Is Cool Sculpting a Good Method for Saddle Bag Area (Inner and Outer Thighs)?

I am considering either Liposuction, Buttock Augmentation through fat grafting or Cool Sculpting primarily for hips and saddlebag area (inner and outer/back thighs). For obvious reasons, I prefer Cool Sculpting but only if it is affective in those areas. I very much appreciate an honest professional opinion since I definitely want to have something done about my stubborn fat. thank you.

Doctor Answers 22

Cool sculpting is approved for the saddle bag area

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In Austin we perform Dual Cool Sculpting so the thighs can be treated at the same time.  The new applicator can treat the lateral thighs.

CoolSculpting vs Liposuction and Brazilian Butt Lift.......

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Yes, CoolSculpting is an option for the inner thigh area.  The skin in this area is usually pliable enough to get a good seal for the machine to work. It will work on just about any body part that you can attach it to.  It is basically freezing the fat cells, then your body will remove them. 
They outer thigh is a little trickier.  Most people do not have enough skin laxity to allow the machine to attach well. If you can't pinch an inch of skin, then it won't work. 

As far as having the Brazilian Butt Lift of CoolSculpting.... Obviously, these are two options are extremely different.  The Liposuction/Fat Grafting procedure known as the Brazilian Butt Lift is a VERY dramatic body sculpting and body shaping procedure.  But is a big surgery.   CoolSculpting is a very gentle and moderate sculpting of specific small areas of the body.  Obviously, the advantage of CoolSculpting is that there is No Surgery, No Anesthesia, No Downtime, and Nearly No Risks!   

But remember, once you kill the fat cells with CoolSculpting, they are gone and you will have less to transfer for your buttocks
If you want to see some pictures, check out my photogallery on my website

Yes now we have a way to do it!

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To treat the saddle bag area there is a new applicator called the CoolSmoth applicator, designed for non-pinchable fat and bulges. This applicator does not use suction therefore it takes 2 hours every time you place it. The cooling plates of this applicator are exposed and are laid down directly on the areas of excessive fat. This applicator is great for patients with small areas of fat that is not enough to pinch or place in the suction applicators. You still need to retreat all areas in a month for the best results.

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CoolSculpting for thighs is not the ideal treatment.

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Because CoolSculpting relies on the ability to " squish" the fat layer into a hand piece it is not helpful if the area is not "squishable".  Basically you have to pinch an inch or more.  Thighs may have plenty of excess fat but the fat is usually pretty firm, not pinchable.  Liposuction would be effective and also Liposonix would be another option.  Liposonix works by heating the fat layer with high intensity focused ultrasound. It is non invasive and takes an hour or two.  Fat is reabsorbed over a period of 3 months.  It looks like there may even be a bit of skin tightening that occurs with Liposonix that would not occur with the more invasive liposuction. 

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
4.6 out of 5 stars 36 reviews

Coolsculpting on Inner and outer thighs

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Thank you for your question.

The Coolsculpting machine has been FDA cleared for treatment on the abdomen and flanks.  It is being used on many other parts of the body through out the US and other countries.  The inner and outer thighs are a bit tricky in that the area that you are concerned about needs to fit into the handpieces currently available.  The suction has to be good and you have to be aware of excess skin. It will be best to have a physician examine the area and discuss the pro's and con's of doing the procedure in that area.

Best Wishes!

Saddlebags Disappear With CoolSculpting

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At my center, we have successfully used CoolSculpting by Zeltiq to freeze away saddlebags. CoolSculpting is a virtually pain-free procedure that can take anywhere from one to three hours per session. We use DualSculpting, which treats both sides of the body at once, thereby lessening treatment time. It takes about three to 12 weeks before you will appreciate your final results as your body needs to completely eliminate the destroyed fat cells first. Please see a board-certified dermatologist to have your inner and outer thighs evaluated to be sure you are a candidate for fat freezing with CoolSculpting.

Melda A. Isaac, MD
Washington DC Dermatologic Surgeon
5.0 out of 5 stars 6 reviews


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Thank you for your question. CoolSculpting can be very effective for the inner and outer thigh. There are specific hand pieces that can target those areas. However you will need to visit a local physician to determine if you are an appropriate candidate for this procedure or if you are better suited for something else. It is important to have the right kind of fat in the area of treatment. It is also important to remember that it can take a bit longer to see results in the legs, usually about 4 months. Good luck!

Janet Allenby, DO
Delray Beach Dermatologic Surgeon
5.0 out of 5 stars 13 reviews

CoolSculpting or other options for saddle bag areas

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CoolSculpting has FDA approval for fat reduction since 2010. CoolSculpting freezes the fat cells. Fat cells are more susceptible to damage by freezing than the other cells, (nerve, vessel, bone, etc.), around them. The fat cells die via a process called apoptosis, (programmed cell death). The number of fat cells are therefore reduced. This happens over a period of time, so the body is not overwhelmed with dead fat cells. The body will take these cells up, process them and excrete them, just as any other cell. The remnants are filtered through the liver, and then excreted eventually via stool. CoolSculpting now has an applicator for thighs.  CoolSculpting had been used in this area with good results. See an experienced CoolSculpting practice, they will determine if you are a candidate.  Best to see a Board Certified Plastic Surgeon.  They will be able to tell you of the different options, (CoolSculpting, Liposuction, Direct excision, etc.).

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Coolsculpting thighs

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Coolsculpting is a great option for the inner thighs.  I even like it more that liposuction sometimes because the fat reduction is slower and allows time for the skin to retract.  The outer thighs do well too but may need more treatments as the fat is more resistant there.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

CoolSculpting for Thighs

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CoolSculpting can work well for the inner and outer thigh areas, and you can see results in as little as 1 month. CoolSculpting is very different from liposuction and not as effective as liposuction, but is very effective for a noninvasive treatment. With the CoolSmooth applicator, which is a flat applicator, the outer and posterior thighs can be treated effectively. The CoolFit applicator works well to target the fat at the inner thighs. Usually CoolSculpting treatments at the thighs can require multiple treatments. With CoolSculpting, you cannot take the fat and transfer it to other body areas. Obtain a consultation to determine if you are a candidate for treatment and how many treatments would be needed for you to see a significant result. A consultation can also help you determine which route you should take in terms of the other procedures you are considering as well.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.