COOLsculpting.
Reduce stubborn pockets of fat without surgery, needles, or downtime — with FDA-cleared CoolSculpting Elite. Allergan Platinum Plus practice, dual-applicator capable, conservative cycle planning.
Controlled cooling, targeted fat reduction.
CoolSculpting Elite is an FDA-cleared, non-invasive body-contouring device by Allergan Aesthetics that reduces stubborn pockets of fat using controlled cooling — a process called cryolipolysis. The applicator chills the fat layer beneath the skin to a temperature where fat cells crystallize and trigger their own breakdown, while the surrounding skin, nerves, and connective tissue stay intact.
Once treated, those fat cells are cleared by the lymphatic system over 8–12 weeks. The reduction is permanent — the cells don't come back. CoolSculpting won't move the scale; it changes the contour of the area, not your weight.
It's not liposuction. There's no anesthesia, no incisions, and no recovery period. The trade-off is that the result is more subtle than surgery and takes weeks to appear — but most patients can return to work or the gym the same day.
Mapped applicators, paired cycles.
At Reviv Med Spa in Millbrae we run CoolSculpting Elite — the current-generation system from Allergan Aesthetics. Our practice is recognized as an Allergan Platinum Plus partner, which reflects sustained CoolSculpting volume and ongoing technique training. Every consultation starts with a full anatomical assessment — we look at where the pockets sit, whether the tissue is pinchable enough to draw into the applicator, and what a realistic result looks like for your body.
The Elite system runs two applicators at once, so we can treat both flanks (or both inner thighs, or both upper arms) in a single visit. The applicator family includes:
- CoolAdvantage large applicators
- Abdomen, flanks, back, bra fat — the workhorse applicators.
- CoolFit arm + thigh
- Upper arms, inner thighs, banana roll — flat-surface anatomy.
- CoolMini Elite small applicators
- Submental (under chin), submandibular (jawline) — the small-area applicators.
- CoolCurve+ curved areas
- Outer thigh, knee — curved-tissue applicators.
After the assessment we map the applicator placements, mark the skin, place the applicator, and run the cycle — typically 35–60 minutes per cycle. After the cycle ends we perform a brief manual massage of the treated area, which is a small but important step shown to improve outcomes. Most areas need 1–2 cycles per side, and you may need a second round 8–12 weeks later to refine the contour. Most patients drive themselves home and return to normal activity the same day.
Standardized progress photos at your follow-up — same lighting, same pose — let you see the change side-by-side rather than guessing in the mirror.
Nine zones, one toolkit.
In your consultation we'll identify which areas would benefit most for your goals. The Elite system covers most pinchable pockets across the body and a few small face/neck applications.
Abdomen
Lower belly and upper abdomen — the most-requested first area.
Flanks
"Love handles" along the sides of the waistline.
Submental
Under the chin — softens a small fullness without surgery.
Inner thighs
Stubborn pockets along the inner-thigh contour.
Outer thighs
Saddlebag area along the outer thigh.
Banana roll
The crease just below the buttocks.
Upper arms
Mid-upper-arm fullness — common ask after weight stabilizes.
Bra fat / back
Bulges along the bra line and mid-back.
Submandibular
Jawline fullness — the new Elite C applicator handles this area.
Pockets that resist diet and the gym.
Diet- and exercise-resistant pockets
The areas that don't budge with the gym — the primary indication for cryolipolysis.
Submental fullness
Under-chin fat that adds a soft second-chin look. CoolMini / Elite small applicators handle this without surgery.
Post-weight-loss contouring
After significant weight loss, residual pockets often remain. CoolSculpting refines what diet alone can't.
Pre-event body contouring
Wedding, reunion, vacation. Plan 8–12 weeks ahead — that's when results peak.
Non-surgical alternative to liposuction
No anesthesia, no incisions, no downtime. The contour change is more subtle than lipo, but there's no recovery to plan around.
Flanks Submental Banana roll Bra fat Inner thigh Outer thigh Upper arms Abdomen Flanks Submental Banana roll Bra fat Inner thigh Outer thigh Upper arms Abdomen Flanks Submental Banana roll Bra fat Inner thigh Outer thigh Upper arms What to know, in four lines.
- 01
CoolSculpting destroys fat cells permanently — they don't come back. Remaining cells can still grow if you gain weight, so the result holds most reliably when you're close to a stable weight.
- 02
It's not a weight-loss tool. Expect a contour change, not a number on the scale. The literature reports up to ~25% fat reduction in the treated area per cycle.
- 03
Results take 8–12 weeks to peak. Your body has to clear the destroyed cells through the lymphatic system — there's no instant before-and-after.
- 04
Pricing is per cycle and quoted in writing at consultation. Most areas need 1–2 cycles; we map the treatment plan with you before any treatment.
From day zero, to week twelve.
Treatment day. Applicator is placed, cooling runs 35–60 minutes per cycle. You read, take a call, or doze. Drive yourself home.
Treated area may feel firm, tender, or numb. Mild swelling and redness are normal. No restrictions on exercise or daily activity.
Lymphatic system is clearing the destroyed fat cells. Tenderness fades. First contour changes start to show in the mirror.
