Are CoolSculpting Results Permanent?

Some things in life offer promises that seem too good to be true. Thankfully, CoolSculpting is not one of them! CoolSculpting is not only proven to work but is also proven to have permanent results. It is a noninvasive procedure, allowing you to enjoy results similar to surgeries like liposuction, but with none of the discomfort or downtime. CoolSculpting is safe. It requires no anesthesia. And its results are real. Over 3 million people have experienced CoolSculpting’s slimming effects.[1] Dr. Patrick Bitter, Jr., is thrilled to bring this phenomenal technology to the Silicon Valley community.    

World-renowned, board-certified dermatologist Dr. Patrick Bitter, Jr., offers CoolSculpting treatments to help his patients get rid of unwanted fat from stubborn areas to achieve the body contour they desire. He is respected in his field, having lectured at the very first, physicians-only CoolSculpting University in Pleasanton, California. Best of all, Dr. Bitter is a local boy made good: he graduated, with honors, from the University of California and completed medical school at Stanford University’s prestigious program. Today, his thriving practice, Advanced Aesthetic Dermatology, is nestled in the Bay Area town of Los Gatos, CA, with new offices opening in Beverly Hills.     

Contact Dr. Bitter and let him help reveal the slim new you. Call us for a consultation: (408) 358-5757.

Before and After Photos

About CoolSculpting 

CoolSculpting is a non-surgical procedure that permanently eliminates unwanted body fat. This revolutionary treatment uses patented cryolipolysis technology. By delivering this precisely controlled cooling technology to the fat cells beneath the skin, the fat cells are frozen and destroyed. Over the following weeks, the body eliminates these dead fat cells by naturally flushing them out, leading to a gradually slimmer contour.

Learn the latest on all our incredible procedures by keeping up with Dr. Bitter’s blog

Clinically Proven to Produce Permanent Results

CoolSculpting is clinically proven to produce permanent results. Once the treated fat cells have been frozen through cryolipolysis, they die. The body’s natural reaction is to remove these dead fat cells through its natural elimination process. This is not temporary; the cells are permanently destroyed and eradicated from the body. Once these fat cells are gone, they are gone for good! Any area that receives treatment will have a permanent reduction in the number of fat cells.[2] 

This begs the question: will I always be this slender? We discuss this in detail below. 

Will I Always Be This Slender?

Because CoolSculpting permanently eliminates a portion of fat cells from the body, you will never regain those or any other fat cells. However, the remaining fat cells can still increase in size if you gain weight. This means that if you are not careful about managing your weight, your remaining fat cells could swell and give you a heavier body shape. 

Nonetheless, because of the reduced number of fat cells due to CoolSculpting treatments, even with weight gain, your body will still be slimmer than it would have been if you had not received CoolSculpting. The best way to maintain optimal results from your CoolSculpting treatment is to embrace a healthy lifestyle, exercise regularly, and eat nutritious, lean foods so that you both look and feel good, long term.

CoolAdvantage and DualSculpting Now Available

Dr. Bitter is proud to offer CoolSculpting’s latest CoolAdvantage applicator, which cuts the treatment time in half! Each treatment takes only 35 minutes to complete. Dr. Bitter also offers DualScupting to allow his patients to treat two areas at the same time!


CoolAdvantage is CoolSculpting’s latest applicator. The new cup design provides a larger cooling area with 45% more comfort than older designs. Our patients are astounded by their reduced waistlines. And the abbreviated time frame means you can squeeze a CoolSculpting treatment into your next lunch break—you’ll still have time for a cup of coffee on your way back to work!   


Beauty is all about symmetry. In DualSculpting, Dr. Bitter administers twice the outstanding outcomes with two CoolSculpting machines running simultaneously. This cultivates more balanced results, especially in bilateral areas like the arms, legs and flanks where symmetry really counts. DualSculpting is a rare luxury since it necessitates twice the devices as traditional CoolSculpting techniques. Dr. Bitter and Advanced Aesthetic Dermatology are proud to provide DualSculpting to the luminaries of Los Gatos

What Does CoolSculpting Cost in Silicon Valley?

Your CoolSculpting costs depend upon the size of the treatment area and the number of treatments needed to attain your desired results. Your personal consultation with Dr. Bitter will include a physical examination and a personal discussion, so the doctor can get to know you better, inside and out.

Armed with this critical information, Dr. Bitter will be better able to quote you an accurate price. 

Keep an eye on our specials page to find fresh deals on all our procedures at Advanced Aesthetic Dermatology. Contact the office to learn more: call (408) 358-5757.

