No Results One Month After Zeltiq, Too Soon to Worry?

I am a 41 year old male who is normal weight and height 5'8 165 pounds however I have had these stubborn areas of my flanks and upper abdomen that do not respond to diet and exercise so I decided to do Zeltiq. It has been one month last Friday since my Zeltiq procedure to the upper abdomen and I cannot see any visible results, is it too soon to be concerned? I have read that most people see results at the 3 week mark. Please advise. Thank you

Doctor Answers 13

3 Weeks after Coolsculpting

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Don't be discouraged if you haven't seen the results you had hoped for at 3 weeks.  Some patients do start to see results at the 3 weeks mark but others do not.  Seeing the results sooner is not indicative of an overall better result. . Remember that Coolsculpting only targets and treats 20-25% of the fat cells in a given area so some patients may need 2-3 treatments for optimal results. Treatment is also dependent on how much fat was able to be sucked in to the applicator.  If an insufficient amount of tissue was in the chamber, despite adequate suction then the treatment may not be optimal. You may also want to review any before photos with your provider because often the results are difficult to appreciate on your own body since the fat is diminishing gradually.  Don't give up!  Coolsculpting works.

Good luck~

Dr. Grant Stevens


Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

CoolSculpting Results Are Worth the Wait

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Everybody processes the dead fat cells that result after CoolSculpting differently. Your metabolism may be a little slower than most. Generally, it takes at least a month or two before results are visible, with optimal results apparent after three to four months. Using before-after-photos can help you keep track of the changes. Most cosmetic dermatology procedures require patience; CoolSculpting is no exception. Consult your board-certified dermatologist if you continue to be concerned.

Melda A. Isaac, MD
Washington DC Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

CoolSculpting Takes Months To Appreciate

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I understand your eagerness to see the results of your CoolSculpting treatment. However, only 20% to 30% of fat is eliminated in an area at a time, which means that the initial changes during the first month may be subtle. If you haven't already, I would suggest taking Before and After photos so that you can track your progress objectively. Some patients do see preliminary results from one treatment after just four weeks, but the full result is really not achieved for three months. Make sure you stay active and have a healthy diet. Keep your weight the same or less than on the day of the procedure. You are sure to get results, so don’t despair! Many patients also need more than one treatment to get the shape they desire. Please speak with your board-certified dermatologist if you have any more concerns about your CoolSculpting progress.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 20 reviews

No Results One Month After Zeltiq

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I would not overly worry that you do not observe results after one month. In some cases, patients have gained weight that hid the benefits of the treatment. Many patients will observe changes after 3 weeks, with most noting the most change from 6 weeks to 2 months. In a rare case, it may take up to 4 months to see a benefit.While it is possible that the coolsculpting procedure did not work for you, it is extremely rare for the procedure to not be successful. The most common failures are poor patient selection (e.g. patient does not have pinchable fat to treat) or inability to have proper expectations set (20% of the fat cells of the treated area will be eliminated for each treatment. Consult with your treating physician to review the treatment, and the before and after photos.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

CoolSculpting Results

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You may start to see changes as quickly as three weeks after your treatment, and will experience the most dramatic results after two months. But your body will still flush out fat cells and continues doing so for up to four to six months after treatment.

Results of Zeltiq are seen around three to four months

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Granted, many of my patients feel that the CoolSculpting by Zeltiq has helped them in the first few weeks, but I only start to see the improvement around the third to fourth month. Patients who have undergone this treatment will be a little puffy for a couple of weeks or more! Then as the fat cells die and are processed by the body, the clothing will fit better and many patients see themselves differently when others can't yet perceive the difference because the patient feels thinner.

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

"No Results After One Month After Coolsculpting Treatment"

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After a coolsculpting treatment it takes upwards of 4 months to see your final results. Some people start to see changes as early as one month but the average is about 2 months before you can appreciate change. 

Lori A. Brightman, MD
New York Dermatologic Surgeon

Coolsculpting results

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Coolsculpting works great when the patient is selected. Typically this is determined by quality, location and amount of fat. We start to see results usually by 2-3 months latest, sometimes sooner.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

CoolSculpting Results

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Thank you for your question.
Yes, in my opinion, one month is too soon to be worried about the results. Although some patients see results after 3-4 weeks, most need to wait 2-4 months before seeing the results.  

Be patient and hopefully you will love your results.

What I have also found is that it is best for patients to return to the treating physician's office to take "after" photos and when they see the before and after photos side by side, it is the best way to see the results.

Best wishes.

CoolSculpting results take time..

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Find comfort in knowing that the best results are seen in 3 to 4 months for CoolSculpting. While some patients see results sooner that is not the majority. However, of all the patients we have treated at our practice they have all seen some kind of result at some point, which is encourging.

All the best "Dr. Joe"

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.