Inner Thigh Uneveness Coolsculpting? (photo)

We just received our brand new handpiece that will fit most patient's inner thighs.  Prior to the development of this new handpiece, treating inner thighs with Coolsculpting was a challenge.

Earlier types of
liposuction sometimes resulted in areas that looked lumpy due to
large cannulas leaving hills and valleys of uneven fat distribution.
If fat deposits are causing the lumpiness, CoolSculpting may resolve
this issue for you, but you may need skin tightening as well. If
severe, I sometimes repair lumpiness with tumescent liposculpture
using tiny cannulas on the hills and do a fat transfer to the
valleys. However, if your problem isn’t too bad, non-invasive
techniques may work well.
CoolSculpting uses
cryolipolysis – a patented technique that freezes fat cells,
causing them to die and be permanently eliminated from the body –
without affecting surrounding tissue. This means that if a lumpy
bulging portion of your thigh was treated with CoolSculpting, only
the fat would be dissolved, allowing the area to look smoother. You
may need more than one treatment, as CoolSculpting can only eliminate
30% of fat at a time. It may also be possible to reduce small bumps
with the injectable Kybella. This is typically used for fat under the
chin, but if the bumps on the leg are small, Kybella plus skin
tightening with Thermage, Thermi 250 or Exilis may give you the
desired results.
Please consult a
board-certified dermatologist who is skilled in body contouring and
skin tightening to see what technology will best solve your problem.  

Coolsculpting is an effective treatment to reduce the fatty tissue in the inner thigh region.  However, if your goal is symmetry, then you may want to consider liposuction with an experienced plastic surgeon since they can be much more precice as to how much volume to remove.

You would need an examination to determine what is best for your contour. CoolSculpting is not a procedure that is designed to finesse the focal irregularities that some people get after liposuction. It is appropriate for generalized fullness in certain anatomic sites.

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

CoolSculpting is designed to destroy and eliminate fat cells. If the lumpiness on your thighs is caused by fat, not loose skin or fibrous tissue, CoolSculpting may help. We have a number of new applicators that do an excellent job of removing fat from the inner thighs. Whether this would work for your particular issue can only be determined by an in-person evaluation. Please consult a board-certified dermatologist to find out if you are a candidate for CoolSculpting.

The FDA has approved coolsculpting for the inner and outer thighs, and the results can be excellent with proper technique. Patient selection is key. Consult with a board certified physician who can provide both surgical options and coolsculpting to determine the best option for you.

Outer thighs can be treated with the Cool Smooth applicator while the inner thighs are treated with the traditional cool sculpting applicator. You should be seen and examined to determine if you can be treated.  Sometimes bad loop results can be improved with Coolsculpting!

Please find
an experienced Board Certified Plastic Surgeon and member of the Aesthetic
Society using the Smart Beauty Guide.
These Plastic Surgeons can guide you on all aspects of facial surgery,
breast augmentation and body procedures including CoolSculpting® tummy tucks
or mommy makeovers!

I have seen and treated the ridging and unevenness you describe after liposuction, including on the inner thighs. It definitely improved, but cannot tell you with certainty that you will get a home run with just one treatment. If you have loose skin after liposuction, the CoolSculpting will not improve that, although other treatments can. But the ridging and volume of fat itself does seem to become less obvious.  The CoolFit applicator is often required for proper placement on the inner thighs.  Another good thing about this applicator is that the plates are 38% larger than the curved medium-sized applicator, but the treatment doesn't cost any more than one with the medium-sized applicator (in NYC, one treatment would be about $750.)i hope this is helpful to you.

First it should be realized that Coolsculpting of the inner thighs is an off label treatment and should be done cautiously as there are risks. That being said your surgeon should advise you via examination if you are a good candidate for Coolsculpting.

Coolsculpting will soon be introducing new applicators specfically designed for vertical areas of excess fat like inner thighs. of course not everyone will be an ideal candidate for the new applicators, but a consultation can give you the appropraite information.