Should I get CoolSculpting, Lipo or mini tummy tuck?

Thanks for the question and photos. While it is difficult to make an assessment from images alone, it does appear that liposculpture or CoolSculpting might be a good choice for you. Liposculpture offers more fat removal, but requires local anesthesia and a few days of recovery time. CoolSculpting has been shown in clinical studies to eliminate about 25 percent of the fat in the treatment area.
I would also recommend a laser treatment to reduce the appearance of the stretch marks. In my practice, we offer more than 45 different lasers that allow us to precisely tailor procedures to the unique needs of each patient for optimal results. Make sure you work with a board-certified cosmetic dermatologist with extensive experience in both body contouring and stretch mark reduction to ensure the best possible results.

CoolSculpting would be a great treatment for you, or potentially a combination of CoolSculpting and Liposcupture. Liposculpture is a procedure I offer in my practice that provides more definition than CoolSculpting will, and will result in the contouring of both your upper and lower abdomen. These procedures can be focused specifically on your lower abdominal area, helping address your immediate concerns. Withconsistency in your diet and exercise, you will see improvements in your skin tone and stretch marks over time. I recommend trying these procedures before scheduling a tummy tuck. I also suggest scheduling a consultation with a board-certified cosmetic dermatologist who is a body contouring expert. They will provide a formal assessment and treatment plan for you moving forward.  

Hi.  Both coolsculpting and liposuction will only thin the tissue, a tummy tuck will remove the excess skin and reshape the belly button.  Since you have excess protrusion of the tummy both above and below the belly button, a full tuck would provide you with the best longterm shape. A mini tuck will make you look unbalanced by only correcting the lower tummy with a short incision and leaving the excess on the sides in place.  If you just want to fit into clothes better, then coolsculpting is a reasonable way to go.  Stretchmarks that are above the belly button may be less noticeable if the skin is stretched, and those in the lower abdomen will get cut away, during a full tuck.  Have a consult with a PS that also offers CS for additional clarity. Best wishes, Dr. Doolabh

CoolSculpting and liposuction will leave yo with loose skin. A full tummy tuck will give you the best result and will remove all stretch marks that are below the belly button. Be sure to consult with a board certified plastic surgeon. Good luck.

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. Non-invasive options like Coolsculpting give minor improvement as compared to a Hi-Definition Liposuction procedure.The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face. Cellulite should also be treated with a combination of Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin.
Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Hello, and thank you for your question and photos. While CoolSculpting can very nicely remove stubborn pockets of fat, it won’t address excess skin or stretch marks. Since you appear to have some excess skin in addition to stubborn belly fat, you may see the best results with ­a tummy tuck over CoolSculpting.


As for stretch marks, a tummy tuck may remove some of them if they happen to be located in the area of excess skin that is removed during your procedure. Keep in mind that a tummy tuck isn’t guaranteed to remove all stretch marks.



Hope this helps.

Hello and thank you for your question! Based on your submitted photos and preference for a non-surgical treatment, CoolSculpting is an excellent option that provides great results. Regarding your second concern about stretch marks, there are a variety of effective non-surgical options available such as microneedling. Both of these options can be effectively combined together in a single non-surgical treatment. That said, it is always best to seek an in-person consultation with a reputable provider to discuss your goals. Best of luck with your treatment!

Optimal results would be with a tummy tuck.  This would address the stretch marks as well as the excess fat and loose skin.  Coolsculpting is a great non-surgical alternative.  If you are hesitant to do surgery at first please do consider Coolsculpting.  This procedure will address your "mommy pooch" and if you later, down the road, want to have further optimal results schedule with a board certified plastic surgeon.  Hope this helps.

this will depend what you want your final result to be and whether you are willing to have liposuction.. when i do liposuction I rarely if ever just do one area like below the belly button.. if you want a well sculpted  figure then you can have lipo on your upper and lower abdomen and love handles at the same time...This can be done under local anesthesia so there is no long recovery.  it would cost  three times as much to do CS on all these areas 3 times and the result would not be as good... I offer both CS and lipo and if I saw you we would discuss this..I would likely recommend liposuction ..

That's great that you are on a healthy diet and exercise regime. You would most likely benefit from a tummy tuck which will help flatten you abdomen. CooSculpting and liposuction will not tighten the skin that has been overstretched during pregnancy. Please have a consultation with a board certified plastic surgeon for a evaluation to see what the best option would be for you.