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Is Coolsculpting Safe for People with Prior History of Elevated Liver Profiles?

Had elevated liver profiles for a couple of years. Although back to normal, still remains on the higher end of scale. Would cool sculpting pose any danger to my liver reason being maybe some of the fat would be metabolized by it?

Doctor Answers 9

Elevated Liver Levels and Coolsculpting


I think the main question is to know why you have a history of elevated liver tests.  If you have a history of Hepatitis C, it is related to a disease cold cold cryoglobulins which can be worsened by Coolsculpting.  If you have a history of elevated liver tests and are cleared by your primary care doctor, you should be able to have Coolsculpting.  The procedure itself does not cause any elevation of liver tests.


Dr. Liu

Newport Beach Dermatologic Surgeon
5.0 out of 5 stars 38 reviews

3991 MacArthur Blvd
Newport Beach, CA 92660

Coolsulpting and Patients with Liver Disease

Thank you for your question.

There is no contraindication to have this procedure performed if you had previously had elevated liver profiles. Your treated doctor may want some information from the physician who has been treating you but otherwise should be OK.

I hope this helps. 

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,051 reviews

8851 Center Drive
San Diego, CA 91942

Coolsculpting Does Not Affect Serum Lipid Levels or Liver Function Tests

Dear Miscurious, Great question! Coolsculpting does not affect serum lipid levels or liver function tests.

A recent study of forty patients showed no change in lipid levels or liver tests when tested at day 1 and weeks 1,4,8 and 12 after having their love handles treated. This was also found to be true in a subset of patients that were tested at numerous other time-points following treatment. This is not surprising because the reduction of fat cells occurs at a very slow rate, underscoring the safety of the coolsculpting procedure.

Here is the reference in case your doctors may find it helpful:

Lasers in Surgery and Medicine 41:785–790 (2009). 

Non-Invasive CryolipolysisTM for Subcutaneous Fat Reduction Does Not Affect Serum Lipid Levels or Liver Function Tests. Kenneth B. Klein, MD,1 Brian Zelickson, MD,2 Jeffrey G. Riopelle, MD,3 Eric Okamoto, MD,4 Eric P. Bachelor, MD,5 Rosemary S. Harry, MSBME,6 and Jessica A. Preciado, PhD7*

Andrea Willey, MD
Sacramento Dermatologic Surgeon

2277 Fair Oaks Boulevard
Sacramento , CA 95825

Coolsculpting in patients with past history of liver disease

There is no contraindication to Coolsculpting for those patients with a prior history of abnormal liver function tests. There are very few contraindications but you should discuss them with your physician upon consultation.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

230 George Bush Blvd
Delray Beach, FL 33444

Coolsculpting and a history of elevated liver enzymes

There is no association between coolsculpting and elevated liver enzymes.  I would suggest you check with your treating physician as to the cause of your elevated liver enzymes to make sure it is not related to some underlying disease that is affected by coolsculpting.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 43 reviews

156 East 79th Street
New York, NY 10075

Coolsculpting and Liver Conditions

There is no contraindication for patients with a liver condition and coolsculpting. Your treating physician for coolsculpting may wish to consult with your internist to understand the history and causes of your liver condition prior to proceeding with the treatment.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 25 reviews

1501 Forest Hill Boulevard
West Palm Beach, FL 33406

Elevated Liver Profiles And Cool Sculpting

Dear Miscurious,


Without knowing the cause of your once elevated liver profiles, I cannot confirm that cool sculpting is safe in your case.

Nonetheless, if the liver issue was caused by elevated fat levels your blood due to a given diet for example then the loss of fat through cool sculpting will barely elevate the serum fat levels of the patients.

It is important to note that the fat contained in the adipocytes (fat cells) will slowly get into the bloodstream without causing a significant elevation of the serum fat levels; the evidence is within the fact that it takes weeks to recognize the full results of the treatment.

Thank you for your inquiry.

Best of luck.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 176 reviews

496 Old Newport Blvd
Newport Beach, CA 92663

CoolSculpting and Liver Levels...

There is no contraindications to having a CoolSculpting treatment with a history of elevated liver levels.  This treatment does not affect serum lipid levels nor liver function.  Please do not hesitate to tell your provider about your history prior to your treatment.  I am sure he/she will agree with us as well.

Hope this helps.


Dr. Grant Stevens        Marina Plastic Surgery Associates          Marina del Rey, CA         The Institute

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 94 reviews

4644 Lincoln Blvd
Marina Del Rey, CA 90292

CoolSculpting does not seem to affect liver issues

The freezing of the fat and processing of fat cells in CoolSculpting does not appear to affect the lipid levels or damage livers as the freezing kills the fat cells rather than exploding them and liberating fat into the blood stream. The dead fat cells get metabolized over a slow period.

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

317 East 34th St
New York, NY 10016

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.