CoolSculpting vs. Tummy Tuck? Which would be better? (Photo)

Hi.  Your photo indicates that a tuck will provide you maximum shaping by addressing excess skin and likely abdominal wall/muscle looseness (which coolsculpting doesn't) as well as excess fat under the skin.  The biggest cons of surgery include anesthesia, downtime/time off work, scars, etc. and pros include the better results and longevity of those results.  The cons of CS include possible disappointment from only addressing the excess fat, and need for multiple sessions (which may end up costing the same as surgery), and pros include no anesthesia, minimal downtime, no scars/compression garments/possible drains/time off work, etc. Be sure to see a CSU trained CS specialist to optimize your consultation/treatment, and an ABPS certified PS for the surgical option.  Best wishes,

The answer to your question depends on your goals. If you are not opposed to surgery then a tummy tuck will give you the best results as it will reduce the excess fat, skin, and stretch marks. If you don't want surgery then you will see some improvement in fat reduction with CoolSculpting. However, you will need multiple treatment sessions and it will not treat your excess skin and stretch marks. I would recommend an in-person consultation and evaluation with an experienced physician provider to discuss your options in detail. Hope this helps answer your question! 

Thank you for the photo, it's really helpful. You would most likely not be happy with cool sculpting due to your skin laxity. It could be thousands of dollars to reduce the volume but will leave you unsatisfied with the skin appearance. A tummy tuck will reduce the volume but also remove the excess skin leaving you a much better outcome. Best of luck in your decision and make sure you seek a BC PS for your consultation!