I recommend you go back to your doctor and discuss your results by looking at before and after pictures. It is hard to diagnose without a picture or in person examination.
Coolsculpting is an excellent form of non-invasive fat reduction for the right patient. Some applicators take 1 or 2 hours but the new advantage applicators take only 35 minutes and have significantly less risk for delayed onset pain (especially in the abdomen). Results are seen at 2 months and typically 1-3 treatments will be necessary on each area to achieve ideal results. The number of treatments depends on the amount of fat there and the patient's goals. There is not downtime and the results can be impressive in the right patient. We also use the Zimmer Z-wave for improved patient comfort and added results. The best candidates are those who are in pretty good shape with areas of stubborn fat that won't go away no matter what.
Sheila Nazarian, MD, MMM
Beverly Hills, Board Certified Plastic Surgeon
Follow Up with Your Doctor
Sorry for your distress. Without physical examination and a better understanding of your health history and condition, it would be speculation regarding what may be going on. Cryolipolysis, the scientific term for how Coolsculpting works through apoptosis not necrosis. Continued followup with your treating physician and with your internist would be recommend. Please update as you progress.
Follow Up with Your Doctor
It is certainly not typical to develop lumps in the
treatment area following a CoolSculpting treatment. The procedure is designed
to produce gradual fat cell reduction in the treatment area. It is important to
follow up with your provider so that you can get a proper medical diagnosis and
determine if there is a health issue that needs to be addressed. This serves as
a good reminder to anyone who has a cosmetic treatment that if something
unexpected occurs during recovery, it is best to be on the safe side and call
the office that performed the treatment. I hope you are able to resolve this
concern quickly and will be on your way to seeing satisfying results.
Extensive research proves that Coolsculpting and it's process of cryolipolysis result in fat cell death through apoptosis not necrosis. This means a natural cell death which dramatically reduces the chance of complications. It isn't uncommon for there to be localized swelling post-treatment. Some patients occasionally feel a bit lumpy as their body is breaking down the fat cells. As always, return to your treating physician for a follow up if you have any concerns so that you can be evaluated in person.
I'm hoping this passes quickly and you start enjoying your results.
My practice is a certified CoolScultping facility and I have never heard of or seen fat necrosis due to CoolSculpting. CoolSculpting triggers a process called cryoliposis which is basically a temperature controlled destruction of fat cells. It is not uncommon for patients to experience swelling, lumpiness, itching, and occasionally some mild cramping for up to two weeks post treatment. I advise you to contact the doctor that treated you to assess you and address your concerns. Good luck!
Coolsculpting post treatment and recovery
Coolsculpting does not cause fat necrosis. It works by stimulating apoptosis (the programmed cell death) of a percentage (usually 20-25%) of fat cells in a treated area. It would be best to return to the treating physician to have them evaluate you if you have any concerns but occasionally some patients get some swelling after the procedure which can feel slightly bumpy.
This is not normal. You should definitely follow up with your provider as others have stated. I have seen essentially no divots post coolsculpting but there are reports of paradoxical increases in fat deposits. Also, it could be something as simple as a lipoma or fatty tumor which is now more appreciable. In other words, it was there before but now with the fat reduced around it, you can feel it more readily. A simple excision of this may be all that is needed. It is hard to diagnose without examination. Check with the doctor who performed the procedure