The Results Are Real 

CoolSculpting’s outcomes are proven and permanent. Dr. Bitter is a master of the craft, performing the procedure himself and teaching other doctors around the world to do the same. You may not believe your eyes, but CoolSculpting’s results are real


Can you freeze your fat off at home?

Absolutely not. Do not try to simulate CoolSculpting’s effects with DIY, at-home remedies. Your efforts will be ineffective (at best) and potentially harmful (at worst). CoolSculpting is a popular medical spa procedure that leverages a process called cryolipolysis to reduce stubborn pockets of fat from areas that do not readily respond to the benefits of a healthy diet and regular exercise. The CoolSculpting device delivers cold temperatures to target areas by way of a vacuum applicator. Fat cells are particularly intolerant to the cold, so CoolSculpting freezes and eliminates them while leaving the surrounding skin and tissue unharmed. At-home remedies misguidedly attempt to recreate cryolipolysis by the direct application of ice or other frozen substances to the skin. This will not produce the intended effect. In fact, DIY “CoolSculpting” is dangerous and risks causing tissue damage.   

Does CoolSculpting tighten loose skin?

CoolSculpting will not tighten loose skin. CoolSculpting is a popular procedure with a high success rate, but it can’t do everything. The procedure takes advantage of a biological quirk of adipose fat tissue: its sensitivity to low temperatures. Hence, through the strategic application of cold (-10°C, 14°F), CoolSculpting destroys fat cells but does not injure the neighboring skin. 

Does CoolSculpting cause diarrhea?

Yes, it’s true. Some patients may experience diarrhea for the first few weeks after a CoolSculpting treatment. Don’t fret—you do not have a stomach virus. It is a mostly benign side effect that one should nonetheless carefully monitor and adequately prepare for. Be sure to stay hydrated. Eat foods like bananas, avocados and watermelon to replenish lost electrolytes. The mild gastric discomfort is a byproduct of cryolipolysis, CoolSculpting’s active mechanism. In a CoolSculpting session, strategic applications of cold temperatures kill the fat cells in the target area. During the weeks that follow, the dead cells are excreted by the body’s lymphatic system. Unfortunately, the patient may experience brief bouts of diarrhea until the excretion process is complete. Other side effects of CoolSculpting include redness, tenderness and moderate muscle cramping in the treatment area.[3]           

How many treatments are needed for CoolSculpting?

Most patients achieve their desired results after two to three treatments of a target area. You can expect to begin seeing these results one month after your first treatment. The full flowering of your trim new look will bloom after two months. For optimum outcomes, your second treatment should be scheduled within 30 to 60 days of the first. Correctly timing your followup visits takes advantage of an inflammatory response in the fat cells that will enhance the procedure’s effectiveness. Results from CoolSculpting are not immediate. It takes a few weeks for the cryolipolysis process to run its course and fully eliminate fat cells from the treatment area.         

Does CoolSculpting hurt?

Most patients report experiencing only mild discomfort during the procedure itself. The CoolSculpting device utilizes vacuum-powered applicators to gently grip the flesh and apply temperatures as low as 14°F (-10°C) to kickstart the cryolipolysis process. During these initial moments, when the vacuum’s reverse pressure takes hold and the first waves of cold make their tingly presence known, you will feel what CoolSculpting’s manufacturer, Allergan, describes as “sensations of pulling, tugging, mild pinching, intense cold, tingling, stinging, aching, and cramping at the treatment site.” But the power of cold has anesthetic properties. Allergan acknowledges this, going on to say, “These sensations subside as the area becomes numb.” In fact, many patients describe the whole affair as a rather relaxing experience. You can read, watch TV, even take a nap during your CoolSculpting treatments.  


  1. Ingargiola, M. J., Motakef, S., Chung, M. T., Vasconez, H. C., & Sasaki, G. H. (2015). Cryolipolysis for Fat Reduction and Body Contouring. Plastic and Reconstructive Surgery, 135(6), 1581–1590. doi: 10.1097/prs.0000000000001236
  2. Derrick, C. D., Shridharani, S. M., & Broyles, J. M. (2015). The Safety and Efficacy of Cryolipolysis: A Systematic Review of Available Literature. Aesthetic Surgery Journal, 35(7), 830–836. doi: 10.1093/asj/sjv039
  3. Coleman, S. R., Sachdeva, K., Egbert, B. M., Preciado, J., & Allison, J. (2009). Clinical Efficacy of Noninvasive Cryolipolysis and Its Effects on Peripheral Nerves. Aesthetic Plastic Surgery, 33(4), 482–488. doi: 10.1007/s00266-008-9286-8
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