No, CoolSculpting permanently eliminates fat cells. CoolSculpting fat-freezing instigates a form of cell death called apoptosis, which naturally occurs in the body as cells age and die. Once the immune system recognizes frozen fat cells are dead, a cleanup process is triggered in which special white blood cells called macrophages break down and consume the dead cells. The dead fat cell material is digested and recycled as fuel for macrophages to continue cleanup elsewhere in the body.