Does Coolsculpting Under the Buttocks Cause Butt Sagging?

Hello Lidia, Thanks for your question about CoolSculpting for the area in the back of your legs from your buttocks to knee area.  CoolSculpting would not be a good option for this area and is not an FDA approved for treatment of the thighs at this time.  There are many advances in liposuction that could help you achieve your goals for slimmer, smoother thighs.  If cellulite is an issue for you, Cellulaze offers very nice results which might address your concerns about ripples or uneven surface.  Please seek out a board certified plastic surgeon with extensive experience in body-contouring.  They should be able to help you achieve your goals for slimmer thighs without rippling or sagging.  

More studies need to be done to investigate the safety of doing CoolSculpting near the banana roll. Liposuction can damage the fascial structural supporting ligaments via the cannula movement but there is not such invasive motion with the CoolSculpting. There is however, suction and pulling with CoolSculpting that would need to be examined to see if this would damage the supporting structure of the buttock over the upper part of the back of the thigh.

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.

Thank you for your question.

Coolsculpting for this area is not FDA approved so you have to know that if you are treated it will be "off label".  

Each patient is different with exactly what procedure will work best for them so I suggest that you visit with a doctor who performs Coolsculpting and have an examination to see if you are a good candidate for this procedure.

Best Wishes.