Lipo for Lumps from Cool Sculpting (Zeltiq)? (photo)

I have a golf ball size lump from Cool Sculpt.Did another Zeltiq right at that spot only--no results. Waited 6 months did again-- lump hasn't changed. It is just fat, Dr. agreed. Maybe more fibrous & fat can't move out? Will lipo work on such a small spot treatment? I am afraid to cause myself more problems. Can they really blend it in and make it even with the other side? Am I in danger of lumps, outline, dents, bumps? Which lipo would be most effective for such small area? Thanks

Doctor Answers 3

Lump after CoolSculpting complication

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Is the lump after CoolSculpting a complication such as the rarely reported paradoxical adipocyte hyperplasia in which fat cells engorge whether from inflammation or from fat engorgement or from inflammation, or is it from a hernia that preexisted the treatment with CoolSculpting but wasn't noticed? If it is fat, focused liposuction with small cannulae can improve the contour but despite the small risk, an indentation can occur. 

A physician would have to examine a patient to recommend a particular treatment to an individual.


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.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Lumps after Coolsculpting

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

We have two years of experience with Coolsculpting and have not seen lumps resulting from Coolsculpting, any asymmetry that may persist after treatment however, could be treated with Exilis fat recontouring.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

Liposuction for small fat bulges

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Liposuction would be a good way to remove the small bulges that were not responsive to coolsculpting. I prefer laser liposuction for these small areas as the small laser fiber cuts through the fibrous tissue very easily. Any experienced laser liposuction physician should get a good result.


Other options would be a device like liposonix or ultrashape and in the future injectable lipolysis with product from Kythera or Lithera (when approved)

Jason Pozner, MD
Boca Raton Plastic Surgeon
4.7 out of 5 stars 46 reviews

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.