Why are procedures like coolsculping NOT for the overweight or obese?
Doctor Answers 12
Cool Sculpting in Overweight Client
CoolSculpting for the Overweight and Obese patient
- Motivation to weight loss
- fit in their arms into shirts and jackets without customizing their clothes
- fit into jeans around the waist / muffin top and inner thighs and knees
- highly successful improvement of the double chin, jawline and jowls
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Coolsculpting for the Obese?
While obese or overweight persons are not immediately ruled out, the procedure has limitations. Coolsculpting works excellently for pinchable fat. However, it is not significantly beneficial for intra-abdominal fat or loose skin which are issues many obese or overweight persons face. Moreover, the most common judge of results is comparison of photo from before and after treatment. Visualization of results after only treatment is poor for obese or overweight patient. Therefore, the physician or center is open to criticism that no results have been seen for the obese or overweight patient.
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. There are two types of fat in the body(visceral and subcutaneous fat). Subcutaneous is under the skin and coolsculpting can destroy it. The visceral fat is around the organ and exercise can help get rid of it.
Sheila Nazarian, MD, MMM
Beverly Hills, Board Certified Plastic Surgeon
Candidates for CoolSculpting
Great candidates for CoolSculpting are typically within 30 lbs of their ideal weight and wanting to address pinchable areas of fat in order to contour their body. Ideal is variable from person to person, but the results may not be as effective for some patients. Whether CoolSculpting is the right procedure for a patient depends on the his or her unique goals and is determined at a consultation appointment. CoolSculpting is not an alternative for weight loss as many patients may not even lose weight. Specific bulges of fat are able to be reduced by 25% incrementally, and this may not be evident on a scale. Consult a board-certified plastic surgeon on the procedure that would be best for you to achieve your aesthetic goal. Good luck!
Coolsculpting for overweight or obese people?
Thank you for your question; coolsculpting has limitations and that may be the reason why certain people may not be a good candidate for the procedure. Coolsculpting works on subcutaneous fat or what we call “pinchable fat” and not the fat the surrounds organs (visceral fat). This is also not a procedure that will help tighten loose skin, which can occur form an obese person losing a lot of weight. A consult is warranted to see if the desire outcome is something that can be achieved with coolsculpting alone, or is surgical option needed.
CoolSculpting vs SculpSure and HI DEF 4D CONTOURING
Why are procedures like coolsculpting not for the overweight or obese?
With Coolsculpting and other body contouring procedures the best results are usually seen on patients that are not obese , but have certain fat deposits that they cannot get rid off despite dieting and exercise. Each coolsculpting treatment reduces the pinchable fat bulge by 25%. This could be significant in a non obese person, but might not be impressive in a person who has a very large bulge. It would require multiple treatments and therefore may be very time consuming and expensive till the desired effect is achieved.
Coolsculpting is not for obese people
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.