CoolSculpting, SculpSure or Vanquish for getting rid of saddle bags?

In my practice, we offer both CoolSculpting and liposculpture to trim saddlebags. Both of these treatments have their advantages and their drawbacks. CoolSculpting has been clinically proven to reduce fat in a treatment area by about 20-25%. It is a good option for people that don’t need to lose much fat and don’t want any downtime. Liposculpture uses microcannulas to remove fat from the body. The procedure is performed using local anesthesia and requires a few days of downtime. However, patients can achieve dramatic results in a single treatment session. I encourage you to schedule an in-person assessment with a board-certified physician with expertise in a variety of body contouring procedures. With a qualified doctor and customized treatment plan, you should see very good results.

We have been performing non-surgical fat reduction for many years and we have had some of the heat devices prior to getting Coolsculpting. The heat devices were a bit of a hit or miss regarding results. Coolsculpting however has been extremely consistent in giving our patients results that they celebrate. You do need two treatment sessions in the area and usually each sessions involves several applicators, but it works and its safe.Andrew Campbell, M.D.Quintessa

In my opinion saddle bags or outer thigh fat pockets do best with liposuction and internal heating like renuvion, howver coolsculpting and/or truscupt ID do best for non invasive.  
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

It is very difficult to make a good judgment without a photo or an in-person observation. I will say that many of my patients at our Los Angeles-based practice come to us with the sort of “saddle bags” at the thighs just as you are describing. They are quite pleased with their results.

Hello BerthaMia:I have been trained in all three methods of fat reduction. If you want to have permanent fat removal noninvasively, go with CoolSculpting. It is reliable, giving consistent reductions in fat cells permanently in every patient. The area you describe requires specialized applicators. I would advise you to seek treatment from a board-certified dermatologist who has been performing CoolSculpting for ten years where the physician plans your treatment and marks the locations for the applicators to be placed for best results, and where the assistants have attended CoolSculpting University and are certified to perform the procedure.Many patients are interested in no-contact procedures like CoolSculpting, Emsculpt, Emsella in this time of #COVID19 infections.Stay safe!Sheryl Clark MD FAAD