Back fat is the area people search for second most after the double chin, and bra fat and the fold under the buttocks were cleared with it. CoolSculpting has been FDA-cleared in the US for all three since 2016, on the basis that the device works the same way whatever the treatment site; the manufacturer's study table has no separate study for them, and we say so. Both sides are treated in one visit, three to five cycles on the back and two to four on bra fat, usually with no time off work, at Cool Clinic, 130 Harley Street, with the price in writing at a free consultation.
The three areas
- Bra fat: the roll beside the bra strap at the side of the chest, two to four cycles for the upper bra line and two to four for the lower, both sides together, by the 2022 expert panel.
- Back fat: the rolls across the lower back or below the shoulder blades, three to five cycles, in our experience often with the flanks in the same course.
- The fold under the buttocks: the banana roll, two to four cycles; the buttocks themselves are not a cleared area and are not treated.
Each is a firm roll the applicator draws in, and each is quoted as its own area. Two applicators run at once, so both sides are done together.
What the evidence is
The 2016 clearance for these areas rests on the device working the same way at every site and on a review of 4,792 published treatments, 501 of them on the back and 14 on the banana roll, not on a study of each area. The 2022 expert panel set the cycle counts above. In one of the largest published series, 3,262 patients over 18,203 cycles across every area, the median patient had four cycles.
The session and after
One cycle per side, 35 to 60 minutes, lying on your front or side, intense cold and pulling for the first minutes and numbness after. The area is red, firm and often bruised for a week or two and numb for one to three weeks. The result can start to show from about four weeks and is judged about eight weeks after the last cycle, when we take the after photograph.
Who it suits
A pinchable roll in someone whose weight is steady, with a body mass index of 30 or under for these body areas. A soft, loose back without a roll to pinch is skin rather than fat, and the clinician says so at the free consultation. The love handles page covers the flanks, often treated with the back in one course, and the full guide covers the rest.
Not sure you are suitable? Ask the clinician, it is free
Book a free consultation
Call Cool Clinic on 0207 043 1117 or use the form below. The clinician pinches each roll, counts the cycles and gives you the course price in writing.


