I am 290 pounds female and 50 yrs old. I want to do cool sculpting. How effective is it?

Doctor Answers 15

Coolsculpting on 290 lb person

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Hi and thank you for your question.  The coolsculpting machine works well on that fat bulge that diet and exercise cannot get rid of.  You will not see the scale move but will fit better in your clothes.  It is ideal for patients who are at their ideal weight.

El Paso Plastic Surgeon
4.9 out of 5 stars 42 reviews

CoolSculpting Most Effective for Good Candidates

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CoolSculpting is a very effective treatment option for those who are good candidates. A good candidate for this procedure is close to their ideal body weight, though they have small pockets of stubborn unwanted fat that don't respond to diet or exercise. It's not a solution for weight loss. Based on your question, it does not sound like you fit the description of a good candidate at this point in time. 

Weight and coolsculpting

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Coolsculpting is ideal for areas where you can’t lose the excess fat despite being at the right weight. It is not meant for general weight loss.

Ariel Ostad, MD
New York Dermatologic Surgeon
4.3 out of 5 stars 17 reviews

CoolSculpting® can be very effective in the right candidates.

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Much like liposuction, CoolSculpting® delivers the best results on men and women who are already at or are very near to an ideal, healthy target weight. CoolSculpting® is not a weight loss procedure, and won’t help you shed a significant amount of weight. Instead, it’s best for fine-tuning your shape by eliminating problem spots that diet and exercise don’t seem to help, such as the love handles or a belly paunch. If your BMI is in the overweight or obese range, it’s best to try and lose weight the old-fashioned way first before considering any cosmetic procedure, even a nonsurgical one like CoolSculpting®.

Gary Motykie, MD
Los Angeles Plastic Surgeon
4.3 out of 5 stars 68 reviews

Coolsculpting and body weight

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Because Coolsculpting only decreases fat by 20-25%, it usually works best if you are close to your ideal body weight. All treatments have risks and benefits and you can consult in person with a Coolsculpting practice. 

Francisco Canales, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 35 reviews

Coolsculpting is best used to improve shape... Not for weight loss

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Hi there-

As much as I would love to tell you what I think you want to hear, it is important that you understand that Coolsculpting is best used to help patients improve their shape when they have collected problem areas of subcutaneous fatty tissue. For patients who have a more generalized problem with excess tissue and weight, the better option is to pursue a safe (possibly medically managed) weight loss program.


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Coolsculpting is not for weight loss.  It is a contouring technology.  My recommendation would be to explore medical or surgical weight loss options first.  best wishes.


Patient Selection

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Coolsculpting is a very effective nonsurgical fat reduction procedure. However, patient selection is key. To determine if you are a candidate, consult with a board certified physician who can provide surgical and coolsculpting options. A weight loss program or procedure may be necessary before you are a candidate for coolsculpting.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Coolsculpting is very effective but not the right treatment for you

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ALshair coolsculpting is a very effective treatment for fat reduction.  I have had it myself. Each cycle produces a 22%reduction of fat in the treated area.  It is not a weight loss treatment though.  Ideal candidates eat right,  exercise and are  usually within 20 pounds of ideal weight.  While you will have the same reduction per cycle it may  not be appreciable at this time. 

Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
4.8 out of 5 stars 66 reviews

CoolSculpting at 290 Pounds

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CoolSculpting is not a weight loss treatment. It is more of a body sculpting procedure to treat areas of stubborn fat that are resistant to diet and exercise. The ideal candidates for the CoolSculpting procedure are those individuals who are within 10% of their ideal body weight. If you are looking to lose a large amount of weight then this is not the treatment for you. You should consider dieting and exercise. If you reach the point to where you are at or near your ideal body weight with stubborn areas of fat remaining, then you may be a candidate for CoolSculpting. Hope this helps answer your question!

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 10 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.