I Did Coolsculpting Procedure 3 Weeks Ago, Not Seeing Results. Is This Normal?

Hi, i did coolsculpting procedure 3 weeks ago on my lower and upper abdomen. I still have pain and discomfort. Even touching is painful let alone pressing. It also sometimes feel itchy here and there on the abdomen but there is no more bruising or redness. There has been no improvement on the reduction of fats yet. Please help as my doctor is not very informative and the nurse just says it is common.

Doctor Answers 13

Coolsculpting procedure and Results

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Coolsculpting is a great procedure but the average time it takes to see results is up to 4 months.  Many patients begin to notice the effects after 4 to 6 weeks but the full effect takes longer.  Try to be patient and the doctor or nurse who treated you should have explained the procedure and effects.


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Coolsculpting is best when performed on an area that has an excess number of fat cells.  For example, women say, "When I gain weight, it goes straight to my belly."  That means that you were born with more fat cells in your abdominal area.  It would be great to perform coolsculpting in that area to reduce the number of fat cells there and make that are more proportional with the rest of your body.  Then, if you gain weight, it will be more evenly distributed over your body.  It won't just "go straight" to one area.  

The fat loss is permanent after Coolsculpting.  You typically lose 20-25% of the fat in the area treated, each time you treat it.  I have done it to myself and my staff.  It is truly effective and has no down time.

It is not uncommon to have swelling and bloating
up to 3 weeks post CoolSculpting. We tend to start seeing results as early as 4
weeks but typically see peak results at 8 weeks. Be patient the swelling will
self resolve.

Best of Luck, Sheila Nazarian

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Cool Sculpting results in as little as 4 weeks

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You need more time!

It can take up to 12 weeks depending on the area treated.

Body reshaping can be performed with a cannula that removes fat via liposuction or with noninvasive technology like Cool Sculpting. With Cool Sculpting there is no cannula inserted into your body. All treatments are performed on the surface from the outside in using technology that freezes the fat. Don’t hesitate to give us a call in Austin regarding a Body Reshaping Consult at the Upper Room. On our Facebook Page there is an Interview I recently did with KVUE, a local news station in Austin, that was picked by affiliates around the United States, including Miami. During the Interview we discussed the technology of Cool Sculpting as well as it application process.

The discomfort from treatment does resolve. Taking over the counter tylenol or naproxen resolves this in the majority of cases. If you have swelling that is persistent then a waist binder is helpful.

CoolSculpting Results

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Typically, there is minimal to no downtime after CoolSculpting though patients may experience temporary pain or discomfort. Side effects can include redness, bruising, swelling, tenderness to the touch, cramping, itching, tingling, and numbness. You may start to see changes as quickly as three weeks after your treatment, and will experience the most dramatic results after two months. But your body will still flush out fat cells and continues doing so for up to four to six months after treatment.

Coolsculpting is gradual over 2-4 months!

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SheelaA, hang in there- cool sculpting results are gradual over 2-4 months. the ultimate results depend on how the patient, number of treatments, handpeice size, and orientation are optimized to "sculpt" the body. Tenderness in the treatment area is common, but usually tolerable. The fat cells are signaled to die off at the time of treatment, but the body does not carry them instantly.  Instead, this occurs gradually and safely over a few months time. This awareness is often comforting to patients, so that you understand why you feel tenderness and know that it is not harmful, but necessary and will resolve.

I hope this is helpful!

Andrea Willey, MD
Sacramento Dermatologic Surgeon

Coolsculpting results

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Be patient. Coolsculpting works. Everyone sees results at a slightly different period of time following the procedure but most will see significant results by 2 months though continued improvement up to 5 months after first treatment.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

3 weeks following Coolsculpting

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It's not uncommon to not see improvement after 3 weeks. Some patients may even have some swelling initially that can also contribute to the area not only not looking better but for a brief period, looking worse. Results can take 3-4 months to appreciate....so don't give up hope. 

Depending on the amount of fat we are trying to eliminate, some patients do require 2-3 treatments.  One treatment is not sufficient for everyone. It is not unusual to have some discomfort in the treated areas for a few weeks.  Tenderness or numbness and itchiness and tingling are quite normal. 

Hang in there~

Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Coolsculpting results take 2 months

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Don't worry yet - you are describing a normal response to Coolsculpting.  You'll start to notice fat reduction about 2 months after the procedure, and it can take as long as 4 months before you get the full result.  

The sensations of itching or discomfort are normal and typically subside over several weeks.  For people with severe discomfort, I recommend tylenol, ibuprofen, and, if that doesn't work, gabapentin (a medicine that helps with nerve pain).

No immediate fat reduction with Zeltiq; be patient

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It is common not to see good results from CoolSculpting until three to four months after the procedure. Inflammation which will cause the elimination of the dead fat cells, can cause swelling, itching, soreness and then the symptoms typically fade.  Shrinkage of the fat volume is gradual and slow, not overnight.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Maximum results from coolsculpting are seen after 2 to 3 months.

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Dear writer, The maximum results from coolsculpting are seen after 2 to 3 months, although some patients continue to see further reduction of the fat layer at 4 months post procedure. The pain and discomfort may sometimes happen, particularly if the larger, 8.0 applicator is used. You may take ibuprofen 200 mg every six hours, but consult your doctor first (a history of sensitive to this medication or history if gastritis may preclude its use). I would not try to assess your fatty layer so early and wait at least two months. Standardized before and after photos will show every patient very good results. Something that may be encouraging for you to know is that many times the patients who do experience pain and redness turn out to have some of the best results. I was one of them! Had tenderness and redness after my 8.0 on the abdomen, and my results have been excellent. Best regards, Dr. Bowes.

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.