Why was I rejected for CoolSculpting? (Photo)

Question

33/5' 7"/133lbs/active/no children.Went to a medispa bc they were having a special on coolsculpting. My trouble areas are my thighs and my little tummy. I was so excited, had checkbook in hand, ready to go! But she said I was not a good candidate and that my problem was 'loose skin'. I explained I have never had children and never lost a bunch of weight. I only consulted this one place. So, here I am asking for a 2nd opinion. I just wanted to look Streamlined as I'm happy with my weight.

Martin Jugenburg, MD · Answer

Thanks for your question. It is a bit difficult to determine your candidacy based on pictures only but to be a good candidate for coolsculpting there needs to be pinchable fat. You may have more loose skin than fat which would not make you an ideal candidate. You should consult with a board certified plastic surgeon for an in person assessment as this is always best. Regards,

Anil Rajani, MD · Answer

Thank you for your question and photographs! In your case I would strongly suggest getting a second opinion from a certified and reputable physician for a private consultation.  This way they can help you and understand and explain why a different treatment method may be needed and more beneficial or if you are in fact a qualified candidate. Without seeing you for a consultation it is difficult to assess. With our patients, we combine CoolSculpting Cryolipolysis for the reduction of fat and the CORE V-FORM to restore collagen and improve the skins firmness. CoolSculpting alone will not address firmness. Using this combined technique helps us to address the target areas of concern while restoring the skins firmness and achieving an overall astonishing end result. I have treated many patients like you with similar concerns and they have had amazing results. It is worth a second look. For more information regarding your question, please see the video below. Good luck to you!

Kimberly Butterwick, MD · Answer

You
are correct in seeking a second opinion for why you were rejected as
a CoolSculpting candidate. Skin laxity does not only occur after
weight loss or childbearing. It can also occur due to aging, sun
damage, and genetics. From your photos, it looks like you might
benefit from CoolSculpting to the inner thighs, backs of thighs and
abdomen. However, there may be a problem with skin laxity in the
abdominal area. If the laxity is slight, treating the area with
Thermage or Ultherapy may tighten the skin sufficiently to give a
good outcome to the CoolSculpting. Other procedures, ThermiTight
(internal) or ThermiSmooth (external), may be performed for the abdomen
because skin tightening and fat reduction can be achieved
simultaneously with these radiofrequency devices. This can only be
determined with an in-person consultation with a board-certified
dermatologist who is not only an expert in CoolSculpting, but has
other therapies available that may maximize results, depending on
your particular issues.

Janet Allenby, DO · Answer

Hello, Thank you for your question. It is difficult to assess the stomach area through pictures, however your legs would do great with CoolSculpting. You may want to consult with another physician in your area who will conduct a full body consultation. Good luck!

York Jay Yates, MD · Answer

On the frontal photo the skin looks a bit loose, it would take and in person evaluation to feel the fat to know just how loose, and how much there is to pinch.   We’ve seen a little skin tightening with coolsculpting but it is mild and the expectation should be that only fat will be reduced.

Jason Emer, MD · Answer

This requires an in-person evaluation to answer, however Coolsculpting is good for stubborn areas of fat and lacks the ability for skin tightening and body shaping. For best results with Coolsculpting for both fat removal and skin tightening, I recommend a combination approach. 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 an alternative. Depending on skin laxity, this can be combined with a tummy tuck for best results. I recommend getting a formal evaluation with a body shaping expert. Best, Dr. Emer

Nicholas Gentry, MD · Answer

well, an exam is definitely necessary to determine if your fat pockets are good candidates for CS. Loose skin is not effectively treated with CS. For loose and skin and touching up a little fat I use Thermitight RF which melts small pockets of fat and tightens skin.
I do sometimes use the cool smooth applicator on the tummy in patients who don’t have a great pocket to suction but this is an “off label” use of that applicator. 
You can always get another consult. You want someone who is good and honest, not someone who will tell you what you want to hear though

Hardik Soni, MD · Answer

Thank you for your question. In
order to give you an answer I would need to evaluate you in-person. However,
Coolsculpting works on stubborn areas of fat and does not have the ability to
tighten skin or shape the body. I hope this information is helpful. Best of
Luck!

Samantha Durland, MD · Answer

I always tell folks if you squeeze it you can freeze it. But, if there is not enough to fat, then taking too much out gives not great results- you may try an alternative treatment like v shape if skin laxity is more of an issue. I can't say for sure without squeezing your stomach, but this may be a consideration.

Edward Stokes, MD · Answer

Hi Shebarat,
I'm sorry to hear that you were turned down for CoolSculpting. It is hard to determine if someone is a candidate for CoolSculpting without doing a consultation, but by the looks of it, it appears that you would be a good candidate for CoolSculpting. Ultimately we would need to assess your tissue in person and make sure that you have enough fat tissue to fit the applicator appropriately. 
Sometimes people are not good candidates for CoolSculpting due to medical conditions, medications, recent surgeries, etc. 
Mild-to-moderate loose skin is not a contraindication to CoolSculpting. Keep in mind that CoolSculpting is FDA approved for fat loss, and not skin tightening, but most patients note an improvement in loose skin with CoolSculpting. 
Again, I would encourage you to schedule a consultation at a different specialist's office.
Hope this helps!

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