What treatment would be most effective to treat what you see - the fat pockets and loose skin? Preferably not surgery. (photo)
Doctor Answers 6
Coolsculpting is an excellent form of non-invasive fat reduction for the right patient. Some applicators take 1 or 2 hours but the new advantage applicators take only 35 minutes and have significantly less risk for delayed onset pain (especially in the abdomen). Results are seen at 2 months and typically 1-3 treatments will be necessary on each area to achieve ideal results. The number of treatments depends on the amount of fat there and the patient's goals. There is not downtime and the results can be impressive in the right patient. We also use the Zimmer Z-wave for improved patient comfort and added results. The best candidates are those who are in pretty good shape with areas of stubborn fat that won't go away no matter what.
Sheila Nazarian, MD, MMM
Beverly Hills, Board Certified Plastic Surgeon
Fat pockets and best treatment
An in office consultation is really the only way possible to see if you are a candidate for Coolsculpting or one of the other non-surgical methods for removing a fat bulge. Please consult an expert since a non-surgical approach would be the most efficient for you if you are a candidate. Best, Dr. Green
Tweaking results from your past treatments - CoolSculpting, radio-frequency treatments, or liposuction
Given the photo you provided, precision liposuction therapy might be your best bet. However, CoolSculpting or radio-frequency treatments might be good options too - I would need to examine your abdomen in-person to give you an exact answer. I recommend you find a Dermatologist or Plastic Surgeon who is experienced with all of these treatments.
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Lumpy and bumpy
At this point, you will require a surgeon to artistically fine tune your fat distribution; i.e. taking fat out of areas that are "up" and transfer of fat to areas that are dipped or "down". This requires high definition cannulas which will literally sculpt your belly.
Stubborn fat not removed with smart lipo and coolsculpting may respond to Sculpsure or ThermiTight
Without examining you I can not make recommendations for your condition. In general, physicians can consider other fat reduction alternatives when coolsculpting and smartlipo don't seem to produce the desired result. ThermiTight uses radiofrequency delivered with a small rod to heat and melt the fat and tighten the skin. An internal and external temperature reading is constantly monitored for safety. SculpSure is an external laser-induced heating system that kills fat cells. No guarantees can be given that either treatment will provide the desired result and an examination is important to determine if there is something other than normal fat accumulation as the cause of the bulges.
Not unbearable, but fixable--Coolsculpting vs. VASER for the abdomen
For non-invasive options, I suggest Coolscupting or Sculpsure in combination with radiofrequency treatments such as Vanquish, Venus Legacy or Exilis with Z wave/X wave/Cellutone for best results. However, VASER liposuction can sculpt and contour the body and results can be seen immediately. See an expert. Best, Dr. Emer