CoolSculpting: Q&A
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Will Cool Sculpting (Zeltiq) Address Skin Laxity?
I Have Banana Rolls with Too Much Skin and Fat. What will happen to the already lax skin if more fat is removed?
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28 Doctor Answers |
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9670anon
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Skin with good elasticity will tighten after Coolsculpting
Coolsculpting is targeted to reduce fat not affect the top layer of skin which is where much of the natural elasticity of the skin resides. Because the results are seen over a 4 month period, patients with good skin elasticity will often see the skin contract as the fat is slowly lost. Patients who have pre-existing skin looseness (laxity) usually will not see the skin tighten as the fat is lost, because the elasticity is already lost.
Just like when you take off a bra, the elastic band...
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Amarillo Dermatologist
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Zeltiq and Skin Laxity
Zeltiq is for permanent reduction of fat. It will not affect the laxity of this area one way or another. If you are already somewhat lax in that area - you will likely remain a bit lax after the treatment. It should not make the laxity worse. You could always have a skin tightening procedure in conjunction with the Zeltiq to help improve the laxity such as Thermage to help improve that area.
Dr. Grant Stevens
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Skin Laxity with CoolSculpting
CoolSculpting's primary purpose is to reduce fat cells and volume. You do risk additional skin laxity from the treatment, particularly if it's already pre-existing.
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CoolSculpting and Skin Laxity
CoolSculpting is not a good option for loose skin. But, for people with excess fat and skin that is not taught, we suggest laser skin tightening as an adjunct treatment. We are particularly enthusiastic about results for improving upper arm areas by reducing size with CoolSculpting and enhancing skin tone with laser skin tightening.
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CoolSculpting works on fat
CoolSculpting works below the skin and effects the fat by creating signals inside the fat cells that cause their gradual destruction. CoolSculpting has no effect on the overlying skin, and will not increase or decrease the elasticity of your skin. You should expect a reduction in the size of the fat bulge but no difference in the lax skin with CoolSculpting. If skin is the problem, you should ask your plastic surgeon about specific means to address this- you may have...
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CoolSculpting Does Not Address Skin Laxity
Younger people who have CoolSculpting will find that their lax skin often comes back to its natural appearance. Older people do not have as much luck with lax skin normalizing. Because of this, in many of our patients, we will do laser skin tightening in addition to CoolSculpting so that when the fat is gone the skin is not as lax.
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Cool Sculpting Effect On Skin Laxity
Dear Anon,
Cool Sculpting (Zeltiq) does not address the skin laxity. That said, it does not mean that the treatment induces sagging skin at the addressed area.
Cool sculpting works through "controlled" cryolipolysis (fat cell death through freezing).
The most notable advantage of this technique is that only fat cells are to be frozen during the process without affecting any other cell types; the fat in adipocytes (fat cells) allows their freezing when other cell types...
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Coolsculpting and loose skin
Coolsculpting is great for treating exercise-resistant fat, but not excess skin. Therefore, you may need to have the skin removed after the Coolsculpting treatments.
see video
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Cannot address skin laxity
CoolSculpting cannot address skin laxity because it works by freezing fat cells and does not cause contraction of fibrous septi or collagen of skin. However, it is possible through treatment with LipoSonix which uses Ultrasound therapy to raise the temperature above 55-60 C at which point collagen molecules undergo structural transformation which translates into skin tightening. This seems theoretically plausible, but has not been confirmed through trials.
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CoolSculpting and skin laxity
There are two questions here. What would happen to the skin laxity after CoolSculpting. We see only good retraction and if the skin is very lax it is not worsened. The other question is what happens with treatment of the banana roll. Similar to areas that are treated conservatively or avoided in liposuction, I would be cautious in areas that are known to drop after liposuction when doing CoolSculpting, especially in an off-label area. Further studies may need to be done, or information...
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Skin Tightening with CoolSculpting
Thank you for your question.
CoolSculpting is used for fat reduction, not for skin tightening.. but because it is a gradual reduction of fat, the skin laxity usually does not get worse. Best to be seen by a treating doctor to get the most precise advice.
I hope this helps.
see video
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Skin can retract
When fat is removed below the skin, the skin can retract to match the new contour. however, after severe amounts of weight loss, or yo-yo dieting or multiple or large pregnancies, this ability of the skin can be comprimised. so it truly depends on your skin and how severe the laxity is to begin with.
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Zeltiq does not address skin laxity
Zeltiq targets certain areas of fat, mostly the love handles. It does not help with skin laxity. Severe skin laxity may require a tummy tuck. Mild to moderate skin laxity might be helped with Thermage or Titan treatments.
