Can Coolsculpting Help Smooth out the Lumps Formed from Lipo?

hard lumps above and below the belly button making the belly button area feel very shallow and one small area where too much fat was taken out making the area very shallow... please help

Doctor Answers 8

Coolsculpting cannot be used for treating the small hollows left behind from liposuction

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Coolsculpting is a great tool for reducing a fat bulge in a given area by 25%.  However, it cannot correct an indentation where too much fat was removed from a procedure such as liposuction.  In this case, fat grafting is used to replace the missing fat.  Please consult with a board certified dermatologist with expertise in coolsculpting to learn more about the procedure and the benefits of non-invasive surgery over liposuction.

CoolSculpting and Liposuction Repair

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In my experience, CoolSculpting cannot effectively smooth out irregularities in scarred (underneath the skin) fatty tissue that remains after liposuction. I have found significant improvement non-surgically by injecting fat-destroying medications into these areas, very precisely, with a procedure called Mesotherapy-- consider it  "Kybella for the body." No anesthesia is required, and you can return to work right after the treatment, saving time and money. 

For for resistant areas, I use VASER Liposuction, which employs ultrasonic energy to emulsify ("melt") the fat trapped in the scarred liposuction area, to make fat removal or smoothing out more effective and even. Tumescent liposuction or microliposuction alone will create more scarring because the trapped irregular fat must be treated more aggressively than virgin fat to get it out. This less traumatic VASER Liposuction is safely performed in the office using mild sedation and local anesthesia. Some patients return to work the next day.

For areas where too much fat was removed or destroyed, fat grafting-- taking a little fat from an area where you do not want it and injecting into the hollowed depressed area(s)-- can smooth out the surface appearance.

These techniques that I have explained can also be used to correct irregularities that sometimes occur with CoolSculpting itself. These techniques require NO expensive and risky general anesthesia.

Raul P. Rodriguez, MD
Houston Physician

Coolsculpting is not good for treating small indentations and elevations after liposuction

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usually, indentations after liposuction are treated by fat grafting (fat injections of your fat harvested from distant sites) and elevations are treated by microliposuction to those focal areas to remove more fat. CoolSculpting would be too broad an area of freezing and treat the area of the applicator homogenously rather than focusing on the small elevation one has.

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

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CoolSculpting following Liposuction

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In my pratice, we will not perform CoolSculpting on patients who have had body contouring surgery within a year from another practice without a release from their surgeon. What you are describing - divets from too  much fat taken from liposuction is probably best treated with fat grafting and not with CoolSculpting

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Coolsculpting will not correct a bad lipo result

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Coolsculpting will not correct a bad liposuction result. It works for small bulges of fat that can be pinched between the fingers. It is excellent and consistent in these cases.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

CoolSculpting Treatment

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Thank you for your question. CoolSculpting is not a weight loss solution for people who are obese, or a substitute for surgical methods such as liposuction. Good candidates have noticeable bulges in certain areas they’d like to get rid of. Your doctor will determine if treatment is right for you during a one-on-one consultation

Smoothing Things out with Coolsculpting

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Thank you for your question.

Ideally, you would have a physician examine you to determine if Coolsculpting will achieve your goals.  This may be a good technique to smoothen things out BUT only if the handpiece can succeed with good suction onto the areas needing treatment.

Best for you to visit an office that performs Coolsculpting and have an in person consultation to get the most precise advice.

Best wishes.

Zeltiq CoolScultping to Help Smooth Lumps Post-Liposuction

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Zeltiq CoolScultping may or may not be able to help with the lumps that remain after a liposuction procedure, this is dependent on the location of the fat deposits, the amount of lumps, and their pliability.  The location of the fat deposits must lend to a snug fit with the CoolSculpting handpiece, some areas are hard to grab hold of tissue, especially if there is not enough of the fat.  Poor suction will result from poor fit, and this will lead to poor results.  Your physician will need to perform an extensive physical examination to determine if CoolSculpting will work for your particular area. 


These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.