I did it in his office I was fast asleep the whole time and woke up feeling great no pain till later the next day it wasn't that bad at all and now im 5 days out and just swollen.
The main thing to avoid, if possible, is blood thinners before your botox treatment. Topical washes or treatments should not interfere with your botox treatment. The main issue is bruising from the treatment. This can be minimized by avoiding aspirin or pain relievers that can thin your blood, making bruising worse. Continue to take your aspirin if the doctor has told you to take aspirin for a specific condition.
While pregnancy can induce many changes, if you maintain good weight during pregnancy, you should have a very limited increase in fat cells/ fat volume during the process. Patients only need 400 extra calories/day during pregnancy in general. Being healthy after your coolsculpting treatments is essential for patients - whether they become pregnant or not. To answer your question - I would wait until AFTER pregnancy to have your coolsculpting procedure. I think you will be happier with your results long term.
Based on the information, I would think you are a good Smartlipo candidate. You would still need a physical examination for sure. Have you lost a significant amount of weight? Losing over 50 lbs could leave the skin loose an sagging around the abdomen. This would limit how well your Smartlipo results might look after treatment.
I routinely treat the upper and lower abdomen. However, I usually have to treat them separately. There are several ways to do that. You can treat with 2 x smaller applicators at an angle or treat just the lower abdomen with one of the large applications and then treat the upper abdomen with 1 or 2 smaller applicators. This depends on the size of the patient. Usual prices are $750 for the small applicator and $1500 for the larger applicator. Most offices offer volume discounts if you are purchasing several treatments. It is not unusual for a patient to have flanks, back, and upper/lower abdomen treatments total around $5-6k.
I would recommend stopping anything that is not absolutely essential 2 weeks prior to any procedure. You can restart the next day post procedure. That should limit any bruising risk as much as possible. I'm not aware of Vitamin D causing major bruising problems, but you are right about Vitamin E and Fish Oil. I also have a few patients who eat garlic just before procedures and note bruising. Consider pre-treatment arnica montana and post treatment bromelain to help limit bruising. These are available at vitamin stores.
