Am I the only person who thinks that doctors should just offer both CoolSculpting and Laser Lipo to obese patients?
Doctor Answers 9
Coolsculpting or liposuction for obese
As providers, we balance several competing factors when deciding whether a patient is a candidate for a procedure:
1) Will the procedure make a difference? Liposuction and Coolsculpting will have a net effect of permanently removing fat cells from the body. At most liposuction removes five to ten pounds of fat, and Coolsculpting much less than one or two pounds. I would not consider these procedure the most cost-effective way to lose weight.
2) Has the patient's weight been stable? Neither procedure will give good results if the patient's weight is slowly increasing. For the price paid, patients are disappointed, or even angry, with subtle results. It is very important for physician and patient that our expectations are aligned.
3) Safety of the procedure: Coolsculpting is a very safe procedure. Liposuction has more risk given that it is more invasive. Thus repeating Coolsculpting may be an option, but repeated liposuction means increased cumulative risk.
I have treated few patients that have stated that Liposuction or Coolsculpting is a means to jump start their journey into a healthier lifestyle (even those that are not obese). Those that succeed with the healthy lifestyle are usually happy and may return to do additional body contouring such as a tummy tuck. Others are disappointed that they didn't see as much change as they had hoped.
In our practice we also offer medically-managed weight management that we often combine as pre-procedural package or as post-procedural to help maintain the patient's shape after a procedure, whether it is Coolsculpting, liposuction or other body contouring procedures.
Coolsculpting can be used to remove certain areas but is niot a weight loss teratemtn
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.
best of luck!
Coolsulpting and Liposuction in overweight patients
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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.