Help? Need advice on coolsculpting, suresculpt, & thermage of the abdomen. (photos)

Hello, I have lost 60+ lbs after preg. I am within my ideal weight. However, I need help getting rid of stubborn stomach fat + wrinkles. I'm interested in a non-surgical procedure, such as coolsculpting or suresculpt, and thermage. Will this be an option for me? Thanks in advance! P.S. Please no tummy tuck advices, I suffered enough cutting with a c-section.

Doctor Answers 15

Need advice?

Hello JennaLee. I hate to be the one to tell you, but the nonsurgical procedures are not likely to help with your tummy appearance. You just simply have too many wrinkles and too much loose skin for less invasive therapy to produce an ideal result, in my opinion. I understand you suffered from the C-section and I'm sorry this was a bad experience from you. However, abdominoplasty can lead to a more positive experience with better pain control using long lasting local anesthetics. In addition, if you're done having kids the abdominoplasty can lead to much better looking abdomen after surgery. I know surgery is not for everyone, so I suggest you consult with several board certified plastic surgeons and spend your budget wisely. Best wishes always, Dr. ALDO :)

Scottsdale Plastic Surgeon
4.9 out of 5 stars 202 reviews


Coolsculpting is an excellent form of non-invasive  fat reduction for the right patient. Some applicators take 1 or 2 hours but the new advantage applicators take only 35 minutes and have significantly less risk for delayed onset pain (especially in the abdomen). Results are seen at 2 months and typically 1-3 treatments will be necessary on each area to achieve ideal results. The number of treatments depends on the amount of fat there and the patient's goals.  There is not downtime and the results can be impressive in the right patient.  We also use the Zimmer Z-wave for improved patient comfort and added results. The best candidates are those who are in pretty good shape with areas of stubborn fat that won't go away no matter what.

Thermage uses radio frequency to help tighten your skin. In office evaluation will determine if you are a good candidate for these procedures.

My best,

Sheila Nazarian, MD, MMM

Beverly Hills, Board Certified Plastic Surgeon

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Help? Need advice on coolsculpting, suresculpt, & thermage of the abdomen.

Thank you for your question. I would recommend seeing a board certified plastic surgeon with expertise in CoolSculpting. This way, you can explain your concerns, learn more about the procedure, and determine if you are a good candidate. An in-person assessment is always best.


Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 469 reviews

Non-Surgical Treatment of the Abdomen

If you do not want to consider surgery then a combination of Thermage and Coolsculpting would be the best combination for you.  Coolsculpting would remove any bulge and Thermage would tighten the skin.  Please consult an expert.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

If surgery isn't an option, do sculptsure and skin tightening

Abdominoplasty is the answer that first comes to mind. But if surgery isn't an option, Sculpsure laser fat reduction and some modality for skin tightening seem to be the best fit. Thermage is non-invasive. Cellulaze is more effective but is invasive. Maybe 10-15% improvement.  Abdominoplasty is like 90% correction but recovery is probably as bad or worse than c-section. Best wishes. 

Daryl K. Hoffman, MD
San Jose Plastic Surgeon
4.6 out of 5 stars 16 reviews

Coolsculpting/Sculpsure/Liposuction/Body Contouring/ High Definition Procedures

Thank you for your question.

Sculpsure is a noninvasive 1060nm diode laser treatment that removes up to 25% of stubborn fat in the treated area in 25 minutes.It is FDA approved for the abdomen and flanks. It is safe if you get pregnant in the future.

The body contouring effects are seen in as quick as six weeks with final results at 12 weeks.

The results are permanent as long as you maintain your weight and health.

The laser targets and destroys the fat cells only which are then naturally removed from the body. Since the laser does not affect the skin or muscle it can be used on all skin colors and there has been no reported incidents of burns when treated by a properly trained physician. It is protective since it alternates heating and cooling.

It has four applicators that can be customized to treat the areas of stubborn fat.

If a second treatment is needed we wait at least six weeks and usually closer to 12.

If you notice lumps after (which I've never seen) I would recommend massage. You should also alert your surgeon.

There is no downtime and you can resume your normal activities right after the treatment. There may be some soreness in the area for a few days for which you can take ibuprofen or tylenol. A cold compress can also be used.

Sculpsure is not used for skin tightening however some of our patients have seen this. If more skin tightening is needed we have combined this with thermi or Ulthera for a complete treatment. Sculpsure is recommended for stubborn areas of fat that are not being lost by diet and exercise. It is not a weight loss treatment

Since I have both a coolsculpting and sculpsure I am working on protocols of utilizing both of these depending upon what areas need to be treated and the response to the treatment.

I have used sculpsure on other areas other than the abdomen with very good results.

I also use a Vectra 3D imaging system to try and show people what their treatment areas could look like.

Since Sculpsure outcomes can be based on technique and experience, please see a board certified plastic surgeon that specializes body contouring to see if Sculpsure or other treatments are available to meet your goals.

Take care,

Dr Schwartz

Board Certified Plastic Surgeon

Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 93 reviews

Non-Surgical Options For Abdomen

If you are looking for strictly non-surgical options to reduce fat and tighten your loose skin then I think the best option for you would be a combination of CoolSculpting and ThermiTight. An in-person consultation and evaluation would be needed for a more accurate assessment. Please see an experienced provider who offers both treatments. Hope this helps.

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 10 reviews

What are my best non-invasive options for stubborn fat and wrinkled skin?

Hello JENNALEE916,

Thank you for your question and photo. Congratulations on your significant weight loss post pregnancy. If your desire it to lesson or remove the "stubborn" fat pockets then yes CoolSculpting is a very good choice and will in all likelihood give you this desired outcome; however at the expense of probable more lax skin as the underlying fat pockets are reduced. You will achieve no skin tightening from CoolSculpting or any of the non-invasive fat removal procedures. From your photo you have what appears to be a significant amount of skin laxity (giving you the wrinkles) that would far exceed any "skin tightening" procedures available. It is important to understand this because even though you requested no tummy tuck advice we would be remiss to not inform you of the realistic expectations from a procedure. In my opinion, based on what you have stated as your desired outcome and the photo provided removal of the excess skin (tummy tuck) would be your best option to attain your stated desired outcome. I feel you would ultimately be disappointed pursuing other potentially expensive avenues. Hope this helps you moving forward. Be well. 

Paul Pietro, MD
Greenville Physician
5.0 out of 5 stars 3 reviews

Laxity of abdominal skin

Laxity of the abdominal skin is one of the most difficult conditions to treat without surgical intervention.   Non-invasively, coolsculpting does tend to work well in patients with laxity to reduce fat; however, the tightening is not significant if at all.  Tightening of the skin with radiofrequency or ultrasound techniques like thermage, ulthera or thermi vary greatly from person to person.   Likely, any tightening treatment will take multiple treatments for optimal effect, especially on the abdomen.  Make sure you have realistic expectations about outcomes.  In the end, you may spend a lot of money for little benefit unfortunately.  Best of luck.

Kyle Coleman, MD
New Orleans Dermatologic Surgeon
5.0 out of 5 stars 11 reviews


Congratulations on your weight loss. Unfortunately your best option is an abdominoplasty. Please contact a board certified plastic surgeon in your area who offers both surgical and non-surgical treatment options. Best of luck!

Christine Sullivan, MD
Columbus Plastic Surgeon
4.7 out of 5 stars 34 reviews

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.