Why is non-surgical fat removal generally said not to hurt?
The main reason is that techniques such as cryolipolysis (Coolsculpting®), body radiofrequency, body carboxytherapy or reducing mesotherapy work without incisions, without a scalpel and without the need for general anaesthesia.
In most protocols, the patient remains awake, listens to music, reads or even works during the session. Sensation varies from one technique to another, but rarely reaches a level of pain that requires subsequent analgesic medication.
Does Coolsculpting® hurt? Sensations step by step
Coolsculpting® uses controlled cooling applied to the area of localised fat. The typical sensation is as follows:
- First few minutes: pulling and intense cold in the area suctioned by the handpiece. This quickly disappears as the area becomes numb from the cold.
- Mid-session: numbness in the area. Many patients use this time to work on their laptop or watch a series.
- End and hours afterwards: mild tingling, redness or a feeling of tightness. This disappears within hours and, at most, within 1-2 days.
In our clinical experience, Coolsculpting® is a well tolerated treatment in more than 95% of patients.
What other non-surgical alternatives exist for fat removal?
Besides Coolsculpting®, at Clínica Robega we work with other complementary alternatives depending on the type of fat, the area and any skin laxity:
- Body radiofrequency: very useful when, in addition to fat, there is also flaccidity, as it combines lipolysis with a tightening effect.
- Reducing mesotherapy: excellent for small areas, incipient cellulite or localised fluid retention.
- Body carboxytherapy: improves circulation and skin texture while reducing small fatty deposits.
When might there actually be some discomfort?
Discomfort is rare, but it can occur in the following cases:
- Very sensitive areas (inner thighs, lower waist) or with very compact fat.
- Patients with very pronounced thermal sensitivity.
- Intense sun exposure in the 48 hours before the session.
For these situations we adjust parameters, suggest shorter sessions or combine with cutaneous cryotherapy to minimise the sensation.
Learn more about our star service: if you would like to resolve any doubts with a free, personalised medical assessment, read all about the [Coolsculpting® in Madrid](/en/servicios/coolsculpting) treatment at Clínica Robega and book your no-obligation consultation.



