

It alternates waves of heat with cooling. Most people describe it as warm and tolerable, though the hot phase can get uncomfortable near the end of the 25 minutes.

How many sessions will I need?

SculpSure is usually two or three per area, about six weeks apart. CoolSculpting is usually two rounds per area, four to eight weeks apart.

How long until I see results from either one?

Six to twelve weeks. Both damage fat cells and rely on your body clearing them, so nothing useful shows in the first few weeks.

Do either of them tighten skin?

No. Both remove fat and leave the skin as it was. If your skin is already loose, thinning the fat under it can make it look slightly looser.