2nd round CoolSculpting same area, way more pain and swelling this time. Is this normal?

Question

I got a second round of coolsculpting on my outter thighs after waiting the full 12 weeks after my first. Saw results after my first coolsculpting and was very happy with them but wanted to go a little further since I already got a package deal. Anyways my thighs are swelling up a ton and there is way more sharp intense pain consistently this time around. It's waking me up at night. The first time I hardly had any swelling or pain! Thought it would be the same experience again. Hoping this is all normal?

Janet Allenby, DO · Answer

Hello,Thank you for your question. This is normal after many CoolSculpting treatments. If the swelling and pain persist and you are worried, reach out to your physician to let them know how you are feeling, but this is common after CoolSculpting treatments. Good luck!

Jason Emer, MD · Answer

Swelling and pain can vary with treatments. Oral prednisone, oral neurontin and diuretics can give improvement. You can also have swelling for 3-6 months after Coolsculpting. I recommend adding hyperbaric oxygen and lymphatic massage along with your compression to help decrease swelling. For best results with Coolsculpting, a combination approach is needed. I recommend adding radiofrequency treatments like Vanquish, Venus Legacy, Exilis Ultra for skin tightening and with Z wave/Cellutone for skin smoothing. However, a Vaser with ThermiRF procedure is the best combination for a toned result, but requires more downtime. See an expert. Best, Dr. Emer

Monika Soni, MD · Answer

Thank you for your question. Yes, this is normal as swelling and can pain can vary with treatments. You can take Tylenol to help alleviate your discomfort. If your symptoms persist or worsen please follow up with your treating physician. Best of Luck!

Vinay Aggarwal, MD · Answer

It is normal to have some swelling post treatment of CoolSculpting. Each treatment may not feel the same as the initial treatment, this can be due to different factors. Some of which may be that you were re-treated and still have some residual numbness from the prior procedure, friction from clothing rubbing against thighs, or it could be that there isn't as much tissue in the area as there was before. I would recommend following up with the provider who treated you if you are in too much pain.

Stanley Kovak, MD · Answer

Thank you for your question. What you are experiencing is very common. With the first treatment, you had more fat to grab so the applicator filled more easily. With the second treatment, there isn't as much fat for the machine to pull, so it is tugging more. Post-treatment, this can result in more discomfort and bruising. If it is keeping you up at night, be sure to contact your provider to discuss your concerns. They may be able to prescribe something to help alleviate the nerve pain. I hope this helps. Best of luck!

Martin Everhard, MD, PhD, FACS · Answer

Hello, thank you for your question. It’s definitely possible to have a different experience between your first and second CoolSculpting® treatments, so at this point, it seems as though you shouldn’t have anything to worry about. If your symptoms persist and don’t start to diminish on their own, let your provider know. While he or she may be able to prescribe you medication to help with pain and discomfort, you can also give ibuprofen and compression garments a try. Hope you feel better soon!

Edward Stokes, MD · Answer

This is a great question. Just as no two CoolSculpting patients react exactly the same way to the initial treatments, patients often find they have a different experience after a second treatment on the same area. in fact, some patients will experience discomfort and swelling on one side of the body, and not on the other. yet, having treated tens of thousands of CoolSculpting patients, we have found that discomfort and swelling are not related to how good the results will be. Some swelling is always to be expected. In some cases, the post treatment massage might be done more vigorously, leading to greater discomfort. But, overall, I wouldn't be worried. I would suggest that you keep in touch with your provider and keep tabs on the situation. Generally speaking, this swelling and discomfort will subside within a 2 week period of time.  Good luck with your Journey!

2nd round CoolSculpting same area, way more pain and swelling this time. Is this normal?

Answers (7)

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