Thank you for your question. While it is probably safe to follow CoolSculpting with Kybella, the more important question is making sure that you have the right diagnosis. Sometimes submandibular glands and neck muscles can masquerade as residual fat. In this case, Kybella is unlikely to help and may actually be harmful. This is one of the challenges and limitations of non-surgical treatments...they are modestly effective, but often leave patients dissapointed or spending more out of pocket than a more definitive procedure would have. To be certain, seek a second opinion from an independent physician prior to undergoing another treatment. Best wishes.

Answered by Dr. CentenoMay 24, 2017

CoolSculpting

Q Why does it take 4-8 weeks for the results from cool sculpting to be noticed? What is happening internally until then?

A Thank you for your question. Coolsculpting works by using freezing temperatures to cause a natural death of the fat cell called apoptosis. Once this occurs, the cell walls break down, are consumed by immune system cells and free fatty acids are absorbed into the lymphatic system and processed by the gastrointestinal system including the liver. As you can imagine, this complex system takes time to be activated and to do its work. Additionally, any injury to tissues causes swelling which usually takes weeks to months to completely resovle. This combination of factors contributes significantly to the delay in results. Further, slight nuances in applicator placement, massage, and anatomy also affect the results. Not everyone is a good candidate for coolsculpting and multiple treatments are usually necessary to get a noticeable result due to the limited effectiveness of this non-invasive treatment. As long as you are well informed and manage your expectations appropriately, this treatment can be helpful. In its current form, a replacement for surgery it is not. Hope this helps. All the best!

Answered by Dr. CentenoMay 18, 2016

CoolSculpting

Q Can the Coolsmooth applicator be used on the abdomen and is it as effective there as the suctioning method?

A Thank you for your question. The coolsmooth applicator can be used on other non-pinchable areas. The difficulty is getting the applicator to sit appropriately to get the most effective treatment. The new coolsmooth pro applicator is better suited for abdominal applications with shorter treatment times. Best wishes.

Answered by Dr. CentenoFebruary 16, 2015

CoolSculpting

Q Can you have a hiatal hernia and have cool sculpting done?

A A hiatal hernia is an internal hernia around the opening in the diaphragm where the esophagus passes. This area is not affected by a cool sculpting treatment so you are a candidate as long as coolsculpting is appropriate for your body contouring issues Best wishes.