Can someone with an ileostomy get coolsculpting on abdomen?

Question

I have had ileostomy for many years. Recently lost 30 pounds. A band of fat remains on my upper abdomen which results in concave areas on both sides of stoma. Despite best efforts I experience much more frequent failure of surgical appliance at one or both of these hollow areas and thought a flatter stomach might help.

Oscar A. Aguirre, MD, FPMRS · Answer

Hello Chef Mary,No, CoolSculpting is contraindicated in patients who have an abdominal wall defect, whether it be naturally from a hernia, or surgically from an ileostomy. If you're having difficulties with your stoma then you should see your surgeon or wound/ostomy nurse for a solution.Best of luck,Oscar A. Aguirre, MDUrogynecologist & Cosmetic Surgeon

Garry K. Kim, MD · Answer

I wouldn't treat anywhere close to the ileostomy.  If you want to treat an area that's opposite the ileostomy, there should be no problem.  See your local Coolsculpting provider and they can provide you with the most accurate assessment.  
Hope this helps,
Dr. Garry K. Kim

Julie A. Maughan, MD · Answer

I would not recommend this.  CoolSculpt creates a suction effect on the fat that is treated.  This is not a good idea for patients with hernias or issues with abdominal wall.  You probably want to explore other options for localized fat removal.

Steven F. Weiner, MD · Answer

I would not recommend Coolsculpting on the abdominal area in someone with an ileostomy. Options to consider for this are Sculpsure, Trusculpt, or Kybella. I'm afraid the suction will affect the ostomy adversely.

Rosalind Jackson, MD · Answer

Cool sculpting would not be recommend for anyone who has an ileostomy.  Although cool sculpting only targets fat cells there is an inflammatory response that occurs with any injured tissue.  With cool sculpting this inflammatory response comes in 3 days, the time that is required for fat cells to die.  Chronic inflammation is a given with  someone who has an ileostomy present and creating further injury around or near the ileostomy from a cool sculpting procedure could result in  worsening problems with the ileostomy.

Can someone with an ileostomy get coolsculpting on abdomen?

Answers (5)

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