4 weeks after CoolSculpting on the outer thigh area, my cellulite is much much worse, what can I do?

This is hard to answer without seeing before and after pictures. In general, CoolSculpting results can take 3 months to fully see. There is often swelling after the procedure that may last for 2-4 weeks. Though you may see some improvement in the appearance of cellulite after CoolSculpting, the CoolSculpting itself is not a treatment for cellulite. Unfortunately, there is no permanent treatment for cellulite, however, treatments such as radiofrequency, cellfina, or cellulaze may improve the appearance. Make sure you are under the care of an experienced physician provider. Best wishes.

It's too soon to tell what your final results can be. You can have swelling for 3-6 months after Coolsculpting. I recommend adding hyperbaric oxygen and lymphatic massage along with your compression to help decrease swelling. For best results with Coolsculpting, a combination approach is needed. I recommend adding radiofrequency treatments like Vanquish, Venus Legacy, Exilis Ultra for skin tightening and with Z wave/Cellutone for skin smoothing. However, a Vaser with ThermiRF procedure is the best combination for areas like the thighs and can be combined with Cellfina to improve cellulite. See an expert. Best, Dr. Emer

The most likely reason that your cellulite looks worse after Coolsculpting is that you still have swelling in the area. Cellulite is from fibrous bands that dimple the skin. When you have swelling, those bands are still pulling on the dimpled areas and the areas around them are fuller from the swelling, making the cellulite look worse. As the swelling improves your cellulite should look better. With the fat improvement from the Coolsculpting, your cellulite might ultimately look better than prior to the treatment. Be patient. Swelling can often take several months to fully resolve.Andrew Campbell, M.D.Quintessa Aesthetic Centers