Full result. We compare standardized photos to your baseline. If a second cycle would refine the contour, we plan it now.
What it actually costs.
CoolSculpting pricing at Reviv is per cycle, and most areas require 1–2 cycles per side. Final cost depends on the area, the applicator size, and how many cycles your plan calls for. We map the treatment plan and quote it in writing at consultation, before any treatment begins.
Who it's for — and who it isn't.
- Adults near a stable weight with stubborn pockets that diet and exercise haven't resolved
- Patients who want a non-surgical alternative to liposuction with no downtime
- Patients with submental (under-chin) fullness who don't want a Kybella series
- Patients planning a body-contouring goal 3 months ahead of an event
- Patients seeking weight loss — CoolSculpting is for contour, not pounds
- Patients with cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria
- Patients with hernias in the treatment area
- Pregnant patients
Your CoolSculpting team.
Dr. Gayle Misle, MD
Founder of Reviv Med Spa & Laser Treatment. Oversees the body-contouring program and reviews every CoolSculpting plan before treatment.
Megan Sosnick, RN
Aesthetic Nurse and Practice Manager. Plans your applicator mapping, runs your cycles, and tracks your standardized progress photos through the 12-week result window.
Real Reviv patients. No retouching.
Twelve weeks post-treatment. Same lighting, same pose, same camera. Tap any pair to read the case study — areas treated, applicators used, cycles run.
Individual results vary. All photos are real Reviv patients, shared with consent. Lighting and pose are matched, no retouching.
Where the work happens.
CoolSculpting Elite is run from our dedicated treatment room. Dual applicators let us treat two areas in the same cycle. You read, work, or rest while the cycle runs — typically 35 to 60 minutes per applicator pass.
What people say about Reviv.
The whole team takes their time. No upselling, no pressure — just a thoughtful plan and beautiful results. The space itself feels like a sanctuary.
I've tried four other med spas in the Bay Area. Reviv is the only one where I feel genuinely listened to. Worth the drive from the city.
Conservative, honest, and skilled. They told me I didn't need half of what I was considering — and the things they did do were perfect.
No CoolSculpting-tagged reviews yet — these are recent reviews from across our practice.
Read all reviewsFrequently asked.
Does CoolSculpting Elite hurt?
No. The first 5–10 minutes feel intensely cold and there's a pulling sensation as the applicator engages, then the area numbs. After the cycle, a brief deep-tissue massage of the treated area can be uncomfortable for a minute or two. There are no needles and no incisions.
How is CoolSculpting Elite different from regular CoolSculpting?
Elite is the current-generation system. Compared to the original CoolSculpting, Elite has redesigned C-shaped applicators that contact more skin per cycle, dual-applicator capability so we can treat two areas at once, and a wider applicator family that handles smaller and curvier areas. Same underlying mechanism (cryolipolysis), better delivery.
How much fat does it actually remove?
Clinical data reports up to roughly 25% fat reduction in the treated area per cycle. That's a contour change, not a weight change — most patients don't see the scale move. Some areas need a second cycle 8–12 weeks later to refine the contour.
When will I see results?
First visible changes around weeks 3–4. Full result at weeks 8–12 — that's when your lymphatic system has finished clearing the destroyed fat cells. We take standardized comparison photos at your follow-up so you can see the change side-by-side.
Are the results permanent?
The fat cells destroyed by the cooling are gone permanently. The cells that remain in the area can still grow if you gain weight, so the result is most stable when paired with a steady weight. Most patients keep their result for years.
Is there downtime?
No restrictions on activity. The treated area may feel firm, tender, swollen, numb, or tingly for 1–2 weeks — sometimes longer. Most patients work out the next day. We'll review the full sensation timeline at your consultation.
How much does it cost?
Pricing is per cycle and depends on the area, the applicator size, and how many cycles your plan calls for. We map the treatment plan and quote it in writing at consultation, before any treatment begins. No surprise charges.
Who should not get CoolSculpting?
Patients with cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria (rare cold-sensitivity disorders), patients with hernias in the treatment area, and patients who are pregnant. We screen at consultation. If you've had a previous abdominal surgery, mention it during your visit.
Can CoolSculpting treat the chin?
Yes. The Elite small applicators (formerly CoolMini) treat submental fullness — the soft fat under the chin. Most patients need 1–2 cycles. It's a non-injection alternative to Kybella.
How does this compare to Kybella?
Both reduce submental fat permanently. Kybella is an injection (deoxycholic acid) and typically takes 2–4 sessions spaced a month apart. CoolSculpting is non-invasive and typically takes 1–2 cycles. Kybella usually has more swelling; CoolSculpting usually has more firmness/tenderness. We'll recommend the right one for your anatomy and goals.
Patients come to us from across the peninsula.
Reviv Med Spa is at 31 S El Camino Real in Millbrae, California — easy to reach from across the Bay Area peninsula. Patients come to us from Burlingame, San Mateo, Hillsborough, San Bruno, Foster City, and the broader peninsula including Atherton, Belmont, Brisbane, Daly City, Half Moon Bay, Menlo Park, Pacifica, Palo Alto, Portola Valley, Redwood City, San Carlos, and South San Francisco. Off the 101, just south of SFO. Free parking on site.