For large saddle bags, what is the best treatment?

Coolsculpting is a great treatment and will definitely help you, but do not expect a miracle after just one treatment. It will take a few to achieve desired results and I would recommend it in combination with RF treatment such as Venus Freeze or newer one- Pollogen Legend from Lumenis. Do not be discouraged, stay focused and you will prevail!

Best!

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.

My best,

Sheila Nazarian, MD, MMM

Beverly Hills, Board Certified Plastic Surgeon