CoolSculpting is the world’s #1 non-invasive fat-reduction procedure.

CoolSculpting is the treatment doctors use most for nonsurgical fat reduction. Dr. Roy David, considered one of the top facial plastic surgeons in the country and has been featured numerous times on national TV has built a state of the art CoolSculpting center in San Diego.

The CoolSculpting procedure eliminates stubborn fat safely and effectively, without surgery or downtime.CoolSculpting is the only FDA-approved, non-surgical fat-reduction treatment that uses controlled cooling to eliminate stubborn fat that resists all efforts through diet and exercise. CoolSculpting results are proven, noticeable, and lasting—so you’ll look great from every angle. With more than 8 million CoolSculpting treatments performed worldwide, people everywhere are getting a better view of themselves.

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Coolsculpting® Before & After Images

Patient Before And After Photos Patient Before And After Photos
CoolSculpting Treatment Areas

Dr. David has assembled one of the finest teams at his San Diego medspa and believes CoolSculpting is a game changer in non-invasive cosmetic procedures. His medspa team has over 9 years of experience in performing the procedure and are highly trained not only in CoolSculpting but also specialize in many other rejuvenating procedures like Botox, facial fillers, skin tightening, laser treatments, microneedling and a wide variety of facials including the HydraFacial.

If your goal is to look younger and thinner, we have the staff and technology that can help.

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Our Medical Spa is owned and operated by Dr. Roy David who is a board-certified plastic surgeon. If you are considering plastic surgery of the face, breast, or body, you owe it to yourself to choose a specialist. Unlike any other plastic surgery practice in the country, at Roy David MD Plastic Surgery And Medical Spa and Medical Spa you will be seen by a Face Specialist or by a Breast and Body Specialist. To learn more, please visit our main website at

What to Expect

My Cool Journey | CoolSculpting® | Andrea

Your Coolsculpting Consultation: The First Step

It’s easy to get started in your CoolSculpting journey to a slimmer you. Your first step will be scheduling a consultation with Roy David MD Plastic Surgery And Medical Spa and Medical Spa

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You’ll meet with our certified CoolSculpting specialist Robert Gleason during a one-on-one consultation. Robert brings over 9 years of experience in developing CoolSculpting treatment plans and has engineered the ideal patient experience, with no surprises from consultation through treatment and follow-ups. Robert has performed over 30,000 CoolSculpting treatments and brings a wealth of knowledge and experience to our medspa when it comes to freezing fat and body contouring. The entire CoolSculpting process is overseen by board-certified plastic surgeons Dr. Roy David.

Robert will take the time to discuss a comprehensive approach to your goals for reshaping your body. Together, you’ll look at your whole body from different angles—and then focus on specific areas where you want to eliminate fat.

Your Treatment Plan: Customized To your Body


Our CoolSculpting specialist will work with you on the best treatment plan tailored to your needs. It may take as little as one office visit to achieve your goals. With different applicators to choose from, our specialist can design a treatment plan that can give you your desired results.


For some people, a customized treatment plan may include more than one CoolSculpting treatment. For example, you may want to freeze away fat from your inner and/or outer thighs—and also get rid of that muffin top. Roy David MD Plastic Surgery And Medical Spa and Medical Spa has two CoolSculpting systems and can treat different body areas at the same time.


Our certified CoolSculpting specialist and board-certified plastic surgeon will provide a clinical recommendation of which areas should be treated and how many treatments you will need. The result? The sculpted shape you want.

CoolSculpting results are proven, noticeable, and lasting—so you’ll look great from every angle.

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Your Treatment Day: No Surgery, No Needles. No Downtime.

If you are a candidate for the CoolSculpting® treatment, we will work with you to create a customized treatment plan depending on your goals. During the treatment you will be able to read, answer emails, or chat with a friend. After the applicator is detached, your provider will do a brief massage on the area to break up the treated fat cells and enhance the fat reduction. That’s it! Most patients experience little to no downtime after treatment.


Cool Answers: Treatment Day


Your provider will apply a clear gel pad to the treatment area. This creates a barrier between the cooling panel and your skin. Clinical trials have demonstrated CoolSculpting® to be safe and effective in reducing fat in certain areas.

