Bigger lower pooch and now a bulge above my belly button from Cool Sculpting. Can I benefit from Vaser Lipo? (Photos)

Thank you for your question and photos. CoolSculpting is known to cause PAH or paradoxical adipose hyperplasia. This is best treated with liposuction. I personally prefer to use the VASER technique due to the significant internal scarring caused by CoolSculpting. I see a lot of patients in my practice who underwent CoolSculpting with poor or no results and these are challenging cases. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Initial recovery is 7-14 days, but healing goes on for 3+ months. You will need to wear a compression garment under your clothes for 3-4 weeks. Good luck.

Based on your nicely posted series of photos, I would recommend any type of liposuction with combination of J plasma or Endo to tighten the skin. Fee range from $5000-$10,000. Best of virtual consult with.

Hi there! From your description and photos, it sounds like you may be experiencing paradoxical adipose hyperplasia (PAH)—a rare but known side effect of CoolSculpting. The good news is that liposuction is considered the best treatment for this, and options like VASER or SmartLipo could work well for you.
At your age, your skin’s natural elasticity is a big advantage. Energy-based lipo techniques like VASER and SmartLipo also encourage collagen production, which often helps the skin tighten nicely without needing any skin removal (ie no big incisions).
For recovery, most patients are back to normal daily activities within 2–3 days, with just a few exercise restrictions. Since your job as a helicopter mechanic may be physically demanding, you might want to plan for about 5–7 days before returning to full-duty work, just to be safe.
It would be worth scheduling a consultation with a board-certified surgeon who can evaluate whether the fullness is subcutaneous (which responds well to lipo) or visceral (deeper fat that isn’t surgically treatable). They can help you decide on the best approach to get the results you’re hoping for.
Wishing you the best,Frank Soto Leon, MDImagen Body Sculpting & Cosmetic CenterOmaha, NE