Cold urticaria and CoolSculpting?

Question

I have cold urticaria and am scheduled for coolsculpture to my abdomen and inner thighs. I get hives from being out too long in the cold, especially if I'm doing something that involves moderate physical activity, I suppose it has to do with the cold and increased blood flow. Is this a cause for concern?

Hardik Soni, MD · Answer

I advise you to inform your provider about this since this can be contradiction and cause additional problems. Maybe you can look into different treatments such as trsuculpt or Ultherapy. Good luck!

Monika Soni, MD · Answer

I advise you to inform your provider about this since this can be contradincation and cause additional problems. Maybe you can look into different treatments such as trsuculpt or Ultherapy. Good luck!

Shamim Shakibai, MD · Answer

Dear sbcmim,
This is a contraindication to coolsculpting. You run the risk of getting a cold agglutinin reaction if you do the procedure. I would seek another consultation with an allergist or rheumatologist for treatment of the cold agglutinin/uricaria that you have. Other fat reduction modalities may be a better option for you. Good luck and hope this helps.
Best,
Shamim

Steven F. Weiner, MD · Answer

This is one of the reasons that a person should not get Coolsculpting. I would recommend other treatments such as Vanquish or Sculpsure.

Matthew M. Dunham, MD · Answer

Cold urticaria is a condition where your immune system responds in an abnormal way to a cold stimulus.  Symptoms are usually mild, and include a skin rash at site of the cold stimulus.  Symptoms can worsen depending on how cold the stimulus is and for how long your are exposed to the cold.  Some people can have more serious allergic-like reactions that can impede breathing.  For this reason, I do not recommend Coolscupting for patient's with these conditions.  If you are going to go forward with the treatment, I would take Benadryl before and after to limit the effects.  There are other non-surgical fat reduction procedures that do not rely on cold to disrupt the fat cells.  I would look into these procedures before proceeding.  I hope this helps. 
Dr. Dunham

Cold urticaria and CoolSculpting?

Answers (5)

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