Should I do more CoolSculpt now or try Emsculpt? (Photos)

Question

I’m 36, no babies, 5’5”, and 130 pounds. I work out 4-6 times per week and try to eat a fairly healthy diet with. I have never felt my tummy was flat enough even when I was much thinner than I am now. I did 2 coolsculpt treatments on my lower tummy in 2015. I feel it made a subtle difference but when looking at my before and after photos, it looks no change.  I’d love links to studies and/or statistics.

Paul Flashner, MD · Answer

Hi,Based on your photos you may be a candidate for both treatments. Coolsculpt will destroy more fat cells than Emsculpt, however, Emsculpt has the added benefit of muscle stimulation for optimal abdomen definition. Coolsculpt combined WITH Emsculpt may be the best fit for you! This synergistic approach will give you both fat reduction and definition all in one. I suggest consulting with a local service provider who offers both technologies. They will set you up with the best treatment plan to fit your needs. Good luck.

Michael A. Persky, MD · Answer

Hi Lisa,It appears that you would be a great candidate for Emsculpt treatment.  Emsculpt will build your abdominal recti muscles (6 pack) by about 16% and decrease the abdominal fat by about 19% over the course of your 4 treatment sessions.  Studies have shown that Coolsculpting decrease abdominal fat by about 24% per treament session in the area treated.  They can be combined.  Since you have already had a couple of CS treatments, I would treat you with Emsculpt.  Good luck and be well.Dr. PEncino, CA

Ryan Neinstein, MD, FRCSC · Answer

Thanks for the question, your story is the most common type of patient we see in my office. You eat well and exercise but your genetics leave you with some stubborn areas. My preferred method of treatment is minimally invasive liposucltping with no general anesthesia and special energy devices to melt fat and tighten skin. This can be enhanced with emsculpt. If you are not ready for a minor procedure emsculpt can make a significant different. I find the results double that of cool sculpting and more significant since you get muscle building not just fat reduction

Andrew Campbell, MD · Answer

We have had EMSculpt for about 6 months and it has been very consistent in it's ability to improve not only the abdomen, but also the buttocks. EMSculpt causes hypercontractions of the muscles, something exercise can not do. It will improve tone, increase muscle definition and reduce the overlying fat. Considering you've had coolsculpt, you might want to try EMSculpt. Assess your results about 2-3 months after the treatments and decide whether some additional Coolsculpt may complete your transition. We have found the combination of EMSculpt with Coolsculpt to be very powerful. Try to find someone with extensive experience with both.Andrew Campbell, M.D.Quintessa

Michael A. Zadeh, MD, FACS · Answer

We perform both CoolSculpting and EMSculpt in our practice. Both treatments are very good and we found it best to use them in combination in appropriate candidates. If you have done CoolSculpting, but did not see much of a difference then I would consider trying EMSculpt. Remember, these devices are all just tools and results will vary from person to person and depending on who performed the treatment. It is always best to be under the direct care of a physician with experienced in these treatments. Best wishes.

Daniel Levy, MD · Answer

I agree with Dr Emer. Coolsculpting or emsculpt by itself won’t get you the long-term results you’re probably going for. Try Vaser, or high def microcannula Lipo. One treatment and done. Good luck!

Jason Emer, MD · Answer

Keep in mind, for best results with Coolsculpting, a combination approach is needed. I recommend adding radiofrequency treatments like Vanquish, Venus Legacy, Exilis Ultra for skin tightening and with Z wave/Cellutone for skin smoothing. VASER with ThermiRF is a great alternative. See an expert. Best, Dr. Emer

Dmitriy Schwarzburg, MD · Answer

CoolSculpting is a non-invasive procedure that uses a vacuum applicator to draw in skin and underlying subcutaneous fat to deliver controlled cooling. This penetrates below the skin causing permanent elimination of fat. It can be administered in a variety of areas on the body, including the jaw and chin area, lower and upper abdomen, back, arms, and thighs. You can do EMSculpt after to tone the muscles.

Erik Suh, MD · Answer

Coolsculpt freezes the fat and dumps all the calories back into your lymphatic system.  Where does all these calories go?  Law of thermodynamic states you cannot simply get rid of all these energy unless you use it up.   
That is where EmSculpt comes in.   Where other devices have targeted the fat, this device targets the muscles.   The same law of thermodynamics states that if you contract your muscles 20,000 times, you are going to use up the energy that are stored in those fat cells, thus avg of 20 % fat loss.  
I would couple EmSculpt with Ketogenic diet as this diet aids in using fat for fuel.  And if you do this along with EmSculpt, you will hopefully get into the body back in shape.

Deron J. Ludwig, MD · Answer

Thank you for your question. EmSculpt is a great option for building muscle in the abdomen which also includes slight fat reduction. If you are looking to reduce more fat in the abdomen CoolSculpting or Vanquish ME would both be good options. Adding EmSculpt to one of these treatments would also be beneficial. We like to combine fat reduction procedures with muscle building procedures to ensure the best results.  I would suggest looking into Vanquish ME and Exilis treatments for the abdomen since your main goal seems to be fat reduction. I hope this was helpful.

Should I do more CoolSculpt now or try Emsculpt? (Photos)

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