3 months post CoolSculpting, loose skin is getting worse even though weight remains the same, is my procedure a flop?

Thank you very much for your question.
CoolSculpting can provide an excellent fat elimination option for many people.
Unfortunately, once the fatty tissue is eliminated, lax skin will remain. Good
tissue elasticity is necessary to ensure the skin bounces back to its original
shape once the fat dissolves. From your description, it sounds like you may be
dealing with excess, stretched skin around your mid-section. A tummy tuck or
body lift may be needed to eliminate this lax tissue. I recommend bringing your
concerns to your CoolSculpting provider, for their advice on how to proceed.

It seems like the Coolsculpting has reduced the amount of fat in the treatment locations, only to reveal the excess skin and make it look worse. Unfortunately, Coolsculpting doesn't do much skin tightening, it only reduces the fat in the area. I recommend you discuss your concerns with your provider and even consider seeing a plastic surgeon for a second opinion. Considering you are only 3 months out from your treatment, you may see some additional changes / improvements over the next 3 months.Andrew Campbell, M.D.Quintessa Aesthetic Centers

Coolsculpting is a non-invasive way to reduce pinchable fat. Unfortunately, it does not work on skin laxity. It sounds like the Coolsculpting worked to remove the fat in the areas you wanted and left you with skin laxity. My suggestion would be to have a in person consult with a board certified Dermatologist or Plastic surgeon to determine  what would procedure would provide you with the results you desire.

Coolsculpting is an excellent form of non-invasive  fat reduction for
the right patient. Some applicators take 1 or 2 hours but the new advantage
applicators take only 35 minutes and have significantly less risk for delayed
onset pain (especially in the abdomen). Results are seen at 2 months and
typically 1-3 treatments will be necessary on each area to achieve ideal
results. The number of treatments depends on the amount of fat there and the
patient's goals.  There is not downtime and the results can be impressive
in the right patient.  We also use the Zimmer Z-wave for improved patient
comfort and added results. The best candidates are those who are in pretty
good shape with areas of stubborn fat that won't go away no matter what.It is hard to evaluate if you are a good candidate for this without a picture or in person evaluation.

My best,

Sheila Nazarian, MD, MMM

Beverly Hills, Board Certified Plastic Surgeon

This is tough to answer without before and after pictures.  With Coolsculpting, I recommend adding a combination of radiofrequency treatments like Vanquish, Venus Legacy, Exilis Ultra for skin tightening and with Z wave/Cellutone for skin smoothing in order to get the best results. However, it sounds like you have greater skin laxity which would make you a candidate for a tummy tuck and VASER liposuction, which could be done at the same time. I recommend VASER HI DEF in combination with ThermiRF, ultrasound and fat grafting to get the most fat removal, contouring and skin tightening. I recommend getting a formal evaluation with a HI DEF physique expert. Best, Dr. Emer