What is the best alternative to CoolSculpting besides surgery? (photo)

Hi Lisa, You present a challenging question. In our office we use many different procedures for fat removal and tightening. Unfortunately looking at your picture I'm not sure any of them would be effective. It appears that you do have a fat layer but it might be very minimal? We often do RF and Ultra Sound in combination with CoolSculpting. You might consider going to a clinic that has a total body center with many devices for an opinion. It also might be necessary for you to seek a surgical solution. Dr. Adrienne Stewart MD FAAD

Dear pina76:
Thanks for sharing your photo. You look lovely. I do see the mid-upper thighs touching with an air-gap above. Without an in-person examination, I cannot offer you an opinion as to why CoolSculpting did not work in this area for you. Some of the thoughts may be:

True lack of fat in that area
Muscle bulge which does not respond to CoolSculpting
Wrong choice in applicator or machine failure
Wrong placement of the correct applicator
If you have no substantial fat, none of the alternatives you mention including TruSculpt, Sculpsure, Kybella will help.

If it is laxity of the skin which is “bunching” in this area and tightening which could help you, then Sculptra and ThermiTight may help.

In any case, see consultation from a Board Certified Plastic Surgeon with experience in all these minimally invasive and surgical options to best offer what is optimal for you.

I hope this is helpful. All the best!