Do marks left from CoolSculpting go away? (photo)

I have seen this in one client in my practice. Your treating provider should open a case with clinical support from allergan and follow along with you. We offered our client a peel and skin case that would help expedite the healing. Allergan most likely will advise that this will go away and is a rare side effect.  The gel trap mark on the one side is odd for a coolsculpting cool mini so I too am not sure you had the real thing or a knock off. If coolsculpting- the provider has a rep who can assist them in reporting and getting clinical advice. Hope that helps. 

Oh my goodness.  I am so sorry that this happened to you.  My office does a ton of cool sculpting, and we have seen mild hyperpigmentation once or twice in the past, but I have never seen it this bad and clearly delineated. If I were treating this complication, I would be treating it aggressively with a combination of retinoic acid, hydroquinone, broadband light, and fractional resurfacing.  Hopefully you are doing your cool sculpting with a board certified plastic surgeon who has access to and experience with all these treatment modalities.  If you are not, please seek out somebody who is qualified to treat your complication.

This is not a typical side effect of a CoolSculpting treatment, particularly this long after your procedure. I recommend you schedule a follow-up with your practitioner for an in-person assessment and treatment recommendations. If the device used was a CoolSculpting machine, your doctor should have a representative to advise on how to proceed next. 
You may have had bruising and swelling that led to hyperpigmentation in the treated area. I would recommend starting with good topical medical therapy with a skin lightener. Next, you could do some laser treatments to further help with hyperpigmentation. Through an in-person assessment, your doctor should be able to create a customized treatment plan that will address this discoloration. 

I have never seen those types of marks after a CoolSculpting treatment, but I suspect they represent a freeze burn or hyperpigmentation from the injury. When you said the machine shut off, it is a safety feature made to prevent this problem. If for some reason, you had a lot of bruising, the healing process can temporarily pigment in some individuals. I advise you to go back to your provider and ask to see the machine that was used for your treatment, as I have doubts it was an authentic CoolSculpting machine. As far as your marks, I recommend finding a board-certified dermatologist who can assess you in person and determine what type of treatment might work best to reduce their appearance. It may be that sunscreen, bleaching agents and “tincture of time” will result in adequate fading, like most burns. However, if they persist, laser treatment may be needed. In my practice, we offer more than 45 laser devices so we can customize treatments based on the unique needs, skin tone and aesthetic goals of each of our patients. I do not think the marking will fade completely without intervention. 

Are you sure you were treated with an actual CoolSculpting device and not a chinese knock off? We've done thousands of CoolSculpting treatments and have never seen this. Looks like post inflammatory hyperpigmentation. This should resolve on its own, but may take several months. At home skin lightening products, chemical peels, and lasers can help speed up the process. Make sure you are under the care of an experienced physician. Best wishes.

Thank you for your question and photos.  I am sorry that you have experienced pigmentation issues with Coolsculpting.  Let me assure you that this is not a typical side effect of Coolsculpting treatments.  I would recommend that you return to the practice that did your CoolSculpting and ask them to send your photos to the company so that they can guide the practice in resolving this rare occurrence. If they are unwilling to help, then reach out to another practice preferably a physician who offers CoolSculpting and is well versed in skin color correction treatments to further help you get rid of this problem. Also avoid any further cosmetic treatments in this area until well after your hyperpigmentation has subsided. 
Wishing you the best,

Monica Bonakdar, MD

We do a ton of Coolsculpting, especially in this area, and I have not seen this side effect.  I would definitely return to your treating physician and have them open a case with Allergan to follow up.  They have a medical department who they can consult to help treat you.  I am so sorry for you since this is definitely not something that we have seen.  We please keep us posted and follow up with us.  Best, Dr. Green

We have done hundreds of treatments in the office and have only seen hyperpigmentation in one case. It was on a patient that was treated on the abdomen, one treatment area had hyperpigmentation that did resolve by the time he came in for his 6 month follow up, without treatment. Reach out to the practice and ensure they have discussed with clinical support so the company can follow this as well. 

I have never had a patient have these marks after a chin treatment. I do believe this was not the actual coolsculpting applicator. I would go back to where you received the treatment and look at exactly what they used for you. I am sorry this happened! 

We have never  seen this  markings  after  cool sculpting. Are you sure  it  was  cool sculpting or another  treatment  that was  sold to you as  Cool sculpting. The  pattern  does not look like the  cool mini applicator would  be  applied. 

I suggest you check  that it  was  Cool sculpting as I suspect it was another  machine that  was  used. 

The  markings  should improve over time and  skin lightning  preparations may hall  to make it less noticable.