CoolSculpting Shark Bite Inner Thighs. Advice? (photo)

Question

It's been two years since I underwent inner thigh Coolsculpting and was left with these "sharkbite" indents plus permanent hyperpigmentation as a result. I've consulted with 5 surgeons now and each one has a different method of recommended approach. I'm interested in obtaining as many opnions as possible prior to making a decision about my course of action, so all opinions would be welcome. This has been a very traumatic situation and my next steps need to be helpful ones.

Jason Emer, MD · Answer

I have found sometimes liposuction with renuvion heating can help but most of the time a thigh lift is needed to truly fix this.  fat grafting as well. I suggest a consult. Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear deenaaa,
it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

I am not a fan of Coolsculpting since the results are unpredictable and can leave some in worse shape. A fat transfer could be done to help restore volume loss. Since your previous treatments have left scarring, it may need more than one transfer and the fat placement must be conservative. Fat could also help with some discoloration over time. It will not be a quick fix. Please go to someone with experience in fat grafting in scarred areas.

Darryl J. Blinski, MD · Answer

This is a complication/s of CoolSculpting!  The hyperpigmentation is unfortunately permanent. The "indents and hills above and below the dents can be improved via lipo of hills and fat grafting to dents with Sculptra injections as an added improvement. This is a general anesthesia correction in office. Best to seek ONLY in person advise from only very experience boarded private practice Plastic Surgeons (NOT the clinic ones!). Fees in the $10,000 ranges.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You would benefit from a consultation with a board certified plastic surgeon. Revision surgeries require careful examination and vary from patient to patient. The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Cool sculpting typically doesn’t work and because of that it doesn’t cost the problem that you had. On the few instances when it’s truly effective it leaves what I’ve previously referred to as a cell phone imprint print following the outline of the suction cup.

There are two basic approaches to correcting this. One is liposuction of the surrounding and treated areas which is referred to revision Liposuction. The other option is fat grafting in the area that was over treated. Sometimes a combination of both can give the best results.

Occasionally converting the area to a skin tightening procedure like a thigh lift can help or be an option as well.

I recently took care of someone with the same deformity from previous liposuction by someone else.

With that patient I anticipated her needing multiple rounds of fat transfer and revision Liposuction. She has done remarkably well with one round of revision work but will probably need one more.

Her indentations were far worse than yours.

Best,

Mats Hagstrom MD

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