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Zeltiq will not address lax skin
If your skin has lost its elasticity, it will probably look even looser after you have zeltiq. A good analogy is the abdominal skin in a pregnant woman. If the skin has lost its elasticity, it can look wrinkly and hang down after the mother has given birth and lost weight. If the skin is tight, it will shrink back after the baby is born. This is why patients with tight skin get the best results with zeltiq. People with loose skin should consider a...
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CoolSculpting helps to remove fat
But does not affect the skin at all. If you have some skin sagging you could consider other skin tightening devices such as Thermage, to use after the CoolSculpting. Best,
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Banana Rolls
Even though the Zeltiq people will not admit it, there is some skin tightening with Zeltiq treatments. It does vary from person to person and area of the body. I have had good luck with skin tightening in the banana roll area.
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CoolSculpting and Skin Laxity
CoolSculpting is not a procedure to improve skin laxity. CoolSculpting will effectively remove the fat layer, with maximum reduction seen approximately two to three months after the treatment was done. Because of this gradual fat layer reduction, the skin overlying the fat has time to accommodate and 'bounces' back nicely. In fact, we have even witnessed patients treated who have somewhat pendulous abdomens, where the skin and tummy lift up, and the pendulous or sagging abdomen is...
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Cool sculpting and skin laxity
Cool sculpting is a treatment for fat reduction. It does not address skin laxity. You can undergo other treatments for skin laxity such as vela shape or thermage
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Zeltiq/Coolsculpting reduces fat NOT skin laxity
Currently, there is no evidence that Zeltiq's Coolsculping will either improve or worsen skin laxity. Skin inherently has some elasticity, so when we gain weight or lose weight, skin will naturally "expand" or "contract" against our body. Likewise, using coolsculpting to reduce the fat layer at the subcutaneous layer, will not affect skin laxity. If you have too much skin laxity after Coolsculpting, then you may require skin excision of the...
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Zeltiq treatment and skin laxity
Zeltiq treatment reduces fat layer thickness. If the overlying skin is of good quality, it will contract to cover conform to the underlying fat. If the skin is lax due to age, genetic factors, massive weight loss, etc. then the skin may not contract as well.
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Zeltiq does not treat skin laxity..but do discount Contraction
Although Zeltiq has no apparent mechanism to deal with skin tightening....the skin effect is dependent upon and proportion to the amount of elasticity in the skin..l More in younger ptients without smoking or sun damage.
Although you are only reducing fat, you can get a skin contraction as one would after pregancy....although the conditions have to be right.. Look at my photos of an abdomen here on Real Self...you can see skin contraction.. This was the right patient selection for this
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Zeltiq is more for fat reduction than skin tightening.
You need to consider both issues, fat reduction and skin tightening. In a young person the skin will tighten up once the fat is reduced no matter what method is used, older folks may not respond as well. Zeltiq really seems to address only the fat part. I would love to see a study using Zeltiq for fat combined with Thermage for tightening (maybe I will do one!). Sounds like a great combination, both give moderate results with no downtime.
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Zeltiq Coolsculpting is not for lax skin
Coolsculpting using Zeltiq machine will not improve or tighten lax skin. It will , however, remove localized fat bulges in active adults. It works great for love handles and abdomen and is safe and noninvasive.
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Cool Sculpting by Zeltiq and Skin Laxity
Cool Sculpting by Zeltiq is a treatment to reduce fat and only fat. The scientific method used in cool sculpting by Zeltiq is called "cryolipolysis" which basically means the freezing of fat causing programmed cell death. The skin does not get affected by the cold which means to also say that it does not cause skin tightening or smoothing. There are lasers that do improve skin laxity such as the Velashape and Sciton's Skin tyte as well as Thermage. ...
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Skin Laxity does not seem to worsen after Coolsculpting by Zeltiq
Hi there-
As long as you do not have stretch marks in the area, the skin does seem to respond nicely to the reduction in fat. We have not had anyone experience a worsening or development of the appearance of excess skin, regardless of area treated.
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Zeltiq will not improve skin laxity
Zeltiq will not improve skin laxity and it probably won't make skin laxity worse either- if you've got rolls of fat and excess skin on your tummy, you should consider an abdominoplasty. Zeltiq results are best in patients with little to no skin laxity and very focal regions of abdominal and flank fat.
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Zeltiq will remove your fat but not tighten your skin
Zeltiq is very successful at removing fat cells through freezing (cryolipolysis) but your skin will not be affected. If you are not obese and if your skin has good elasticity then it should "bounce back" by itself.
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Zeltiq will not address lax skin but............
We have done hundreds of these precedures and haven't seen lax skin get worse. It might be that the reduction is so slow that the skin gradually contracts on its own. In general, healthier, younger people should have more elastic skin that should contract better after Zeltiq or lipo than an older person. Also keep in mind the amount of fat reduction per treatment is generally about 22%.
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