What Are my Non-Surgical Options for Buttock/lateral Thigh Sculpting with Metal Rod and Pins in Hip and Femur? (photo)

Hello, I am 37 years old and have disproportionate fat distribution on my buttocks and lateral thighs(my measurements are 28,24,37). I have had 2 Zeltiq sessions with no visible/ measureable results.I have a metal rod in my left femur, and pin in my left hip,which, I believe are contraindications for Thermage and similar techniques. I cannot have surgery, due to an extreme sensitivity to "caines"(even without added epinephrine)--low blood pressure,sugar,weakness. What is out there for me?

Doctor Answers 2

Liposuction and allergies to anesthetic

When there is a history of allergy to caines it is important to know that Lidocaine (Xylocaine) is not the same as Novocaine. The Esther group of local anestheics including Novocaine are known to have created allergic reactions in some patients whereas Lidocaine and the others in the Amide group of anesthetics are rare to cause such reactions. Patients may see an allergist in consultation to determine if testing is appropriate. Some patients do develop better results from CoolSculpting after three treatments.  The Zeltiq company may market a new applicator that is more flexible and may be available shortly and they might be appropriate for more certain areas.

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. 

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Limited options

I would suggest you discuss your options with a plastic surgeon. Coolsculpting is an excellent alternative to surgical intervention but given no response after 2 treatments then you are unlikely to respond. Unfortunately you cannot do Exilis since you have metal rods.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 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.