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

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