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?

28 Doctor Answers | Asked by 9670anon
+2

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... more
+2

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 more
+1

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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+1

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.
+1

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... more
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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.
+1

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... more
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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
+1

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.
+1

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... more
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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.

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