Not enough suction to receive second round of CoolSculpting?

Question

I went in today for a second round of coolsculpting on my abdomen, but the tech was unable to get a good fit on the small or large either applicator head. The tech suggested waiting one month (3 months post first round) and coming back for evaluation and to see if I wanted to just use the flat plate (without suction) since I am obviously seeing results from my first session (her words, not mine). I'd like to hear if anyone else believes this is a good plan?

Brian C. Reuben, MD · Answer

Thanks for your question. This sounds like you had a great result from your first procedure. I agree that waiting a few more months to see the final result sides like a great plan. Congratulations on your treatment.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.It appears your have had a great result thus far.If you dont have any pinchable fat you can try the flat applicator for some more contouringI would wait 3 months between sessionsThe 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!Dr Schwartz

Paul Vitenas, Jr., MD · Answer

Different patients can respond a bit differently to the treatments, what you are describing is not the most common situation but it certainly does happen from time to time and is an indication that the treatment is working better than expected. Congratulations on having fat that responds so well to treatment. With regard to next steps, that would depend on you and your goals. Are you still displeased with the area that was originally treated? If so the CoolSmooth may very well be a viable next step. If you are content with the progress and want to finish out the result with some good old fashioned diet and exercise you may be able to apply the credit towards the treatment of another trouble area. Best of luck.

Michael A. Zadeh, MD, FACS · Answer

Hi Lisa. You should be proud that you have lost enough fat to render you untreatable with the suction based applicators! If you still have some fat, but it can't be pulled into the suction based applicators then you can use the non-suction based CoolSmooth applicator. We typically use this applicator for the outer thighs, but it can really be used anywhere that there is non-pinchable fat with decent results (provided that there is actually fat present in the areas you want treated). The other option would be to consider other fat reduction treatments such as Vanquish, Ultrashape, etc.

Jason Emer, MD · Answer

If there isnt enough suction then switching to something like ultrashape/velashape would be a better options for contouring and more fat reduction.  Best, Dr. Emer.

Not enough suction to receive second round of CoolSculpting?

Answers (10)