How can I tighten loose skin after CoolSculpting? (Photos)

Question

Hi. I just had a consult for CoolSculpting and was told that if I did my lower belly and overhang, ithe skin would hang lower after the procedure. I realize I won't have a completely flat tummy like you would get with a tummy tuck (I assume a tummy tuck is my best option, but the downtime and price is not what I can afford right now.) If I go with Coolsculpting, what would my options be regarding tightening the loose skin? Any other recommendations? Thanks for your help!

Jason Emer, MD · Answer

Based on your photos, you are a candidate for at tummy tuck. Non surgical options give only mild improvement compared to surgical lifting. However, non-invasive skin tightening can be done with a combination of vanquish, venus legacy, exilis, celllutone/Zwave. For best results, a tummy tuck procedure can be combined with a high definition procedure at the same time. I recommend a hi definition procedure like a VASER liposuction. I use VASER HI DEF with ThermRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

David L. Kaufman, MD FACS · Answer

While there are some non-surgical treatments marketed as skin tightening procedures, they do not produce results comparable to what you would see from a tummy tuck. CoolSculpting®, however, may stimulate some skin tightening, depending on the degree of laxity you have. That said, you could have the CoolSculpting® treatment, and then decide whether saving up for a tummy tuck might be worth it for you. Be sure to have your CoolSculpting® done by a trained technician.

Martin Jugenburg, MD · Answer

Thank you for your question. Based on your photos, you may be a better candidate for a surgical option. Coolsculpting provides minimal reduction and will not tighten your skin. Please consult with a board certified plastic surgeon. Regards,

Janet Allenby, DO · Answer

Hello, Thank you for your question and pictures. Treatments like Profound and Ulthera may help to tighten and lift the area. However in time you may still end up needing a tummy tuck for complete tightening results. Good luck!

Joanne Lopes, MD · Answer

You are correct in that abdominoplasty is your best option for the loose skin on your lower abdomen . It will provide you the best abdominal contouring. Coolsculpting to transformation would require multiple applications .It can sometimes be more expensive than an abdominoplasty in certain patients . An evaluation by a board certified plastic surgeon is recommended.

Christopher Dannaker, DO, MPH, FAAD · Answer

There are laser and energy based technologies to tighten skin including lasers, radiofrequency and focused ultrasound.  Unfortunately, to date, none of these technologies can approach the amount of tightening that can be accomplished with  surgery.   Please consider this as you might wish to wait for a definitive surgery when it is affordable for you.  
In my experience if the skin quality and elasticity of the abdomen is good, without stretch marks, etc, sometimes coolsculpting, and to a greater extent, liposuction, can stimulate a small amount of tissue tightening.  After coolsculpting the tissue can contract a bit,  usually between two and four months after a procedure.  Your physician is correct to be concerned that the degree of tissue contraction might not meet your expectations.

Arian Mowlavi, MD, FACS (license on probation) · Answer

To remove skin looseness you can consider either a tummy tuck or Cool helium Plasma skin tightening. Which you choose is based on the texture of the loos skin. A consultation with a plastic surgeon would be very helpful.

How can I tighten loose skin after CoolSculpting? (Photos)

Answers (7)

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