Is abdominal CoolSculpting effective on visceral belly fat (Lipodystrophy) caused bY HIV meds and if so will it last?

Hello and thanks for posting.
Cool Sculpting or cryolipolysis is a technique that targets subcutaneous fat for permanent reduction in the treated areas.

People living with HIV who have long-term exposure to antiretroviral therapy have an increased risk of metabolic abnormalities, including visceral fat deposition. There is also increased risk of unusual subcutaneous fat accumulations – the classic example is a cervico-dorsal fat pad or “buffalo hump”.  The constellation of these findings are known as lipohypertrophy. 

Unfortunately, Cool Sculpting does not address visceral fat. I have used it successfully in HIV-infected patients with subcutaneous fat deposits, including a buffalo hump. 

There is a medication call liraglutide, also known as Victoza and Saxenda that is FDA approved for diabetes mellitus and obesity. This medication has been found to reduce visceral fat in diabetics.  Based on this observation, it might be useful in the treatment of excessive visceral fat in patients with lipohypertrophy.

I hope that this information helps and best of luck to you!   

CoolSculpting will not treat visceral abdominal fat.  It will only treat the superficial fat that is just below the skin.  Unfortunately, there is not a safe a reliable method to remove visceral fat in the abdomen.  For some people, diet and exercise can help.  

Unfortunately, CoolSculpt only treats the fat above the abdominal wall.  There is no procedure that can safely access visceral fat to treat it.  Hope this helps!