Can fat be harvested from an area where CoolSculpting was done 2 weeks prior?

Question

I recently had cool sculpting done to the arms and have decided to do body sculpting instead, which will involve some lipo and some fat grafting. Is the fat from the area that was cool sculpted still usable for fat harvesting? I know you can see the good vs bad fat under the microscope and it is separated before being used, but: how is it then separated effectively? What about fat in areas that underwent radio frequency treatments? I don't want to transfer fat that will die within 2 months. Thx!

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.The 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

Jason Emer, MD · Answer

Its not the best to do fat grafting immediately after any energy or cooling based procedure as some of the fat may be "dying" already.  However, the good fat is separated during the harvesting and my techinque of adding PRP really helps keep the fat viable.  Some of the fat even if viable will die anyway during transfer, so no matter what you are taking some risk with survival of fat with any transfer.  If it is gently harvesting, with water assistance (which I use due to my 9 years of experience finding this gives the best rate of take), then the chance it stays is very high. It is not the procedure that helps give you results it is the person doing the procedure.  Best, Dr. Emer.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

coolsculpting selectively freezes fat cells to induce programmed cell death. If you had this procedure two weeks ago, most likely there are cells in the treated area which are undergoing apoptosis or programmed cell death. They would not be optimal cells for fat transfer.

John Zavell, MD, FACS · Answer

Fat that is harvested from an area treated by CoolSculpting or treated with a radio frequency device is not reliable for fat transfer.  The harvested fat is not examined with a microscope during surgery, and even if it was, the damage might not be visible.  You should use fat from an area that has not undergone any treatment

Can fat be harvested from an area where CoolSculpting was done 2 weeks prior?

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