Coolsculpting before cellfina? Or cellfina before cool sculpting?

Question

I am interested in getting cool sculpting done on inner knees, inner and outer thighs. I would also like to get cellfina for cellulite that I have had ever since I can remember. What order should I do this? I'm assuming they should not be done at the same time. Or can they?

Richard H. Tholen, MD, FACS · Answer

You are a Dermatologic or Plastic surgeon's dream--you are so eager to spend money on not one but two technologies! However, you are wise to recognize that "cellulite" and localized excess fat are two different things.Since cellulite is caused by skin laxity (with natural tethering fibrous septae, nerves and vertical vessels) being pushed against by localized excess fat, trying to reduce the fatty component (and seeing if the skin has any retraction/contraction via innate residual elasticity) seems a logical first step. You may see a reduction or elimination of cellulite in one or more areas treated by Coolsculpting, though Coolsculpting is not advertised or proposed as "treatment" for cellulite. Still, if it can reduce one of the components of cellulite-causing physical characteristics, then by all means try Coolsculpting first.Do not do both together; good or bad results will be confused as to which modality caused which. Best wishes! Dr. Tholen

Ron Shelton, MD · Answer

Liposuction, not Cellfina, can reduce the fat of the inner knees.  Cellulite is rare in the inner knee.  Liposuction rarely results in dimples or indents in the skin and Cellfina might be able to lift up these indents after liposuction. Therefore, the most efficient model of a treatment plan, would be liposuction first, then Cellfina second.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.The good news is that coolsculpting can improve cellulite as well as give you a better contourIf you still have cellulite after, then you could consider cellfinaThe best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.best of luck!Dr Schwartz

Sheila S. Nazarian, MD · Answer

We have seen cellulite improvement after Coolsculpting.  I would do the Coolsculpting first to see if you still need Cellfina afterwards.  Who know? You might be one of the lucky ones!Best of luck,Sheila Nazarian

Jason Emer, MD · Answer

coolscupting results take 3 months to see, and cellfina is more quick so its up to you which result youd rather see more quickly.  Best, Dr. Emer.

Coolsculpting before cellfina? Or cellfina before cool sculpting?

Answers (5)