Is cool sculpting or regular liposuction better? (photos)
Doctor Answers 13
CoolSculpting vs. Liposuction
During the consultation, the health care provider will visually assess the fat in order to determine if the person needs debulking or sculpting. The physician will physically assess the orientation of the fat by pinching and feeling it. There is a 20-25% fat reduction in the treated areas. Patients are usually brought back at the 30 days mark to assess their results. At the point, the patient and physician can communicate and determine if additional treatment might be needed for optimum result.
Liposuction: If you're a healthy person at a stable body weight, you can consider liposuction in Portland to help remove localized areas of fat. The procedure can improve the contours and proportions of your body, but it cannot help you achieve substantial weight loss or significantly reduce cellulite.
Liposuction can improve the appearance of many areas of your body. Liposuction cannot treat cellulite. You can choose to have liposuction to improve the contours of your body following weight loss. Liposuction can also treat local fat deposits in areas where your genes cause you to gain fat.
Depending on how much fat will be removed, your liposuction can be performed under IV sedation (i.e. twilight anesthesia), local anesthesia or general anesthesia. You may be in twilight sleep or awake and heavily sedated.
Liposuction begins when the fat is infused with tumescent fluid, a mix of sterile water and electrolytes. The tumescent fluid helps maintain the proper fluid balance when the fat and fluids are removed during surgery. The doctor makes small incisions, through which he will insert the liposuction tube, the cannula. The cannula is then used to remove the unwanted cells. After the proper amount of fat is removed from all the areas being treated, these small incisions will be closed.
After your liposuction procedure, you will be sent home to rest and recover. You will be tired from the anesthesia. You will need to care for the small incisions and wear a compression garment for about 2-4 weeks. These compression garments help the skin to contract and minimize the risk of blood clots. You may see swelling or bruising in the area following liposuction, but these are temporary side effects.
Most people will be able to return to work after 3-4 days, but this depends on the amount of fat you had removed. You should see initial results in two weeks and the final results in 3-4 months. Liposuction does not remove all the fat cells in the treated area. It would still be possible to gain weight in an area following liposuction. The results of liposuction are long-lasting if you keep your weight stable.
CoolSculpting and Liposuction are both great treatments. However, it is up to you what kind of result you are looking for, and whether or not the downtime will be an issue for you.
Coolsculpting is an excellent form of non-invasive fat reduction for the right patient. Some applicators take 1 or 2 hours but the new advantage applicators take only 35 minutes and have significantly less risk for delayed onset pain (especially in the abdomen). Results are seen at 2 months and typically 1-3 treatments will be necessary on each area to achieve ideal results. The number of treatments depends on the amount of fat there and the patient's goals. There is not downtime and the results can be impressive in the right patient. We also use the Zimmer Z-wave for improved patient comfort and added results. The best candidates are those who are in pretty good shape with areas of stubborn fat that won't go away no matter what. In office evaluation is necessary to evaluate what procedure would be best for you.
Sheila Nazarian, MD, MMM
Beverly Hills, Board Certified Plastic Surgeon
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.
best of luck!
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There is another option besides CoolSculpting or liposuction: Liposonix.
You're a Good Candidate for Either — Time to Decide
Coolsculpting vs. Liposuction
For small localized ares, non-surgical fat reduction is great.
The more areas you desire addressed, the more likely you should lean toward liposuction.
Liposuction is definitely more thorough in contouring, but there is a significant amount of downtime as you do higher volumes (4-5 liters).
You need to decide whether downtime is an issue. If you can afford the downtime and your goals are more toward 80% fat removal, and you want to treat your abdomen, hips, bra line, and arms for example, you are probably looking at over 10 coolsculpt treatments to adequately treat each area 2 times which is recommended. The cost may be comparable to liposuction which would then be preferred. But if you do not have the extended downtime and could do 10 separate sessions easier, then coolsculpting may be the better option for your lifestyle and goals. In either case, you should get a good result with your anatomy (based on your picture).
Coolsculpting Versus Liposuction
Coolsculpting vs liposuction for abdomen and love handles
Regarding cost of procedures - you may end up spending just as much or more on Coolsculpting as several treatments are needed for best results.