In our practice, we do not retreat the SAME area within 3 months if it is fully relaxed, but new areas are fine. Generally, I would avoid bouncing around if you can. If you do move between providers, I would have each provider give you a record of what area was treated each time so you keep everyone on the same page and avoid over treating.
Indeed, the average number of cells removed per cycle is 25%. This is the total number of cells within the treated area within the applicator. As the sizes of the pocket of fat decreases, you may need a smaller applicator to correctly treat the area. In a few patients we have treated small areas that remain with Kybella. Using Kybella off the chin is off label, but effective.
During each coolsculpting cycle, the treated are reaches the desired temperature in the 29-31 minute period of a 35 minute cycle. Treating less than this time will not adequately trigger apoptosis, the desired death of the fat cells.
I recommend waiting 2 weeks or until all redness and peeling have resolved. Most microneedling procedures have specific post care instructions. Follow those instructions for 2 weeks then resume your regular skin care regimen.
Taking antiviral prophylaxis in conjunction with a surgical of cosmetic procedure is routinely performed in my practice. To be the most safe, have the doctor prescribe prior to the procedure. Then take the antiviral on the morning of the procedure and continue for 7 days after the procedure. You should be fine:)
