I Had my Belly Done with Coolsculpting and Have Severe Bruising and Pooling of Blood, I Am Worried? (photo)

lower belly, severe bruising and pooling of blood under my skin, very painful

Doctor Answers 5

Bruising after Coolsculpting

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Bruising after Coolsculpting is very common and shouldn't worry you.  The bruising is a result of the suction required to pull the tissue into the applicator and can be quite significant in some patients.  Bruising can last days to even a few weeks depending on how significant it is.   The chances and severity of bruising can increase if you were taking blood thinning products prior to the procedure such as aspirin, ibuprofen, vitamin E, Fish oil, etc. The bruising and discomfort will resolve.   You may consider Traumeel or Arnica cream on the bruised area to help it resolve more quickly.  Good luck.


Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

I Had my Belly Done with Coolsculpting and Have Severe Bruising and Pooling of Blood, I Am Worried?

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Thanks for your question. Bruising after CoolSculpting is quite normal and shouldn't be anything to worry about. We recommend that you stop taking any blood thinning medications before the treatment and Arnica can be applie topically and orally to help speed up the healing process. 

Brian C. Reuben, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 37 reviews

Bruising after Coolsculpting

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While quite severe, the bruising you note is not something to be overly concerned about. Contact your treating physician and request to be seen so he or she can make you more comfortable. There is a greater chance for severe bruising if you are taking a blood thinning product.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 55 reviews

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Your bruising is certainly very dramatic but will resolve. Pain, while unusual, can occur but is usually mild and temporary. Onset of severe pain several days after treatment, especially when the abdomen is treated, can be severe can be controlled by wearing Spanx and taking ibuprofen or pain killers. Fortunately, this is uncommon.

William M. Ramsdell, MD
Austin Dermatologic Surgeon
4.7 out of 5 stars 3 reviews

Bruising and pain after CoolSculpting by Zeltiq

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Most patients have some form of bruising after CoolSculpting and this resolves itself usually in the first few weeks. Some patients don't have bruising but have pain and some have don't have pain but have bruising and some have both. Swelling also can occur. I am not aware of hematomas, which are pockets of blood under the skin, developing after CoolSculpting, but any patient concerned about a side effect should contact their doctor.

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. If you are experiencing a medical emergency proceed to your nearest emergency room.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 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.