CoolSculpting and spider vein treatment?

Question

I want to get coolsculpting around my knees and I also want to do laser treatment of the same area for spider veins. Should I do the coolsculpting first and then the laser treatment or vice versa? Do I need to separate the 2 treatments by any length of time? I'm just treating small purplish spider veins, no large varicose veins.

William Groff, DO · Answer

I’ve been performing CoolSculpting for about five years and have not encountered any instance when it caused increased vascularity. In my opinion, you could do either procedure first, depending on which issue you’d like resolved more quickly. Be sure to consult a board-certified dermatologist who is an expert in both CoolSculpting and laser vein therapy; he or she may have a preference about how to order the procedures based on past success.

Paul Flashner, MD · Answer

Hi,Although there is not a specific protocol, it is best to start with your Coolsculpting treatment first and then follow up with your vein treatment. Coolsculpt uses a suction technique to grab the fat tissue, which could potentially cause new spider veins to show or existing to worsen. I recommend partnering up with your local service provider to determine how many Coolsculpt treatments and spider vein treatments you will need to achieve your desired goal. Good luck!

Janet Allenby, DO · Answer

Hello,Thank you for your question. It may be best to treat with CoolSculpting first. You may need more than one treatment of CoolSculpting in that area. Please consult with a local physician in person to determine the best course of action. The vein treatment should be done at a different appointment once your CoolSculpting results are as desired. Good luck!

Elisa A. Burgess, MD · Answer

In my practice, we really need to evaluate the patient to see what type of fat reduction treatment is best. Sometimes it is coolsculpting or Vaser lipo. But there are also slimming/tightening options of ThermiSmooth (non invasive radiofrequency) and skin tightening options of ThermiTight (minimally invasive radiofrequency). We often think that layering these techniques gives the best result. We encourage "Fire and Ice" with ThermiSmooth (heat), immediately followed by Coolsculpting, immediately followed by acoustic massage for the best results. The leg veins should probably be evaluated afterward for most of our patients.

Jason Emer, MD · Answer

I recommend getting a formal evaluation to determine the right timeline for you. It may be best to have Coolsculpting first. It will take 3-6 months for final results with Coolsculpting. Keep in mind, for best results with Coolsculpting, a combination approach is needed and some people need more than one treatment. I recommend adding radiofrequency treatments like Vanquish for skin tightening and with Z wave/Cellutone for skin smoothing. However, a Vaser with ThermiRF procedure is the best combination for a toned result, but requires more downtime. See an expert. Best, Dr. Emer

Anthony P. Terrasse, MD · Answer

Thank you for your question. As you can see from the variety of answers, different surgeons offer different recommendations and reasons to have one treatment before another. My advice to you would be to consult with a doctor who specializes in vein treatments, and get their opinion after they examine you. Additionally, talk to a provider who is certified in CoolSculpting. Between the two, they should be able to give you the best plan of action for the best results. Good luck!
Anthony P. Terrasse, MD

Ofelia Rodriguez, MD · Answer

It is best to get the Spider Vein Treatment first because the CoolSculpting may hide the vein.

Rosalind Jackson, MD · Answer

There are a lot of advances in the  aesthetic world  which  provides the consumer  with a lot of choices and can be confusing.  I'm glad that your thinking about timing of your procedures.  In my opinion I would do the laser first as it may be a bit challenging to see the spider veins completely following the coolsculpting procedure as the tissue will be inflamed and appear red.  Although this will not last for long you want to make sure your not missing any branches of the spider veins.

Mark Taylor, MD · Answer

Areas around the knees are very sensitive to popping out new spider veins.  Just to be sure new spider veins are not created or aggravated by CoolSculpting, I would do that first and then treat the spider veins.

Michael H. Gold, MD · Answer

Thanks for your question and we always recommend that you have a consultation with a board certified dermatologist or plastic surgeon to learn the best treatment options.  It does not matter which is done first. If I was recommending what to do for my patients, I would tell them to do the CoolSculpting first, remove your unwanted fat, and then proceed with your vein treatments – this is the most proper approach that I can see.

CoolSculpting and spider vein treatment?

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