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After CoolSculpting you may have some swelling and irregularities. This is normal. Normally this resolves in a few weeks. If this continues to be an issue for you, then you should consult with the provider for an evaluation of the area.
CoolSculpting is a great option for targeted fat reduction of the upper arms. Typically, CoolSculpting results are amplified when performed on the arms. A consultation and physical exam is required to provide a treatment recommendation but most often 2-3 treatments would be needed.
Being on immunosuppressants such as Imuran is not a contraindication to having CoolSculpting treatments, nor is it likely to reduce the effectiveness of the treatment. You can expect a 20-25% reduction in the subcutaneous fat volume in each area treated, with full results in 60-90 days...
Laparoscopic surgery will not affect results of your Coolsculpting. Usually, 2-3 small 5-10mm incisions are used to introduce instruments inside of the abdomen. This should not interfere with CS results. Hope this helps