For large saddle bags, what is the best treatment?

CoolSculpting has FDA approval for fat reduction since 2010. CoolSculpting freezes the fat cells. Fat cells are more susceptible to damage by freezing than the other cells, (nerve, vessel, bone, etc.), around them. The fat cells die via a process called apoptosis, (programmed cell death). The number of fat cells are therefore reduced. This happens over a period of time, so the body is not overwhelmed with dead fat cells. The body will take these cells up, process them and excrete them, just as any other cell. The remnants are filtered through the liver, and then excreted eventually via stool. CoolSculpting now has an applicator for thighs.  CoolSculpting had been used in this area with good results. See an experienced CoolSculpting practice, they will determine if you are a candidate.  Best to see a Board Certified Plastic Surgeon.  They will be able to tell you of the different options, (CoolSculpting, Liposuction, Direct excision, etc.).

Coolsculpting is the best non-surgical way to get rid of excess fat in the outer thigh or saddle bag area.  Good luck!

Coolsculpting will work in areas that you have pinchable fat. Coolsculpting will not work on scar tissue. I would suggest that you have a consult with a board certified dermatologist and or plastic surgeon that have Coolsculpting machines to see what your options are.

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