I appreciate your question.
The pain at the beginning is the worst part
you could try some advil but this may increase your bruising
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.
best of luck!
Coolsculpting and Initial Pain
Coolsculpting is a fabulous procedure for decreasing the bulge of fat in a given area by as much as 25% in a single treatment with no down time. Until the area is "frozen" there may be some discomfort. If you feel that it was too uncomfortable then you can take Motrin before the procedure. I would not advise topical lidocaine since if it is occluded under the applicator could cause irritation or other side effects.
Pain during CoolSculpting
As the CoolSculpting applicator draws in the tissue and treatment begins, there
is a squeezing and pulling sensation that some patients find uncomfortable at first. After several minutes the treatment area becomes
numb and the procedure is much more comfortable. We do not find that topical numbing is necessary but do advise patients they may take Ibuprofen 30-45 minutes prior to their treatment to help take the edge off.
Pain control for Coolsculpting
Thank you for your question. Coolsculpting treatments can be intense at the very beginning until your tissues accommodate to the treatment and the temperature drops. I have prescribed some oral sedatives (e.g Ativan) and narcotics for pre-procedural comfort. But I require a driver. You can also use topical numbing and this may help as well. I would apply it an hour before the treatment. I have also injected lidocaine for other energy based treatments on the abdomen such as the CO2 and this is also an option depending on where you go for your treatment.
Discomfort during the first 5-10 minutes of
CoolSculpt is caused by pressure from the suction of the applicator. After 5-10
minutes, this discomfort and pressure subsides as the area being
treated becomes numb from the cold. Generally, this pressure is most
uncomfortable when treating the lower abdomen with the larger applicator. In
such circumstances, some patients take ibuprofen 30-60 min before the treatment
to take the edge off. If you are very concerned about this pain, you may
consider taking an anti-anxiety medication an hour before the procedure as
well--just be sure to arrange transportation.
Pain during Coolsculpting
I agree that the topical lidocaine won't help and that Valium or similar anti-anxiety drug would take the edge off. Just have someone drive you home if you are going to take that medicine during treatment. XO
Pain during and following CoolSculpting
A few patients do develop discomfort and pain following CoolSculpting (CS); not so much at the beginning of the cooling process. The trouble with using topical lidocaine is the potential for overuse and toxicity. Any distraction such as music, video, meditation and tylenol (an hour or 2 before) can help for that brief period before the skin is "cooled numb".
Most of my patient require no medications following CoolSculpting but for those that do, we have tried, tylenol, ibuprofen / naprosyn, LidoDerm topical and rarely narcotic for comfort during the occasional spasm a week following the procedure.
Discuss further with your Certified CoolSculpting Team.
All the best!
This can be improved by ibuprofen, neurontin or antianxiety/painkillers prior to the procedure. Best, Dr. Emer.
Remedy for Pain During CoolSculpting
Your observation is appreciated.
In my opinion the large central abdominal applicator has induced more discomfort than the smaller applicators.
In patients who have above average discomfort with the large applicator we switch to two treatments of the smaller applicator.
Talk with your physician about this possible option.
Pain during CoolSculpting
The initial discomfort is usually short lived and usually resolves within the first 5 minutes. Even though during your first treatment you initially felt discomfort it does not mean the next will have the same response. Each and every treatment is different with most patients during treatment not feeling any discomfort at all. Typically the large Cool Max applicator will cause some of what you described but further treatments may require smaller applicators which are more tolerable. Topical numbing cream is not necessary and would not numb deep enough.