A numbing cream such as EMLA would not have any effect on the discomfort you noticed with your procedure. The Zeltiq device uses a vacuum to hold the fat in the treatment handle. This discomfort is at a deeper level than numbing cream would penetrate. It is well known that a small (actually very...
Coolsculpting does not hurt during the procedure. The area is frozen and as such requires no topical anesthesia. There are a subset of patients who get pain after the procedure. Best, Dr. Green
As long as the surgical scars are healed, I would wait six months from the surgery and then you can have Coolsculpting performed. I suggest you consult a board certified dermatologist with experience with Coolsculpting for your evaluation. Best, Dr. Green