You’ll feel a slight sucking sensation as the applicator adheres to your body. During the procedure you may experience sensations of pulling, tugging, mild pinching, intense cold, tingling, stinging, aching, and cramping at the treatment site. These sensations subside as the area becomes numb within 5 to 10 minutes.


Absolutely! Many people watch Netflix, read, check emails, or even take a nap during their treatments. You are encouraged to do whatever feels most comfortable for you. So sit back, relax, and say goodbye to stubborn fat!


The CoolSculpting procedure is completely non-surgical, which makes returning to normal activities afterwards a typically easy process. Often times, patients even return to work after their CoolSculpting treatment is over.


During the procedure, you may feel some deep pulling, tugging, pinching, numbness or discomfort. After the procedure, typical side effects include temporary numbness, redness, swelling, bruising, firmness, tingling, stinging and pain. Many patients do experience redness in the treated areas for up to an hour after the applicator is removed.


Most patients can return to their normal activities immediately after the CoolSculpting procedure.

While some patients may see results as early as 3 weeks after their first treatment, the most dramatic results are usually seen between 1 and 3 months following treatment. Get ready to love every view of you and fear no mirror ever again!


Video: CoolSculpting: How It works


Years ago, scientists at Harvard University observed that some children who ate popsicles got dimples in their cheeks. The scientists realized that the popsicles were freezing and eliminating small pockets of fat cells. The idea that cold can target fat cells—without damaging the skin or surrounding tissue—was the insight behind Cryolipolysis®, the proven science on which the CoolSculpting procedure is based.


The CoolSculpting procedure safely delivers precisely controlled cooling to gently and effectively target the fat cells underneath the skin. Treated fat cells are crystallized (frozen), then die. Over time, your body naturally processes the fat and eliminates these dead cells, leaving a more sculpted you.


Fat cells that are frozen during the CoolSculpting procedure gradually die off and leave the body through the body’s natural elimination process. Once the fat cell is frozen, the fat cell begins to die and collapse. Over the next few weeks, other cells (macrophages) consume the dead fat cells, which are then carried to the liver to be naturally eliminated. That’s why the results are long-term. The fat is gone for good! Untreated areas will have no change in fat cell distribution.


After many years of research, you can feel confident that the CoolSculpting procedure is based on sound science. Leading researchers & doctors have published more than 60 scientific & clinical journal papers, medical meeting posters, and technical reports


Many of us have bulges of stubborn fat like muffin tops.

Those unwanted bulges contain fat cells, which can be resistant to diet and excercise but not to Coolsculpting.

Coolsculpting uses controlled cooling to target and crystallize fat cells.

Crystallize fat cells gradually die off, then are naturally eliminated from your body.

In the weeks and months following treatment, remaining fat cells condense, reducing the fat layers.

CoolSculpting lets you say goodbye to stubborn fat.

Frequently Asked Questions about CoolSculpting

CoolSculpting® is a fat-reduction treatment for men and women who want to get rid of stubborn pockets of fat in certain areas of their body. CoolSculpting® is NOT a weight loss procedure. CoolSculpting® is a nonsurgical alternative to liposuction that has little to no downtime.

The price for CoolSculpting procedures varies depending on your areas of concern, the number of treatments needed, and your ultimate goals. Most patients opt to receive treatments in multiple body areas in order to achieve their goals.

Create a customized treatment plan, in person, with our certified specialist that’s tailored to your body, your goals, and your budget. Roy David MD Plastic Surgery And Medical Spa and Medical Spa even offers flexible payment plans through CareCredit to help patients achieve their goals with 6 and 12 months no interest.

Our certified CoolSculpting specialist will help you create an individualized treatment plan tailored to your specific goals. The length of your CoolSculpting treatment will vary depending on the number of areas being treated during one visit. While each CoolSculpting treatment generally lasts about 35 minutes, some patients have more than one treatment during the same office visit. Roy David MD Plastic Surgery And Medical Spa and Medical Spa has two CoolSculpting systems, so it’s possible for a patient to have two areas treated at once. Our CoolSculpting specialist will set realistic expectations during the evaluation process and suggest areas that may need a second treatment in order to meet your goals.

