Loose Skin on Stomach After Pregnancy and Weight Loss. Candidate for CoolSculpting?

Question

I gained 50 pounds with my baby. I've lost 35 pounds so I am now 5'2 and 145 , I am healthy I like my shape but my stomach needs help. I have a lower pouch that hang , I want to try the cool sculpting , I know my stomach will hang but I just want to decease the size of it . Will this need me

Melissa Chiang, MD, FAAD · Answer

Coolsculpting is an effective way to reduce fat. However, you are right to point out that coolscupting will not help sagging skin due to weight gain during pregnancy and subsequent weight loss. (BTW - good for you for losing so much weight). The sagging skin may become even more pronounced when you lose more fat via coolsculpting. A tummy tuck will give you a better aesthetic result, but it is more expensive and requires more downtime.

Ali Sajjadian, MD, FACS · Answer

Dear Chosen,

	Congratulations on a commendable weight loss.

	After you reach full recovery from your delivery, the cool sculpting procedure can be used safely.

	That said, the laxity and the excess of your skin may not get better. If you are looking for a flat tummy, a surgical approach (tummy tuck) will be your best bet especially if you have developed an umbilical hernia or diastasis recti that need to be fixed.

	I encourage you to visit a board certified surgeon of ample experience who will guide you to make a well informed decision after you communicate your goals with him/her. It would be a plus if the surgeon of your choice offers cool sculpting at his/her office.

	For instance, I try to make my assessment based on the fact that I have the Zeltiq treatment at my office available for the right candidates.

	Thank you for your inquiry.

	The best of luck to you.

	Dr. Sajjadian

Young R. Cho, MD, PhD · Answer

Coolsculpting would not be my first option if you are concerned with both skin laxity and excess fatty deposits.  I would recommend surgical solutions such as liposuction and tummy tuck.   If you are simply looking to have a slimmer profile in clothing, then Coolsculpting can help you achieve this.

Laurie A. Casas, MD, FACS · Answer

You may want to wait for at least 9 months after you delivered and be sure your weight is where you want it to be before considering coolsculpting. The rule is that hanging skin will still hang after fat reducing procedures. You are correct that the hanging skin thickness would be reduced after coolsculpting.

Ron Shelton, MD · Answer

If you have a skin laxity issue then CoolSculpting by Zeltiq probably will not give you enough or any improvement. If there is fat accumulation then you can get some reduction from CoolSculpting. Otherwise you may need an abdominoplasty (tummy tuck) so see a plastic surgeon in consultation.

Scott C. Sattler, MD, FACS · Answer

Based on your description, I would not recommend the Zeltiq procedure. Its minimally effective at reducing abdominal fat and does nothing for skin laxity. This comment is based on my experience with treating over 100 patients with the device - its just not that effective. An abdominoplasty is a terrific procedure that delivers great contouring results when done by a surgeon that does the procedure frequently.

Monika Soni, MD · Answer

Thank you for your question! Coolsculpting would not be my first option if you are concerned with both skin laxity and excess fatty deposits.  I would recommend surgical solutions such as liposuction and tummy tuck.   If you are simply looking to have a slimmer profile in clothing, then Coolsculpting can help you achieve this. Best of luck!

Kris M. Reddy, MD, FACS · Answer

Coolsculpting is an option for you. However, you should consult in person with a board certified physician who can offer surgical and coolsculpting options to determine which procedure is best for you.

Robert Whitfield, MD · Answer

Yes!  Cool Sculpting will work for your.Body
reshaping can be performed with a cannula that removes fat via liposuction or
with noninvasive technology like Cool Sculpting.  With Cool Sculpting there is no cannula
inserted into your body.  All treatments
are performed on the surface from the outside in using technology that freezes
the fat.  Don’t hesitate to give us a
call in Austin regarding a Body Reshaping Consult at the Upper Room.  On our Facebook Page there is an Interview I
recently did with KVUE, a local news station in Austin, that was picked by
affiliates around the United States, including Miami.  During the Interview we discussed the
technology of Cool Sculpting as well as it application process.

The discomfort from treatment does resolve.  Taking over the counter
tylenol or naproxen resolves this in the majority of cases.  If you have
swelling that is persistent then a waist binder is helpful.

Daniel Shapiro, MD · Answer

CoolSculpting is not a weight loss solution for people who are obese, or a substitute for surgical methods such as liposuction. Good candidates have noticeable bulges in certain areas they’d like to get rid of. Your doctor will determine if treatment is right for you during a one-on-one consultation.

Loose Skin on Stomach After Pregnancy and Weight Loss. Candidate for CoolSculpting?

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