CoolSculpting vs. Evolve – The Newest Body Contouring Comparability

Evolve vs. CoolSculpting for Body Contouring

Coolsculpting and Evolve are two different non surgical body contouring/fat reduction technologies. CoolSculpting essentially freezes fat cells while Evolve uses newer laser/heat to remove fat cells via electroporation.

This article provides consumers with information about Evolve’s advantages in the ongoing ‘Evolve vs. CoolSculpting debate’.

Evolve – The newest technology in non-invasive body contouring. It is the first handsfree FDA and Health Canada approved technology that delivers all three technologies simultaneously. Using a customized approach to each patient’s needs. A combination of various amounts of all three modalities of trim, tite, and tone are used to achieve fat reduction, skin tightening, and muscle toning all at once.

Evolve vs. CoolSculpting: Hands free Application

Patients love our new non surgical body contouring and fat reduction treatment from Evolve!

Incredibly unique to this technology is the hands-free application of up to 6 simultaneous applicators. Unlike its predecessor the BodyFx, Evolve does not rely on a practitioner to apply the energy. The automated application of radio frequency energy by the device allows for fast and uniform treatment of a larger body area to give maximal fat reduction and skin tightening.

Closer Comparison Table

Here is an Evolve vs. CoolSculpting comparison considering various criteria:

EVOLVE CoolSculpting

·        Non-invasive, 360-degree body contouring and skin remodeling

·        Destroys 30% fat cells permanently


·        Skin tightening by 13.7% minimum

·        Builds and tones muscle

·        Targets cellulite



·        Non-Invasive fat reduction

·        Destroys 22% fat cells permanently per treatment


·        Does not tighten skin

·        Does not build muscle

·        Does not address cellulite


·        Evolve delivers RF energy to the skin and the sub-dermal layer in a volumetric and uniform process. The radio frequency is clinically proven to stimulate collagen production which remodels the skin and improves its appearance.

·        With a combination of RF energy and vacuum design, the deepest layers of subcutaneous fat are heated and contracted in a uniformed thermal effect. The fat cells are destroyed through the process of electroporation.

·        By emitting EMS, electrical muscle stimulation, your muscles are stimulated to contract which increases muscle strength and definition.


·        By using cryolipolysis, fat cells are frozen which causes crystallization of the cells. Your body will naturally eliminate the dead fat cells over a period being 1-3 months, possibly more.


·        Designed as a solution to address cellulite which can be improved an entire grade. There are 3 grades of cellulite:

1.      Dimpling only when pressure is applied

2.      Dimpling when standing but not lying down, no pressure applied

3.      Dimpling when both standing or lying down, no pressure applied


·        Not a recommended treatment for cellulite.


·        Gradual improvements can be seen after the first few treatments. You will see maximum results 6-8 weeks after the last session. Fat cells may continue to decrease even after 6 months


·        Patients will begin to see changes 1-3 months after their treatment. Final results may take 6 months or more

Treatment Schedule

·        6-8 weekly treatments

·        Additional treatments may be administered 2-4 months after the initial treatment

Treatment Schedule

·        1-2 treatments recommended per area

·        Additional treatments may be administered 2-4 months after the initial treatment

Treatment Time

·        15-60 minutes per treatment area. Can treat multiple areas at once with one machine and multiple handpieces.

·        Has the option of performing “megasessions” which is a longer treatment time of each treatment to help reduce the number of sessions

Treatment Time

·        35 minutes to 1 hour per treatment area. If a clinic has more than one machine, multiple areas can be treated at once, priced by the number of applicators used in each treatment.


·        Majority of patients find Evolve comfortable. Patients can expect a gentle suction and warmth as the vacuum and radiofrequency are performed together.

·        While experiencing your treatment, the warmth is comparable to a hot stone massage


·        During the procedure you may experience sensations of pulling, tugging, mild pinching, intense cold, tingling, stinging, aching, and cramping at the treatment site.

Post Procedure

·        No downtime or recovery period associated with Evolve. Patients will notice redness and warmth in the treated are that will subside after a few hours.

·        There are zero reported cases with all clinical trials on adverse effects

Post Procedure

·        Following the procedure, typical side effects include temporary redness, swelling, blanching, bruising, firmness, tingling, stinging, tenderness, cramping, aching, itching, or skin sensitivity, and sensation of fullness in the back of the throat after submental or submandibular area treatment

·        It is common for the treatment area to feel bloated or swollen for up to 1 month

·        Often the treated area feels sore for 2-7 days after treatment

·        May feel temporary dullness or numbing for 2-6 weeks with the treatment area

·        Potential complications with freezing include skin damage, ulceration or scarring; prolonged or severe pain; abrupt fat layer changes, including “step-off” changes, a visible step like depression due to treatment induced unevenness of fat under the skin; and paradoxical adipose hyperplasia, the development of new fat deposits which may develop 2 to 5 months after treatment and requires surgical intervention for correction.

Science Based Powerful Technologies

The EVOLVE system combines three powerful technologies to achieve its unparalleled results. Evolve is the latest science-based technology licensed by Health Canada and the FDA in the U.S

Body contouring or fat reduction without surgery is available from AestheteMD and the EVOLVE system in Ottawa. This all in one, non-invasive anti-aging technology is clinically proven to improve the appearance of cellulite, reduce superficial body fat, and firm and tone the skin on the body. The treated area looks visibly more youthful and trimmer with no downtime.

Dr. Hedyeh Javidnia MD, MPH, FRCS(C)

Author Dr. Hedyeh Javidnia MD, MPH, FRCS(C)

More posts by Dr. Hedyeh Javidnia MD, MPH, FRCS(C)

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Dr. Javidnia has been featured in Distinctive Women's Magazine and is a member of Ontario Medical Association, Canadian Medical Association, Facial Plastic Surgery & Reconstructive Surgery Academy and the Royal College of Physicians and Surgeons of Canada.