CoolSculpting® is FDA-approved for the treatment of visible fat bulges in the submental (under the chin) and submandibular (under the jawline) areas, thigh, abdomen and flank, along with bra fat, back fat, underneath the buttocks (also known as banana roll) and upper arm.

CoolSculpting® uses cryolipolysis, which is just a technical way to say fat-freezing. When fat cells freeze, they die and are then naturally eliminated through the body’s natural process. Don’t worry: This process happens so gradually, you won’t necessarily notice a difference in your day-to-day life. Once the treated fat cells are gone, they’re gone for good.

As the cooling begins during the first few minutes, you may typically feel intense cold. This soon dissipates. With some applicators, you’ll feel some pulling as suction is applied. The area generally goes numb within 5 to 10 minutes during treatment. Many people read, watch Netflix, work on their laptop, or even take a nap during their CoolSculpting treatment. After the treatment, you may feel some tingling as the area is massaged for 2 to 3 minutes. Patients are usually able to return to normal activities following their appointment.

CoolSculpting® has been cleared by the FDA to effectively treat nine different areas of the body. Clinical trials have demonstrated CoolSculpting® to be safe and effective in reducing fat in certain areas

The CoolSculpting® procedure is not for everyone. You should not have the CoolSculpting® procedure if you suffer from cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria.

Tell your doctor if you have any medical conditions including recent surgery, pre-existing hernia, and any known sensitivities or allergies.

During the procedure you may experience sensations of pulling, tugging, mild pinching, intense cold, tingling, stinging, aching, and cramping at the treatment site. The sensations subside as the area becomes numb. Following the procedure, typical side effects include temporary redness, swelling, blanching, bruising, firmness, tingling, stinging, tenderness, cramping, aching, itching, or skin sensitivity.

Yes, you can. The CoolSculpting procedure is completely non-surgical, so typically you can return to normal activities immediately. Patients often return to work on the same day after a CoolSculpting treatment is completed.

Always be sure to schedule a follow-up assessment with us to review your results and discuss the option of additional treatments. Try to maintain a healthy lifestyle. A healthy body is a happy one. And we want you to be happy with your results!

You may start to see changes as quickly as 3 weeks after your treatment, and will experience the most dramatic results after 2 months. Your body will still continue to flush out fat cells for up to 3 to 6 months after treatment.

The CoolSculpting® treatment helps eliminate stubborn pockets of fat. But, since CoolSculpting® is not a weight loss treatment, it is possible to gain weight post-treatment if you don’t keep up your healthy habits. This kind of weight gain will most likely happen evenly throughout your body, not just in treatment areas.

Because CoolSculpting® is a voluntary cosmetic treatment, it is not normally covered by insurance providers and FSA companies. Check directly with your insurer to learn what is covered under your plan benefits. Alternately, Roy David MD Plastic Surgery And Medical Spa and Medical Spa offers flexible payment plans through CareCredit to help patients achieve their goals with 6 and 12 months no interest.

Fat Reduction vs. Weight Loss


It may be confusing to hear that reducing fat is not the same as losing weight. It’s all about what happens to fat CELLS. The number of fat cells in our bodies typically becomes a fixed number sometime in our teenage years. Losing or gaining weight generally does not increase or decrease the number of fat cells. Instead, it changes the size of fat cells.


After dieting and weight loss, fat cells get smaller but the number of fat cells stays the same. When weight is gained, fat cells get bigger.

  • Losing weight makes fat cells smaller
  • Losing weight does not make fat cells go away


The CoolSculpting fat-freezing procedure actually reduces the number of fat cells in treated areas by about 20% to 25%. These fat cells are naturally processed and eliminated, so they won’t migrate to another area of your body.

The CoolSculpting procedure will NOT help you lose weight. However, if you want to lose unwanted fat and look slimmer in your clothes, then CoolSculpting may be right for you.

FDA-approved CoolSculpting is a non-surgical fat-reduction treatment that eliminates stubborn fat safely and effectively

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CoolSculpting is a registered trademark and the CoolSculpting logo and the Snowflake design are trademarks of ZELTIQ Aesthetics, Inc.

*Before and after images and videos courtesy of CoolSculpting