Systems and methods for a medical device configured to provide cooling to a tissue region are provided. The medical device may be configured to noninvasively cool the tissue region to a predetermined operating temperature via a two-phase heat transfer process. In some aspects, the medical device can be configured to be in communication with a vacuum to provide a suction to the medical device. In some aspects, the medical device can be adapted to a medical device to noninvasively cool the tissue region near a fractional treatment area.
