Is Abdominal Swelling Normal After CoolSculpting?

I had Cool Sculpting done three days ago...the large device on my lower abdomen and small one on upper abdomen. My abdomen is noticibly swollen. I have actually gained about 1.5 lbs even tho I am eating less and healthier. Is this temporary water gain from swelling normal?

Doctor Answers 27

Post Coolsculpting swelling

It is not uncommon to have swelling after Coolsculpting. I would suggest that you wait 2-3 weeks and typically this resolves otherwise discuss with your physician.


West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

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Swelling after Zeltiq CoolSculpting is normal

Although it is considered to have minimal down time, Zeltiq CoolSculpting chills the fat and causes the fat cells to die. This creates inflammation which helps the body get rid of fat cells. Swelling and bruising can occur. It may last for a few weeks and improves on its own.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 33 reviews

Swelling after Zeltiq

Greetings~

It is definitely not unusual to have swelling after Zeltiq.  Swelling can last anywhere from a few days to a few weeks.  Some patients may also have bruising and tenderness in the treated areas, some numbness, tingling, pins and needles-like sensation...these are all quite normal. If you feel the swelling is excessive or it persists more than a few weeks, follow up with the office that treated you so they can advise you. 

Good luck~

Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 77 reviews

Swelling after CoolSculpting can happen, and resolves in hours to days.

Swelling after CoolSculpting can happen, and resolves in hours to days. Your swelling should probably resolve in the next few days to one to two weeks. Tenderness, if present, may last a few weeks maximum, but typically goes away after a few days. Not every patient will develop these symptoms but, if they do, they are always transient. I recommend to my patients to take ibuprofen 400 mg by mouth two to three times a day for several days until the discomfort and swelling get better.

Swelling after CoolSculpting

Swelling after the CoolSculpting procedure is absolutely normal and may last several weeks after treatment.

Rosalyn George, MD
Wilmington Dermatologic Surgeon
4.5 out of 5 stars 9 reviews

Swelling following Coolsculpting

Swelling can be a typical response following Coolsculpting, but it should subside in a few days or could last a couple of weeks.  Patients may also experience mild bruising, tenderness and some feel numbness and/or tingling.  These side effects tend to be quite short term. Many patients feel very little discomfort and most return to normal activities immediately following treatment, whether it is returning to work or actually working out. There is no "downtime" for the majority of patients. 

Post Treatment Swelling

Post inflammation is not uncommon especially if treated in the abdomen. Some patients may experience mild swelling, tenderness and nerve pain that feels like pins and needles. Though this can be uncomfortable for some it will self resolve within a couple weeks.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 10 reviews

Is Abdominal Swelling Normal After CoolSculpting?

Thanks for your question. Swelling is a completely normal reaction after CoolSculpting. It should only around 7 days. Other side effects may be itching and numbness that may last a couple of weeks. Hope this helps. 

Brian C. Reuben, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 16 reviews

Abdominal swelling after CoolSculpting

Belly swelling can happen after CoolSculpting.  Although this is a non surgical procedure, freezing and killing fat does initiate an inflammatory cascade which eventually breaks down the fat.  The suction also can create some swelling.  This will not create downtime.  A little bruising can also occur.  This will gradually disappear over the course of the next few weeks and by 4 to 6 weeks you will begin to notice a slimmer waistline. 

Ran Y. Rubinstein, MD
200 Stony Brook Court, Newburgh, New York

Board Certified Facial Plastic Surgeon (ABFPRS)
American Society forLaser Medicine & Surgery (ASLMS)
Clinical Professor New York Presbyterian Hospital
National Education Faculty (physician trainer) for:
Allergan (Botox, Juvederm, Voluma), Galderma (Scultpra, Restylane, Silk),
Cynosure (Cellulaze, Precision Laser Lift) & Solta (Fraxel, Thermage)
Zeltiq( CoolSculpting)

Ran Y. Rubinstein, MD
Manhattan Facial Plastic Surgeon
5.0 out of 5 stars 135 reviews

Swelling is very normal after Coolsculpting

Hi, what you are experiencing is entirely normal after the Coolsculpting procedure, especially in the abdomen. The process of fat cells dying is actually an inflammation process so it is normal to feel the effects of that inflammation. I expect your swelling will resolve itself in around a week or two. Best of luck. 

David Rapaport, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.