Non-surgical body contouring is one of the most popular categories in aesthetic medicine, and the marketing around it can make results sound almost too good to be true. The reality sits somewhere more nuanced: these treatments work, they’re backed by solid clinical data, and they deliver meaningful results for the right patients. But they’re not a substitute for weight loss, and walking in with realistic expectations makes all the difference.
What Non-Surgical Body Contouring Actually Does
Non-surgical contouring treatments target localized fat deposits and, in some cases, muscle tone in specific areas of the body. They don’t produce dramatic overall weight loss or address obesity. What they do well is reduce stubborn pockets of fat that persist despite diet and exercise, and refine the contours of areas that are otherwise difficult to change through lifestyle alone.
Common treatment areas include:
- Abdomen and flanks (love handles)
- Inner and outer thighs
- Upper arms
- Underneath the chin (submental fat)
- Bra fat and back fat
- Buttocks (lifting and toning)

CoolSculpting
CoolSculpting uses a technology called cryolipolysis to freeze and eliminate fat cells. Applicators attach to the treatment area and deliver precisely controlled cooling that drops fat cell temperature to the point where the cells die without damaging surrounding tissue. The body then naturally clears those dead fat cells over the following weeks and months.
Studies show CoolSculpting reduces fat in treated areas by an average of 20 to 25 percent per session. Results develop gradually over two to three months as the body processes and eliminates the treated cells, and they’re permanent in the sense that damaged fat cells don’t regenerate. That said, remaining fat cells in the area can still expand with weight gain, so maintaining results requires maintaining a stable weight.
What to realistically expect from CoolSculpting:
- A noticeable reduction in the treated area, not a dramatic transformation
- Gradual results that build over 8 to 12 weeks post-treatment
- Some areas benefit from more than one session for optimal results
- Mild temporary side effects, including numbness, redness, and sensitivity in the treated area
CoolSculpting suits patients who are close to their goal weight and want to address specific, pinchable pockets of fat that haven’t responded to exercise.
Emsculpt Neo
Emsculpt Neo takes a different approach and targets two things simultaneously: fat reduction and muscle building. It combines radiofrequency (RF) energy, which heats and destroys fat cells, with high-intensity focused electromagnetic (HIFEM) energy, which induces powerful involuntary muscle contractions that no voluntary exercise can replicate.
In clinical studies, a standard course of Emsculpt Neo produced an average of 30 percent reduction in fat and 25 percent increase in muscle mass in the treated area. Those numbers reflect real, measurable changes, and they represent a meaningful upgrade from what CoolSculpting alone delivers for patients who want to address both fat and muscle tone.
What to realistically expect from Emsculpt Neo:
- Improved muscle definition alongside fat reduction
- A standard course of four sessions over two weeks
- Results that continue to develop for several weeks after the final session
- A treatment that complements an active lifestyle rather than replacing one
Emsculpt Neo suits patients who want to go beyond fat reduction and improve the underlying muscle tone of areas like the abdomen, buttocks, arms, or thighs.
Non-surgical Body Contouring Consultations Available
CoolSculpting vs. Emsculpt Neo: Which One?
The two treatments solve different problems and, for some patients, work best together.
- CoolSculpting excels at reducing discrete, pinchable fat deposits in patients who are already close to their goal weight
- Emsculpt Neo suits patients who want simultaneous fat reduction and muscle toning, particularly in the abdomen and buttocks
- Combined treatment addresses fat removal and muscle definition together for more comprehensive contouring results
Neither treatment suits patients with significant weight to lose. Both work best as refinement tools for people who are already living a healthy lifestyle and want to address areas that haven’t responded to their efforts.
So, Is It Worth It?
For the right patient, yes. Non-surgical body contouring delivers real, measurable results with no downtime, no surgery, and no injections. The key is honest candidate selection and realistic expectations. Patients who approach these treatments as a complement to a healthy lifestyle, rather than a shortcut around one, consistently report the most satisfaction with their outcomes.
The dermatologists at Krauss Dermatology will assess your goals and your anatomy honestly and recommend the approach most likely to deliver results you’ll actually notice. Schedule a consultation to find out if non-surgical contouring is the right fit for you.
Happy to be a new patient of this practice and enthusiastically recommend them. Everyone is pleasant and professional.
Take the Next Step
If you have further questions about non-surgical body contouring, we encourage you to schedule a consultation at Krauss Dermatology. Call us at (781) 247-5593 or fill out our online contact form. We look forward to taking care of you.